Mbak Gita,
Minta variasi yg lain aja mbak bukan yg 5 in 1.
Kalau gak salah ada yg 2 in 1 atau 3 in 1.
Coba diskusikan dg dokter anaknya di sana.
Terbuka aja mbak ke dokternya. Kita kan patient yg berarti client (aktif)
bukan
patient yg patience (pasif).
Coba browsing juga ke website ini : http://www.worldwidevaccines.com
Semoga membantu.
Lulu
----- Original Message -----
From: Dr. Wati
To: Sehat
Sent: Thursday, March 04, 2004 12:04 PM
Subject: [sehat] imunisasi
Dear all yg tanya soal imunisasi
1. Imunisasi di negara maju selalu diberikan dalam bentuk kombinasi (ada
merk2 tertentu yg menggabungkan DPT, HiB, Polio: bahkan ada yg menggabungkan
DPT, polio, HiB dan HepB)
Itu semua menunjukkan bahwa pemberian sekaligus - justru dianjurkan karena:
semakin cepat bayi kita terlindungi, semakin baik
alam kita ini penuh dg antigen (virus dan kuman, berjuta2, setiap hari kita
terpapar, dan tdk menyebabkan kerugian pada kita krn sistem imun kita di
desain Tuhan utk dapat menampung dan merespons paparan yg bertubi2 tsb
2. Pemberian secara simultan bersamaan sdh terbukti tdk merugikan bayi, dari
berbagai aspek bahkan menguntungkan krn mengurangi angka kunjungan ke dokter
Pasien saya selesai imunisasi semuanya usia 6 bulan krn saya selalu
memberikan imunisasi secara simultan (contoh, usia 6 bln saya berikan, DPT
dan Hib di paha kiri dan kanan, polio oral, dan hep B di lengan atas)
Kalau mau dipisah boleh saja tetapi secara medis aman memberikan bersamaan
(pemisahan jadinya semata2 alasan emosional org tua hehehe tapi saya suka
guyon, nanti dokter wati kaya lho ibu mondar mandir berobat terus)
3. IPV polio yg disuntikkan
Ikut nanti ceramah imunisasi hehehe
4. Tdk ada sebetulnya kondisi yg benar2 merupakan contraindication
imunisasi, kecuali suhu > 38C
batuk pilek bukan halangan utk imunisasi
kan bisa krn alergi kalau gak ada demam
semoga membantu
wati
--- Begin Message ---
Title: GlaxoSmithKline - Vaccines & Recommendations - General Recommendations
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> Vaccines & Recommendations >
General Recommendations |
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Spacing and
Simultaneous vaccine administration
The general
principles for spacing and simultaneous administration of
vaccines are as follows:
- attention should be paid to the recommended minimum
interval between subsequent vaccine doses (Table 2);
decreasing the recommended minimum interval may negatively
interfere with antibody response and protection
- increasing the recommended interval between subsequent
vaccine doses does not diminish the effectiveness of the
vaccine
- there is no need to restart the series of any vaccine
due to extended intervals: the series should be completed as
soon as possible but not restarted (exception: oral typhoid
vaccine should be given as recommended)
- there are no contraindications to simultaneous
administration of any vaccines, vaccines should be
administered at different body sites; in the U.S.,
simultaneous administration of cholera and yellow fever
vaccine is not recommended (due to decreased antibody
response), the vaccines should be separated by at least 3
weeks
- if various vaccines are not given simultaneously, the
recommendations regarding spacing are as follows:
-
interval between two different live vaccines should be 4
weeks;
- no interval is recommended between different
inactivated/toxoid/subunit vaccines or between live and
inactivated/toxoid/subunit vaccines The general
principles for intervals between the receipt of
antibody-containing blood products and vaccines are as
follows:
- inactivated/toxoid vaccines generally are not affected
by circulating antibody to the antigen included in the
vaccine
- live vaccines may be affected by circulating antibody to
the vaccine virus, therefore: when a vaccine has been
administered first, wait 2 weeks before administer an
antibody-containing blood product; when an
antibody-containing blood product has been administered
first, wait at least 3 months before administering a live
vaccine.
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| DTP/DT/DTaP |
4
weeks |
4
weeks |
6
months |
| Haemophilus
influenzae (Hib) |
4
weeks |
4
weeks |
|
| Hepatitis A |
6
months |
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|
| Hepatitis B |
4
weeks |
8
weeks |
|
| Measles-mumps-rubella
(MMR) |
4
weeks |
|
|
| Pneumococcal Vaccine,
conjugated |
4
weeks |
4
weeks |
|
| Pneumococcal
Polysaccharide Vaccine |
5
years |
|
|
| Poliomyelitis (IPV) |
4
weeks |
4
weeks |
|
| Poliomyelitis (OPV) |
4
weeks |
4
weeks |
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| Varicella |
4
weeks |
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Table 2 -
Minimum interval between subsequent vaccine doses, by vaccine
type*
* for combination
vaccines not included in the table, the minimum interval
between doses is equal to the greatest interval of any of the
individual antigens
(Adapted from Advisory Committee on
Immunization Practices (ACIP) and the American Academy of
Family Physicians (AAFP). General recommendations on
Immunization. Morbid Mortal Wkly Rep 2002;51(RR-2). [5] |
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Vaccine
Interchangeability
Vaccines from different
manufacturers might contain different antigens/antigen
contents or different stabilizers or preservatives. Available
data indicate that different hepatitis A, hepatitis B, and Hib
conjugate vaccines are interchangeable within their respective
primary series. In the absence of a clear serologic correlate
of protection for pertussis, the relevance of limited data
regarding the immunogenicity of different DTaP vaccines used
in primary series is unknown. Therefore it is recommended
preferably to use the same brand of DTaP vaccine (or
combination vaccine based on DTaP) for all doses of the
primary series. However, an immunization series should not be
interrupted because the brand of a previous doses is unknown
or not available. [5] |
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