Paeds Immunisation Schedule Flashcards
8 weeks
- 6-in-1
- Men B
- Rotavirus
12 weeks
- 6-in-1
- Pneumococcal
- Rotavirus
16 weeks
- 6-in-1
- Men B
1 year
- Hib / Men C
- Pneumococcal
- MMR
- Men B
2 - 10 years
- Flu vaccine (annual)
3 years + 4 months
- MMR
- 4-in-1
12 - 13 years
- HPV vaccine
14 years
- 3-in-1
- MenACWY
Babies born to Hep B infected mothers
- Hep B at birth, 4 weeks and 1 year
Babies born in areas of high-risk TB
- BCG at birth
Infants born to parent/grandparents born in high incidence country
- BCG at birth
How do you define a TB high-risk area
- Incidence over 40 per 100,000
What is in the 6-in-1 vaccine?
- Diphtheria
- Tetanus
- Pertussis (whooping cough)
- Polio
- HiB
- Hep B
What is in the 4-in-1 vaccine?
- Diphtheria
- Tetanus
- Pertussis
- Polio
What is in the 3-in-1 vaccine?
- Diphtheria
- Tetanus
- Polio
When is 6-in-1 given?
8 weeks, 12 weeks, 16 weeks
When is Men B given?
8 weeks, 16 weeks, 1 year (booster)
When is rotavirus given?
8 weeks, 12 weeks
When is Pneumococcal given?
12 weeks, 1 year
When is Hib / Men C given?
1 year
When is MMR given?
1 year, 3 yrs + 4months
When is the flu vaccine given?
Between 2 and 10 years
First dose between 2-3 yrs then annually
When is the 4-in-1 given?
3 years + 4 months
When is the HPV vaccine given?
12-13 yrs
When is the 3-in-1 given?
14 yrs
When is the MenACWY given?
14 yrs
How might the flu vaccine be given?
- Can be given intranasally
- Intranasal vaccine = live, injectable = not live
Contraindications for live flue vaccine
- Immunocompromised
- Aged < 2 years
- Current febrile illness or blocked nose/rhinorrhoea
- Current wheeze (e.g. ongoing viral-induced wheeze/asthma) or history of severe asthma (BTS step 4)
- Egg allergy
- Pregnancy/breastfeeding
- If the child is taking aspirin (e.g. for Kawasaki disease) due to a risk of Reye’s syndrome
Contraindication for injectable infleunza vaccine
Hypersensitivity to egg protein
SEs of live flu vaccine
- Blocked-nose/rhinorrhoea
- Headache
- Anorexia