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Blognya Emak di Rumah ;)

Penundaan Imunisasi

duluuuuuuuuu… waktu aku masih di jaman kegelapan (duh, nih istilah…dah default banget kali ya, dipake orang…hehehehe), aku juga nggak mau Alya di imunisasi saat dia batuk pilek.

Eh, pas aku ikutan seminar kesehatan, DSA milis sebelah itu, menganalogikan begini: kalo kita ke mall, jutaan kuman dan orang yg ber’penyakit’ ada di sana, anak kita pun terpapar kuman dg gratisnya dalam jumlah buuaanyyaak. Jauh lebih sedikit ‘penyakit’ yg dimasukkan dg menyuntikkan imunisasi simultan, bahkan saat anak batuk pilek sekalipun. Denger analogi begitu, aku langsung mangguk2😀.

Alya alergi an gitu. Tapi kalo pas jadwalnya utk imunisasi, dia batuk pilek, ya aku hajar aja (duh, istilahnya…), soalnya kalo ketinggalan, repot sendiri ntar ngejer/cath upnya. Kejer2 an ma jadwal imunisasi lainnya soalnya, apalagi kalo bayi, kejar tayang tuh😉

===================
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

http://www.prodigy.nhs.uk/guidance.asp?gt=Immunizations%20-% 20childhood

Reasons to delay vaccination
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.

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).

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.

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.

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.

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:
A personal or family history of allergy not related to one of the vaccine components.
A family history of any adverse reactions following immunizations.
A stable neurological condition such as cerebral palsy, Down’s syndrome, or spina bifida.
Previous history of pertussis, measles, rubella or mumps infection.
Prematurity: immunization should not be postponed.
Contact with an infectious disease.
Asthma, eczema, hay fever, or ‘snuffles’.
Treatment with antibiotics or locally acting (e.g. topical or inhaled) corticosteroids.
Child’s mother is pregnant.
Child being breastfed.
History of jaundice after birth.
Under a certain weight for child’s age.
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.)
Family history of convulsions. Immunization should be carried out after advice on the prevention of pyrexia has been given.
Surgery is not a contraindication to immunization, nor is
recent immunization a contraindication to anaesthesia or surgery.
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.

1 Comment»

  nancy wrote @

mau nny nih,

anak sy saat ini sedang menjalani suntik hormon (hormon HCG) untuk testisnya.

suntik hormon ini dijadwalkan s/d 8 Juli
sedangkan 7 Juli seharusnya jadwal imunisasi IPD.

mohon saran,
apakah ada efek negatif jika imunisasi dilakukan pd saat sedang menjalani suntuk hormon ??

thanks


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