ANC Vaccines schedule
Which vaccines given during pregnancy? & Which week? Kindly suggest.
As par National Immunization Schedule only Inj TT is given. Two doses to be given 1 month apart. First one in first visit (registration visit). In subsequent pregnancies if the pregnancy spacing is less than 3 Yrs only one dose given as booster, if spacing more than 3 Yrs full course of two injections to be given. The last dose to be given preferably before 36 weeks of pregnancy but if missed can be given even in labour table.
Flu (influenza) shot. The flu shot is recommended for women who are pregnant during flu season. ... Tetanus toxoid, reduced diphtheria toxoid and acellular pertussis (Tdap) vaccine.
As per schedule Inj TD is given in 4th and 5th month. Prophylaxis dose is given as single dose in 3 years
ONE DOSE OF.. TDAP.. VACCINE.. AFTER 20 WEEKS.. AND.. INJ .. TT..VACCINATION AS PER.. ANC.. SCHEDULE..
Only two dose of Injection Tet/vac one amp IM on first day when she reported and 2 nd dose next month
Only toxoid given ROUTINELY in pregnancy as par National Immunization Schedule is Inj TT. Two doses given - 1st one at registration visit and 2nd one after 4 weeks of 1st injection. Last injection is given preferably by 36 weeks of gestation but can be given even at labour table if not given earlier. If pregnancy spacing in subsequent pregnancy is less than 3 Yrs then give only a booster. If more than 3 Yrs give both the doses. Other safe vaccines (all are killed) in pregnancy which are NOT ROUTINE but given in few circumstances.... 1. Td 2. Tdap : Avoid if previous history of convulsions. 3. Rabies : If indicated in animal bite. 4. Meningococcal 5. Influenza (Avoid nasal one as it's live) 6. Hepatitis B : Give only if mother is high risk (IV abusers, Recent blood transfusion, Partner positive for Hep B, Medical professional etc) Avoid in pregnancy : Any live vaccines like MMR or any component of it, OPV, Varicella, Yellow fever **, BCG, Nasal influenza. Given in special conditions but better to avoid : 1. Pneumococcal : CKD, Diabetes, Cardiovascular diseases, Asthma, Immunodeficiency 2. Yellow fever (Live) ** 3. Japanese encephalitis 4. Typhoid 5. Hepatitis A 6. IPV 7. Anthrax If LIVE VACCINES given before pregnancy then avoid pregnancy for atleast 4 weeks. For Japanese Encephalitis better to avoid pregnancy for 3 months.
One dose of Tdap vaccine is recommended during each pregnancy to protect newborns from whooping cough regardless of previous immunization. Ideally vaccine should be given bn 27 and 36 week of pregnancy . If required we can give other vaccines but live vaccines are not recommended during pregnancy
Two doses of Injection TD Vaccine are to be given in one month interval during pregnancy first dose can be given in first trimester of pregnancy .
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World Immunization Week World Immunization Week, 24-30 April 2018 World Immunization Week is celebrated in the last week of April. It aims to highlight the collective action needed to ensure that every person is protected from vaccine-preventable diseases. Immunization saves millions of lives and is widely recognized as one of the world’s most successful and cost-effective health interventions. Expanding access to immunization is crucial to achieving the Sustainable Development Goals. This year’s theme is: “Protected Together, #VaccinesWork”. It encourages people at every level from donors to the general public to go further in their efforts to increase immunization coverage for the greater good. To do so, health care officials must invest in immunization efforts, health workers must make vaccines a priority, and people must get themselves and their families vaccinated. Key facts Immunization prevents illness, disability and death from vaccine-preventable diseases including cervical cancer, diphtheria, hepatitis B, measles, mumps, pertussis (whooping cough), pneumonia, polio, rotavirus diarrhoea, rubella and tetanus. There are more than 19 million unvaccinated or under-vaccinated children in the world, putting them at serious risk of these potentially fatal diseases. There was 84% drop in measles deaths between 2000 and 2016 worldwide, due to measles vaccination. Polio cases have decreased by over 99% since 1988. Today, only 3 countries (Afghanistan, Nigeria and Pakistan) remain polio-endemic, down from more than 125 in 1988. India was declared polio free by World Health Organization in 2014. In India 62% of children in the age group 12-23 months were found to be fully immunized ((BCG, measles, and 3 doses each of polio and DPT) ) during NFHS-4(national family health survey 2015-2016). Immunisation programmes in India: Universal Immunisation Programme(UIP): Government of India is providing vaccination free of cost against vaccine preventable diseases include diphtheria, pertussis, tetanus, polio, measles, severe form of childhood tuberculosis, hepatitis B, meningitis and pneumonia (Hemophilus influenza type B infections), Japanese encephalitis (JE) in JE endemic districts and newer vaccines such as rotavirus vaccine, IPV, adult JE vaccine, pneumococcal conjugate vaccine (PCV) and measles-rubella (MR) vaccine under UIP. Mission Indradhanush: To strengthen and re-energize the UIP and achieve full immunization coverage for all children and pregnant women at a rapid pace, the Government of India launched “Mission Indradhanush” in December 2014. Earlier the increase in full immunization coverage was 1% per year which has increased to 6.7% per year through the first two phases of Mission Indradhanush. Intensified Mission Indradhanush (IMI): To further intensify the immunization programme, Prime Minister Shri Narendra Modi launched the Intensified Mission Indradhanush (IMI) on October 8, 2017. Through this programme, Government of India aims to reach each and every child up to two years of age and all those pregnant women who have been left uncovered under the routine immunization programme to ensure full immunisation to more than 90% by December 2018. NHP Indradhanush Immunization (mobile application): Ministry of Health and Family Welfare (MoHFW), Government of India had launched a mobile application to make parents and guardian aware about the immunization schedule of their children and for tracking their immunization status. Application can be downloaded from Google play store. “Through childhood, adolescence and into adulthood vaccination protects health at every stage of life no matter where you live”. Source : NHP
Dr. Hemant Adhikari11 Likes14 Answers - Login to View the image
World Immunization Week, 24-30 April 2020 World Immunization Week is celebrated in the last week of April. It aims to highlight the collective action needed to ensure that every person is protected from vaccine-preventable diseases. Immunization saves millions of lives and is widely recognized as one of the world’s most successful and cost-effective health interventions. Expanding access to immunization is crucial to achieving the Sustainable Development Goals. This year’s theme is: “Protected Together, #VaccinesWork”. It encourages people at every level from donors to the general public to go further in their efforts to increase immunization coverage for the greater good. To do so, health care officials must invest in immunization efforts, health workers must make vaccines a priority, and people must get themselves and their families vaccinated. Key facts Immunization prevents illness, disability and death from vaccine-preventable diseases including cervical cancer, diphtheria, hepatitis B, measles, mumps, pertussis (whooping cough), pneumonia, polio, rotavirus diarrhoea, rubella and tetanus. There are more than 19 million unvaccinated or under-vaccinated children in the world, putting them at serious risk of these potentially fatal diseases. There was 84% drop in measles deaths between 2000 and 2016 worldwide, due to measles vaccination. Polio cases have decreased by over 99% since 1988. Today, only 3 countries (Afghanistan, Nigeria and Pakistan) remain polio-endemic, down from more than 125 in 1988. India was declared polio free by World Health Organization in 2014. In India 62% of children in the age group 12-23 months were found to be fully immunized ((BCG, measles, and 3 doses each of polio and DPT) ) during NFHS-4(national family health survey 2015-2016). Immunisation programmes in India: Universal Immunisation Programme(UIP): Government of India is providing vaccination free of cost against vaccine preventable diseases include diphtheria, pertussis, tetanus, polio, measles, severe form of childhood tuberculosis, hepatitis B, meningitis and pneumonia (Hemophilus influenza type B infections), Japanese encephalitis (JE) in JE endemic districts and newer vaccines such as rotavirus vaccine, IPV, adult JE vaccine, pneumococcal conjugate vaccine (PCV) and measles-rubella (MR) vaccine under UIP. Mission Indradhanush: To strengthen and re-energize the UIP and achieve full immunization coverage for all children and pregnant women at a rapid pace, the Government of India launched “Mission Indradhanush” in December 2014. Earlier the increase in full immunization coverage was 1% per year which has increased to 6.7% per year through the first two phases of Mission Indradhanush. Intensified Mission Indradhanush (IMI): To further intensify the immunization programme, Prime Minister Shri Narendra Modi launched the Intensified Mission Indradhanush (IMI) on October 8, 2017. Through this programme, Government of India aims to reach each and every child up to two years of age and all those pregnant women who have been left uncovered under the routine immunization programme to ensure full immunisation to more than 90% by December 2018. NHP Indradhanush Immunization (mobile application): Ministry of Health and Family Welfare (MoHFW), Government of India had launched a mobile application to make parents and guardian aware about the immunization schedule of their children and for tracking their immunization status. Application can be downloaded from Google play store. “Through childhood, adolescence and into adulthood vaccination protects health at every stage of life no matter where you live”. Source : NHP
Dr. Hemant Adhikari8 Likes7 Answers - Login to View the image
Hi Curofians, here are some vaccine-preventable diseases. I have prepared slides on the signs and symptoms of these diseases. It could be prevented with vaccinations. We should support the Child and Adult Immunization and spread the information to the community.
Dr. Sambhavi Gupta73 Likes48 Answers - Login to View the image
V v v important DRUGS OF CHOICE ---------------------------------- 1. Paracetamol poisoning- :- - acetyl cysteine 2. acute bronchial- asthma :- salbutamol 3. acute gout :- NSAIDS 4. acute hyperkalemia:- calcium gluconate 5. severe DIGITALIS toxicity :- DIGIBIND 6. acute migraine :- sumatriptan 7. cheese reaction :- phentolamine 8. atropine poisoning :- physostigmine 9. cyanide poisoning :- amyl nitrite 10. benzodiazepine poisoning:- flumazenil 11. cholera :- tetracycline 12. KALA-AZAR :- lipozomal amphotericin- B 13. iron poisoning :- desferrioxamine 14. MRSA :- vancomycin 15. VRSA :- LINEZOLID 16. warfarin overdose :- vitamin-K (NIPER- 2009) 17. OCD :- fluoxetine 18. alcohol poisoning :- fomepizole 19.Epilepsy in pregnancy: carbamezepine safe among older epileptics & lamotrigine, levitracetam safe in newer AED! 20. anaphylactic shock :- Adrenaline 21. MRSA Infection-Vancomycin 22. Malaria in Pregnancy-Chloroquine 23. Whooping Cough or Perteusis- Erythromycin 24. Kawasaki disease-IV Ig 25. Warferin Overdose-Vit-K 26. Heparin Overdose-Protamine 27. Hairy Cell Leukemia-Cladirabine 28. Multiple Myeloma- Melphalan 29. CML-Imatinib 30. Wegner's granulomatosis-Cyclophosphamide 31. HOCM- Propranolol 32. Delirium Tremens-Diazepam 33. Drug Induced Parkinsonism-Benzhexol 34. Diacumarol Poisoning-Vit-K 35. Type-1 Lepra Reaction-Steroids 36. Type- 2 Lepra Reaction-Thalidomide 37. Allergic Contect Dermatitis-Steroids 38. PSVT- 1st-Adenosine, 2nd-Verapamil, 3rd-Digoxin 39. Z-E Syndrome- Proton Pump Inhibitor 40. Chancroid-Cotrimoxazole 41. Dermatitis Herpetiformis-Dapsone 42. Spastic Type of Cerebral Palsy-Diazepam 43. Herpis Simplex Keratitis-Trifluridine 44. Herpes Simplex Orolabialis-Pancyclovir 45. Neonatal Herpes Simplex-Acyclovir 46. Pneumocystis carinii Pneumonia-Cotrimoxazole For Nodulo 47. 47. Cystic Acne-Retinoic acid 48. Trigeminal Neuralgia-Carbamezapine 49. Actinomycosis-Penicillin 50. Plague- Streptomycin 51. Opioid Withdrawal- Methadone 2nd-Clonidine 52. Alcohol Withdrawal- Chlordiazepoxide 2nd-Diazepam 53. Post Herpetic Neuralgia- Fluphenazine 54. WEST Syndrome-ACTH 55. Diabetic Diarrhoea- Clonidine 56. Lithium Induced Neuropathy-AmilorideCommunicable Disease: 57. Tetanus: PEN G Na; TETRACYCLINE; (DIAZEPAM 58. Diphteria: PEN G K; ERYTHROMYCIN 59. Pertusis: ERYTHROMYCIN; AMPICILLIN 60. Meningitis: MANNITOL (osmotic diuretic);DEXAM ETHASONE (anti-inflammatory); DILANTIN/PHENYTOIN (anti-convulsive); PYRETINOL/ENCEPHABO L (CNS stimulant) 61. Cholera: TETRACYCLINE 62. Amoebic Dysentery: METRONIDAZOLE 63. Shigellosis: CO-TRIMOXAZOLE 64. Typhoid: CHORAMPHENICOL 65. Rabies: LYSSAVAC, VERORAB 66. Immunoglobulins: ERIG or HRIg 67. Malaria: CHLOROQUINE 68. Schistosomiasis: PRAZIQUANTEL 69. Felariasis: DIETHYLCARBAMAZINE CITRATE 70. Scabies: EURAX/ CROTAMITON 71. Chicken pox: ACYCLOVIR/ZOVIRAX 72. Leptospirosis: PENICILLIN; TETRACYCLINE;ER YTHROMYCIN 73. Leprosy: DAPSONE, RIFAMPICIN 74. Anthrax: PENICILLIN 75. Tuberculosis: R.I.P.E.S. 76. Pneumonia: COTRIMOXAZOLE; ProcainePenicillin 77. Helminths: MEBENDAZOLE; PYRANTELPAMOATE 78. Meningitis: MANNITOL (dec. ICP) ;DEXAMETHASONE ( relieve cerebral edema) ;DIAZEPAM ( anticonvulsant); PENICILLIN 79. Syphilis: PENICILLIN 80. Gonorrhea: PENICILLIN...
Dr. Rummana Ansari22 Likes12 Answers - Login to View the image
MISSION INDRADHANUSH. Ministry of health & family welfare (MOHFW) had launched mission Indradhanush 25th Dec 2014 wit the aim of expending immunization coverage to al children across india by yr 2020. The mission Indradhanush depicting 7 colors of rainbow targets to immunize al children against 7 vaccine preventable diseases, namely as DIPTHERIA, PERTUSSIS (wooping cough), TETANUS, Childhood TB, POLIO, Hep-B, &MEASLES. In addition to to tis vaccines for JE ( JAPANESE ENCEPHALITIS ) & Hib (Haemophilus influenza type B). Immunization is the key to protect our children's from life threatening conditions thst are preventable. so res, drs be a part of MISSION & make it successfully. @ Dr.Vinod Arakeri Vijayapur.
Dr. Vinod Arakeri4 Likes6 Answers
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