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Immunisation in Childhood - Coggle Diagram
Immunisation in Childhood
Classification
Live attenuated
MMR
VZV
Rotavirus
Oral polio
BCG
Yellow fever
Inactivated
Polio
Pertussis
Pnumococcal
Meningococcal
Rabies
Flu
mRNA
Examples
Pfizer/BioNTCH
Moderna
Hib
Hep B
HPV
Pertussis
Penumococcal
Subunit recombinant polysaccharide and conjugate vaccines
Viral Vector
Toxoid
Exampled
Diptheria
Tetanus
Schedule
6 in 1
Diphteria
Tetanus
PErtussis
Hib
Polio
Hep B
BCG
Bacillus CAlmette-Geurin
Live vaccination
Usually first few weeks
Global shortage - not routine
80% effective
Precaution
HIV pts
Immunocompromised
Pregnant
Diphtheria
Previously major cause of mrobidity
Clinical features
Severe throat infx with thick adhernet membrnae formation causing upper airay obstruction
Cardiac - myocarditis arrhythmia
Renal complications
Neuro complications
Tetanus
PErtussis
DDX
Bronchiolitis
Management
Azithromycin
Haemophilus influenza B
Differentiate Croup and HIB
Croup
Cough but well
HIB
Looks septic and unwell
DDx
Inspiatory stridor
Croup
Anaphylaxis
Foreign body
Hep B
Chronic
Risks
Varies according to age
Complications
Liver cancer
Cirrhosis
Neonatal Hep B
Vertical transmission
Prevention
ID HBV infected pregnant
Provide Hep B immune globulin and Hep b vaccine to the infants immediately after birth following abth
Routin vaccination of all infants with hep b vaccine seies with first dose admin at birth
Poliomyelitis
Pneumococcal
Diseases
Pneumonia
Bacteremia
Meningitis - leading cause in kids u5
Tx
Brao
MMR
Controversy
Possible Association with autism and IBS ad
Disprove and retracted
Struck off GMC
Rotavirus
Chickenpox
CF
Scars
Cerebellar ataxia
Not routine
HPV
RSV
Vaccine
High risk group
Premie
Chronic lung disease
Cyanotic / complicated congenital heart disease
Delayed
Accelerated schedules
Vaccination before recommended age can lead to supoptimal response
Complications
Swelling
Discomfort
Mild fever
Milf form of disease - measles , rubella
Excessive crying, seizure following cellular DPT vaccine
Anaphylaxis - rare
Contraindication and Precautions
Acute illness - not minor infx without fever
Anaphylaxis to previous dose or components of vaccine
Encephalopathic illness
