Contraindications to Giving Immunizations to Baby With Erb's Palsy
Relative (temporary) contraindications for vaccination
A relative (temporary) contraindication is the presence of a vaccinated acute or exacerbation of a chronic disease, since in the case of development of its complication or adverse event, the vaccine can exist put forward as their cause. Feel has shown that during vaccination according to epidemics of children with acute pathology, the number of reactions and complications does not increase, and the immune response is adequate. Vaccination of pregnant women is also undesirable: although the teratogenic effect of vaccines, including live vaccines, is not proven, vaccination tin can be associated with the complexity or birth of a lacking child.
For each vaccine, at that place are a number of contraindications, the strict adherence to which ensures the maximum effectiveness and safety of vaccine prophylaxis.
Reducing the number of contraindications was made possible by improving the quality of vaccines and increasing knowledge almost the causes of complications. About chronic diseases are excluded from the list, only a few pathologies that increase the adventure of complications are left. Compliance with contraindications protects not merely the vaccinated, but also the medical worker from possible charges. But an expanded interpretation of contraindications is unacceptable, an increment in the number of unreasonable offtakes reduces immunization coverage and, equally the experience of the USSR and other countries has shown, is fraught with an epidemic of controlled infections.
Despite the reduction in the number of contraindications and the increase in immunization coverage, nosotros notice a reduction in the frequency of severe reactions and complications, the bulk of them being of an individual nature that tin can not be foreseen, i.e. To acquaintance with the previous state of the vaccinated. This is facilitated by the post-obit rules for vaccinating special groups with health issues that require special treatment.
List of medical contraindications for immunization of the National Immunization Agenda *
| Vaccine | Contraindications |
| All vaccines | Strong reaction or complication to previous vaccine assistants |
| All live vaccines | Immunodeficiency status (primary) Immunosuppression; malignant neoplasms Pregnancy |
| BCG | Weight of kid at birth less than 2000 chiliad Keloid scar |
| DTP | Progressive diseases of the nervous system Afebra Cramps in history |
| Alive vaccines: measles (LCV), mumps (HPV), rubella, besides equally combined di- and trivaccines | Astringent forms of allergic reactions to aminoglycosides (gentamicin, kanamycin, etc.) For strange-made vaccines prepared on chick embryos: anaphylactic reaction to egg hen protein |
| Hepatitis B vaccine (HBV) | Allergic reaction to baker'southward yeast |
| Influenza | Allergic reaction to egg white poly peptide, aminoglycosides, a strong reaction to the previous of any influenza vaccine. Contraindications for live vaccines - see Instructions for Use. |
* Astute infectious and not-infectious diseases, exacerbation of chronic diseases are temporary contraindications for vaccination. Scheduled vaccinations are carried out 2-4 weeks after recovery or during the period of convalescence or remission. With mild ARVI, acute intestinal diseases and other vaccinations are carried out immediately afterwards the normalization of temperature.
False contraindications to vaccination
In practice, there are oft cases of "withdrawal" from vaccination of children who do not have any contraindications. The main unjustified reasons for the withdrawals and delays of vaccination are "perinatal encephalopathy", "dysbacteriosis", "thymomegalia", allergy and anemia. Refusal of parents, although referred to, occurs in less than 1% of cases, and it can exist significantly reduced by persistent explanatory piece of work.
"Perinatal encephalopathy" (PEP) as a diagnosis is excluded by a new classification, CNS pathology should be indicated by specific terms. The astute period of perinatal damage ends within the kickoff month of life, later which stable or regressing residual disorders may occur - in the form of muscular dystonia, delay in the formation of mental and motor functions, disturbance of the periodicity of sleep and wakefulness. Usually they were considered feet (most often associated with colic), a Gref symptom (variant of the norm) or a mentum tremor (a hereditary dominant trait). Not surprisingly, the "diagnosis" of PEP has recently had 80-90% of all children of the 1st year at the polyclinic site!
In such children, the neurologist should only confirm the absence of a progressive pathology, which gives the pediatrician the grounds to instill the child on time; withdrawal of a neurologist is legitimate only if the child has afebrile seizures, hydrocephalus or other progressive CNS disease.
Dysbacteriosis as a diagnosis is justified only in a patient with a stool disorder against a background of massive antibiotic therapy, when the question of vaccination usually does not arise. In other cases, this diagnosis is not legitimate: a violation of the abdominal biocenosis is secondary for any intestinal disease: intestinal infection, food intolerance, impaired assimilation of lactose and other carbohydrates, celiac disease, irritable bowel syndrome. Analyzes "on a dysbacteriosis" in these cases (and furthermore at a normal chair) are non necessary, since. Do not clarify the true cause of the disorder, besides they are expensive. In any case, changes in the microbial flora of the stool are not an excuse for withdrawing from vaccination or delaying it.
An increase in the shade of the thymus on the roentgenogram is usually detected by chance, information technology is either an anatomical variant or a consequence of its post-stress hyperplasia, in both cases the diagnosis of thymomegaly is illegal. Such children respond normally to vaccination and should be vaccinated on fourth dimension.
Allergies in the kid is not an excuse for not taking vaccinations, the rules for their implementation are outlined below. The utilize of ointments with steroids (equally well equally with pimecrolimus - Elidel), steroids in the form of sprays or inhalations does not prevent vaccination.
Anemia of alimentary genesis should non exist the reason for withdrawing from vaccination; subsequently it is carried out, the child should be prescribed an fe grooming. Severe anemia requires clarification of its cause, followed past a determination on the nature of therapy and the timing of vaccination.
In that location tin be no contraindication to maintenance treatment (antibiotics, endocrine, cardiac, etc.), as well every bit anamnestic data on serious diseases in the absence of their active manifestations. Indication of family history of epilepsy, complications of vaccine administration, allergy of any class, expiry of siblings in the post-vaccination period should not serve as a diversion from vaccinations. Exception - the presence in the family of a patient with immunodeficiency - requires a newborn before the introduction of BCG and the replacement of OPV with IPV.
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Source: https://iliveok.com/health/contraindications-vaccination_112499i15828.html
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