Immunization (vaccines)

Intensified Mission indradhanush 5.O

Tell lauch year & updates

2024

Updates÷

→ Rota virus vaccine: Now under Open Vial Policy.

→ 3rd close of fIPV: Newley introduced in 2024

→JE killed Vaccine (previously it was Live vaccine)

No.of Opv and Pentavalent doses

OpV: Birth dose + 3primary doses + 1 booster doses

Pentavalent: 3 primary doses + 2 booster doses

No. of diseases coverd in NIS

11: Nationally

1: Sub Nationally

Upper age Limit to start Vaccine

site of vaccine Administration. (Tell the dose also)

☆ New÷

fipv-3→ on Left upper arm.

JE (Killed)→ Left Ant. Lateral thigh.

Upper Age Limit to start the Vaccine.

What is the type of vaccine is Pentavalent

Mixed type of vaccine.

Diptheria→ Toxoid.

Tetanus→ Toxoid.

Perturis → Killed (whole cell).

Hemophilus influenza-B (Hib)→ conjugate.

Hepatitis-B → recombinant.

☆Pentarelent is Freeze sensitive.

S/e of Pentavalent are d/t. and what are they?

s/e are d/t Pertusis÷

→ Uncontrollable cry (>3hours).

→ Neurological deficits.

what are C/I for Pentavalent ?

What is alternative for those C/I?

CI÷

→ Progressive neurological deficit.

→ Progressive developmental delay.

→ convulsion/epilepsy.

⇒ Alternative → TDaP.

C/I ~ for O.1ml BCG

C/Ifor O.1ml÷

1) Prematurity and age <1month.

2)Very Low Birth weight.

⇒ for above give 0.05ml.

Td Vs DT

Td (adult dose)÷ 2 LF (diptheria toxoid).

DT÷ 25 LF.

Side effects of vaccines.

☆ VAPP d/t OPV type 2 strain.

Cold Chain. (fill the gap)

Vaccine Freezing and Heat sensitivity sequences÷

ILR (Ice lined Refrigerator).

when to discard vail.

VVM (vaccine vial monitor)

Discard point÷ Inner square same colour with outer circle.

☆ also discard if Inner square is darker than Outer circle.

how much time the vaccine can be used, after opening the vial?

Open vial policey ÷

used upto 28 days

C/I to open vial policy

→BCG

→ MR

⇒ Both to be used within 4-6 hours after dilution.

what is wastage factor for BCG and MR?

BCG→ 2

MR→1.3

What is shake test

⇒ used for Freeze sensitive vaccine viability÷ DPT, HepB, Pentavalent, PCV

⇒shake via → compare with Freeze destroyed control vial → clear Liquid + Precipitate of Al(OH)2 (adjuvant) → discard the vial.

sequence of vaccine Administration.

ex÷@ 6-weeks:

Oral (OPV) → Intradermal (Rvv) → Subcutaneous (fipv)→ Intramuscular ( PVC) → Pentavalent.

ex÷@ 9months:

Oral (Vit-A) → Intradermal ( MR/Measles) → Intramuscular ( PVC *B) → JE

New vaccine in Open vial polices

Rota Virus Vaccine