The reason for writing this article wasmundane at first glance the situation: in the kindergarten with parents collected signatures for consent to vaccination Hiberiks. Many signed. Value for so rashly sign a document ?! This question should ask ourselves all the parents who care about the health of their children.
So, what vaccinations are required to do for our children? From what and why we are entitled to refuse to "calm" the soul? And how to determine whether your baby vaccine hurt? These are questions which, after reading the article must answer all.
National immunization schedule
Calendar is an ordered listdates and names of vaccinations to be carried out in children and adults, taking into account the epidemiological situation in the country, as well as, respectively, the age distribution and severity of the illness. Just want to warn readers of our site is that there are amendments to the national calendar, taking into account the peculiarities of diseases besides its inhabitants for some regions of Russia. Take the central region.
So, the baby was born. And once, during the first 48 hours life, it must be vaccinated againsthepatitis B. Just a few years ago, the vaccine did virtually all newborns, except, perhaps, the very preterm infants and children with clear contraindications (about them later).
Now every mom (or located in childbirth, or have given birth to) take a written consent to the vaccination of her baby. Is it correct?
Option one - yes, because that's what my mother bearsresponsibility for the consequences of refusal or consent to the vaccination. But the second option - no, not right, because the mind is only a woman who gave birth to too labile, it lends itself to free belief and inspiration. Moreover, to be honest, who before the signature in an accessible form, and fully explained the need for such vaccines, as well as talked about the possible reactions and complications? I did not see such at all. Therefore, consciously or mother may sign-doctor, or mother, who well versed in medicine. And they do not always make the right choice.
So, the first advice moms: do not rush to sign documents (or refusal or consent), thus sometimes you sign your baby verdict. If in doubt, ask questions of your doctor, if anything remains unclear, ask again. In no case did not refer to pity - such as a crumb, and still stabbing. It is better to prick, to do a little hurt now than to eliminate the consequences of such a pity. Do everything carefully and reasonably, to a sure hand to sign "for" or "against".
4-5 day - Or before discharge from the hospital the baby do BCGor BCG-M. The difference of these vaccines a dosage - the letter "M" indicates that took half of the simple BCG. This vaccine is a live, tuberculosis. More specifically, the immune system after it is produced by Mycobacterium tuberculosis. This vaccine is undergoing many changes for 5-6 months, after which the scar is formed. Its value indicates the presence of the immunity your baby. It is believed that if the scar is less than 4 mm, the immune system is not stable. The essence of vaccination is administered attenuated Mycobacterium that another class, and TB proceeds in very light skin form. After that, and formed a scar.
It related to this so-called "abscess" inthe site of inoculation, which in any case can not be touched, to seal, to wash. Better to just not pay attention to it. Wash the baby, of course, possible. About contraindications to BCG vaccination will talk a little later.
3 months life - vaccination against whooping cough, diphtheria andtetanus (DPT) + oral polio vaccine (OPV). Children under indications of possible use of Td vaccine (without the pertussis vaccine) or Td (smaller number).
4.5 months life - DTP, OPV and Hepatitis B.
6 months life - DTP, OPV and Hepatitis B.
12 months life - vaccination against measles, rubella and epidparotita (MMR or monovalent).
18 months (1.5 years) - DPT + OPV.
20 months - OPV dose.
6 years - Td + + OPV vaccine against measles, rubella and epidparotita.
7 years - BCG or BCG-M, provided no infection tuberculosis.
14 years - BCG provided no infection of tuberculosis. Further, under the same conditions, make vaccination every 6-7 years.
Vaccination against hepatitis B is carried out every 10 years.
By order of the 2007 calendar is also included in the flu vaccine.
True and false contraindications for administering vaccines
It is necessary to distinguish between two concepts: true and false contraindications. True contraindications are for life, for which the vaccine administration is absolutely contraindicated in any situation. A false contraindications are temporary and it is possible to vaccinate the baby as the elimination of this factor.
True contraindications. This is a fairly small group of children, as a rule, have a fairly serious violations in health.
Absolute contraindication for administration of allVaccine is a strong reaction or complication of the previous administration. For severe reactions may include a significant increase in body temperature, infiltration of up to 8 cm in diameter. This contraindication due to the fact that children have a tendency to progression reactions to vaccination.
Absolute contraindication for administration of all live vaccines (BCG, BCG-M, OPV, measles, mumps and rubella) is the presence of a child's primary or secondary immunodeficiency, malignant neoplasmsBlood diseases. And you can not use live vaccines in pregnant women and people who are on immunosuppressive therapy (taking hormones, cytostatics).
For vaccine BCG and BCG-M contraindications (in addition to the above) are: a child weighing less than 2500 g and the presence of keloid scar after previously administered vaccines.
From DTP injections exempt childrenprogressive disease of the central nervous system (it can and tumors, and exacerbated by paralysis and paresis), as well as children who are prone to afebrile seizures (epilepsy, for example). Those. When convulsions in a child does not depend on the degree of temperature increase. In this regard, perhaps the use of ADS and ADS-M.
The vaccine against measles, rubella and epidparotita contraindicated in the presence of an allergic reaction to a protein quail and aminoglycosides.
If you have an allergy to baker's yeast is contraindicated vaccination against hepatitis B.
Relative contraindications or false. These include contraindications, which arose as a result of an illness and exacerbation of chronic. Here are the most frequent of these terms and removal from vaccines:
- SARS, influenza, mild - 2 weeks;
- SARS, moderate flu - 3 weeks;
- SARS severe (laryngeal stenosis or obstructive bronchitis) - 4 weeks;
- Flu heavy - 2-3 months;
- Flu hypertoxic in the introduction of immunoglobulin - all live vaccines 3 months;
- adenoviral / herpes infection of the lungs - 1 month;
- adenoviral / herpes infections of the skin and mucous membrane lesions of moderate severity - 2-3 months;
- adenoviral / herpes (encephalitis, pneumonia, nephritis) heavy infections - 3-6 months;
- chickenpox, Infectious mononucleosis mild - 1-2 months;
- chickenpox, infectious mononucleosis moderate severity - 2-3 months;
- chickenpox, infectious mononkleoz severe - 3-6 months;
- mild intestinal infection - 2 weeks;
- intestinal infection, moderate and severe - up to 4 months;
- Meningococcal infection - up to 12-18 months;
- pneumonia - at least 2 months after recovery;
- glomerulonephritis - at least 2 years of stable remission;
- pyelonephritis - Not less than 3 months of sustained remission with normal urine;
- dysentery easy / medium / hard - 2 weeks / 1 month / 3-6 months, respectively;
- chronic gastritis, Gastro, gastroenterocolitis - not less than 1.5 months of stable remission;
- chronic respiratory diseases - in degree, but not less than 2 months of stable remission;
- surgery - at least 1 month.
Children who often complications arise
Firstly, the children with various allergies and atopic dermatitis. In this regard, prior to vaccination for 3 days they are appointed by desensitizing agents: Claritin, suprastin, tavegil.
Secondly, it is the children with any CNS lesions. And the complications they occur more frequently in the form of seizures and epileptic seizures. These children need a pediatrician in addition to the direction of viewing a neurologist with a conclusion about the state of health.
Third, it is often and long ill children.
For all children at risk are selectedpersonalized immunization schedule, but are respected and common activities: selection of the vaccination season (usually the warm season, when the children are ill less); the timing of the day (it is better to carry out vaccinations in the morning); not to vaccinate children enrolled in kindergarten in less than 2 weeks ago.
The above terms of preventive withdrawalvaccination should be the key to identifying children in need of vaccination, but have contraindications. Thus, parents, knowing that their child two weeks ago emerged on the lips herpesShould not give consent to the vaccination.
Either it must be agreed directlywith your doctor if the risk of disease is higher risk of complications after vaccination. The same applies to children who in spite of his illness or attend pre-school institutions. This is familiar to many - I saw a few parents who have the appearance of a cold their child, "sat down" to him at the hospital. This means that the child continues to attend preschool, and the infection persists in the body, but vaccination would still do, because No diagnosis. And sometimes the result is not predictable.
Therefore, I do not recommend readers to our site hurrygive its consent prior to assess the readiness of the child to "take" immunization and adequate response to the vaccine. If you still want to protect your baby, give up now, take the direction of vaccination from the garden when the baby will be healthy when the risk of complications or severe reactions will be minimal. And the stress in your presence the baby almost does not manifest itself.