hebat ibu melisa ini...........
saya aja bacanya sampai bingung............
di terjamakan sekalian gitu biar jelas.........................
he... he.... he....
-------Original Message-------
From: melisa
Date: 05/19/05 15:34:56
To: balita-anda@balita-anda.com
Subject: Re: [balita-anda] Urgent: DPT pas pilek, boleh?
Mbak Heni
Imunisasi itu sudah dijadwal sedemikian rupa, karena apa? Karena penambahan
dosis yang tepat dalam jangka waktu yang tepat itu berpengaruh secara
keseluruhan terhadap efektifitas vaksin itu sendiri.
Batuk pilek emang rasanya enggak enak, tapi paling demamnya cuman 1-2 hari
saja. Meler dan batuknya memang bisa berlangsung semingguan tapi anak enggak
lemes, enggak teler kan? Kita juga orang dewasa tetap bisa beraktifitas
biasa kalo lagi pilek kan, apalagi anak kecil yg semangat dan energi
beraktifitasnya luar biasa.
Saking sayangnya pada anak, kadang ortu suka enggak tega mengimunisasi kalau
anaknya enggak sehat banget. Tapi kalau sampai delay jauh dari jadwal, itu
bukannya malah meresikokan anak terkena penyakit yang lebih berat lagi?
Imunisasi yg sebelumnya, karena enggak diulang tepat waktu, jadi tidak
efektif dan mubazir. Dan anak menjadi mudah terekspose penyakit yang
berbahaya.
Mengenai kapan anak tidak boleh divaksinasi, ini saya ada sedikit artikel.
Mohon dicermati
Regards,
Melisa
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
----- Original Message -----
From: "Lekom Maras" <[EMAIL PROTECTED]>
To: <balita-anda@balita-anda.com>
Sent: Thursday, May 19, 2005 1:09 PM
Subject: Re: [balita-anda] Urgent: DPT pas pilek, boleh?
> gini......logika aja.....anak batuk pilek aja dah gak enak......terus di
> tambah mau di suntik dpt2, lah anak yang sehat aja terus di imunisasi dpt
> efeknya kan bisa panas....emang sih kondisi anak beda2......
>
> nah sekarang kalo anak gak fit...terus di tambah DPT, coba bayangin
> ajah.....(suntik yang gak pake panas juga rada2 ada sumengnya dikit kan)
>
> untuk jelas nya silahkan tanya dokter aja.......kalo saya cuma maen
> logika.....
>
> oh ttg penyakit yang tidak menghalangi imunisasi saya gak tau kalo dah
> pernah di posting....karena saya baru jadi member blm 3 bln.....
>
> tapi kalo saya sendiri...kalo anak saya gak fit gak akan saya imunisasi,
> saya tunggu anak saya sehat dulu !
>
> tetep semangat
> heni---bunda elang
>
