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. *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 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 dr wati 2010/12/16 <yur...@yahoo.com> > Dear Nami's mom... > Kalo setau sy si utk bayi tdk perlu minum obat kecuali demam tinggi ataupun > (maaf) ingusnya berwarna kehijauan..cukup ditingkatkan antibodi nya dengan > diberikan ASI sesering mgkn spy virusnya bs cpt keluar.. > kalo utk bundanya bs minum Silex (dl sy direkomendasikan itu oleh DSA krn > bs utk ibu menyusui) tp bunda sebaiknya memakai masker dan sering cuci > tangan jika dkt si kecil yaaa... > > Oya..ada yang menjadi pertanyaan sy wkt baca email bunda,wkt si kecil batuk > pilek koq diimunisasi?krn setau sy utk imunisasi hrs dlm keadaan fit dan > biasanya DSA tdk memberikan imunisasi jika si kecil dlm keadaan sakit..krn > imunisasi kan yang disuntikkan adlh virus,yang walaupun sdh dilemahkan ttp > memerlukan badan yang fit utk membentuk antibodi.. > > Semoga membantu dan semoga cpt sembuh bunda dan si kecil tercinta.. > > Oya..tetap menyusui ya krn ASI adlh yang terbaik.. > > Powered by Telkomsel BlackBerry(R) > > -----Original Message----- > From: yoge...@gmail.com > Date: Thu, 16 Dec 2010 01:58:10 > To: <balita-anda@balita-anda.com> > Reply-To: balita-anda@balita-anda.com > Subject: [balita-anda] Batpil bunda & bayi > Hai moms, aq lg aga sedih nie. Gr2 ketularan batpil dr ART skrg aq ma > anakku Nami jd batpil dech, klo Nami sendiri karna kmrn sekalian imun jd aq > bilang ma DSA nya klo dia lg batpil. Trus dikasi obat d.yg bingung skrg apa > bundanya perlu minum obat jg ga? Trus klo menyusui msh bs jg ga? Soalnya aq > aga kuatir sakitnya Nami mlh ga sembuh2 krn minum ASI.thx bwt mom semua yg > ngsi masukanny y. > Sent from my BlackBerry(R) > powered by Sinyal Kuat INDOSAT > -- rgds, Lita http://alsacakes.blogspot.com
