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KAPAN IMUNISASI DITUNDA 

Tulisan ini bahan buku imunisasi yg diambil dari
berbagai sumber, WHO, AAP, IDAI 

Indikasi kontra imunisasi.

Pada dasarnya, sedikit sekali kondisi yang menyebabkan
imunisasi harus ditunda. Pilek, batuk, suhu sedikit
meningkat, bukan halangan untuk imunisasi. 

Beberapa kondisi di bawah ini BUKAN HALANGAN UNTUK
MELAKUKAN IMUNISASI: 

- Gangguan saluran napas atas atau gangguan saluran
cerna ringan 
- Riwayat efek samping imunisasi dalam keluarga. 
- Riwayat kejang dalam keluarga. 
- Riwayat kejang demam 
- Riwayat penyakit infeksi terdahulu 
- Kontak dengan penderita suatu penyakit infeksi 
- Kelainan saraf menetap seperti palsi serebral,
sindrom Down 
- Eksim dan kelainan lokal di kulit 
- Penyakit kronis (jantung, paru, penyakit metabolik) 
- Terapi antibiotika; terapi steroid topikal (terapi
lokal, kulit, 
mata) 
- Riwayat kuning pada masa neonatus atau beberapa hari
setelah lahir 
- Berat lahir rendah 
- Ibu si anak sedang hamil 
- Usia anak melebihi usia rekomendasi imunisasi 

Kondisi dimana imunisasi tidak dapat diberikan atau
imunisasi boleh ditunda: 
- Sakit berat dan akut; Demam tinggi;
-  - Reaksi alergi yang berat atau reaksi anafilaktik;


- Bila anak menderita gangguan sistem imun berat
(sedang menjalani terapi steroid jangka lama, HIV)
tidak boleh diberi vaksin hidup (polio oral,MMR, BCG,
cacar air).
- Alergi terhadap telur, hindari imunisasi influenza

  

http://www.prodigy.nhs.uk/guidance.asp?gt=Immunizations%20-%20childhood



Reasons to delay vaccination 
v      Acute illness: if a child is suffering from any
acute febrile 
illness, postpone immunization until the child has
fully recovered. Minor 
infections without fever or systemic upset are not
reasons to postpone 
immunization. 

v      Adverse reaction to vaccine: vaccines should
not be given to 
those who have had: a confirmed anaphylactic reaction
to a previous dose 
of the same vaccine. Diphtheria containing vaccines
should not be given 
if there is a confirmed anaphylactic reaction to
neomycin, streptomycin 
or polymyxin B (which may be present in trace
amounts). 

v      Untreated malignant disease or altered
immunity: those receiving 
immunosuppressive or X-ray therapy or high-dose
corticosteroids. 
Malignant conditions of the reticulo-endothelial
system such as lymphoma, 
leukaemia, or Hodgkin's disease, and where the normal
immunological 
mechanism may be impaired. 

v      Children who have received another live
vaccine, including 
Bacillus Calmette-Guérin vaccine (BCG), within 3
weeks: do not give measles, 
mumps, and rubella (MMR) vaccine within 3 months of an
injection of 
immunoglobulin. 

v      Pregnancy should be avoided for 1 month after
MMR vaccine, as 
for rubella vaccine. Although there is no information
to suggest that 
tetanus, diphtheria, or meningococcal C vaccination is
unsafe during 
pregnancy, do not use unless there is a high risk of
the individual 
developing the disease. Do not offer BCG to women who
are pregnant or who are 
breastfeeding, unless it is thought that they are at
high risk of 
catching TB. 

v      Tuberculin positive: BCG vaccine should not be
administered to 
individuals who are tuberculin-positive (that is, an
induration of 5 mm 
or greater in diameter in the Mantoux test, or a Heaf
grade 2 to 4). 

Where there is doubt, seek appropriate advice from a
consultant 
paediatrician, District Immunization Coordinator or
Consultant in Communicable 
Disease Control, rather than withholding vaccine. 

NOT contraindications to vaccination 

The following are not reasons to delay or avoid
vaccination: 

v       A personal or family history of allergy not
related to one of 
the vaccine components. 

v       A family history of any adverse reactions
following 
immunizations. 

v       A stable neurological condition such as
cerebral palsy, Down's 
syndrome, or spina bifida. 

v       Previous history of pertussis, measles,
rubella or mumps 
infection. 

v       Prematurity: immunization should not be
postponed. 

v       Contact with an infectious disease. 

v       Asthma, eczema, hay fever, or 'snuffles'. 

v       Treatment with antibiotics or locally acting
(e.g. topical or 
inhaled) corticosteroids. 

v       Child's mother is pregnant. 

v       Child being breastfed. 

v       History of jaundice after birth. 

v       Under a certain weight for child's age. 

v       Over the age recommended in the immunization
schedule. (There 
is currently no pertussis-containing vaccine licensed
for immunization 
in children age 7 years or older.) 

v       Family history of convulsions. Immunization
should be carried 
out after advice on the prevention of pyrexia has been
given. 

v       Surgery is not a contraindication to
immunization, nor is 
recent immunization a contraindication to anaesthesia
or surgery. 

v       HIV-positive: most vaccines in the childhood
vaccination 
programme are suitable for people who are
HIV-positive. In areas where the 
risk of contracting tuberculosis and HIV is high, the
World Health 
Organization states that it may be appropriate to
vaccinate asymptomatic 
HIV-positive people. However, the Joint Committee on
Vaccination and 
Immunization advises that BCG should not be
administered to individuals 
infected with HIV.


Uci mamaKavin+
--- melisa <[EMAIL PROTECTED]> wrote:

> Gak papa Mbak, kalo enggak sedang demam tinggi batuk
> pilek dan diare tidak
> perlu menunda imunisasi.
> 
> Melisa
> 
> ----- Original Message -----
> From: "Ella Zuyuna" <[EMAIL PROTECTED]>
> To: "balita" <balita-anda@balita-anda.com>
> Cc: "majalah anakku" <[EMAIL PROTECTED]>
> Sent: Friday, September 08, 2006 9:33 AM
> Subject: [balita-anda] Vaksin
> 
> 
> > Pagi  Para BUnda dan Para Dr.
> >
> > Baby saya  usianya 5 Bulan.Barusan ini dia kena
> > flu,tapi alerginya juga lagi meningkat.Karena
> udara di
> >
> > tempat tinggal kami dingin sekali.Jadi dia
> ingusnya
> > masih keluar tapi nggak panas.Suhu stabil.Yang
> > ditanyakan:Sekarang mau waktunya IPD 2.Apakah
> boleh
> > suntik itu dilakukan.Keadaan baby sehat-sehat saja
> > walaupun keluar ingus.Soalnya kalo mau nunda takut
> > terlambat dan untuk bulan sudah waktunya vaksin
> wajib.
> >
> >
> > Terimakasih
> >
> > __________________________________________________
> > Do You Yahoo!?
> > Tired of spam?  Yahoo! Mail has the best spam
> protection around
> > http://mail.yahoo.com
> >
> >
>
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> > Kirim bunga, http://www.indokado.com
> > Info balita: http://www.balita-anda.com
> > Peraturan milis, email ke:
> [EMAIL PROTECTED]
> > menghubungi admin, email ke:
> [EMAIL PROTECTED]
> >
> 
> 
>
--------------------------------------------------------------
> Kirim bunga, http://www.indokado.com
> Info balita: http://www.balita-anda.com
> Peraturan milis, email ke:
> [EMAIL PROTECTED]
> menghubungi admin, email ke:
> [EMAIL PROTECTED]
> 
> 


Uci mamaKavin
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