Immunisation

(UK schedule)

Birth

• if thought to be at increased risk may be offered

  • Hepatitis B (+ second dose at 6 weeks, third dose at 6 months)

  • BCG

2 months, 3 months, 4 months

• Diptheria

• Pertussis

• Tetanus

• Hib

• Polio

• Meningitis C

12-15 months

• MMR

3 ½ years

• diphtheria

• tetanus

• polio

• MMR

10-14 years

• BCG

Contradindications

• live vaccines shouldn't be given to immunocompromised children

  • except MMR in HIV-positive

  • BCG in Africa to HIV-positive

• shouldn't be given during acute febrile phase of illness

• if vaccine has produced severe reaction previously

• pertussis if evolving neurological problem

• oral polio vaccine if diarrhoea - as may be ineffective

Complications

• local irritation common

• minor general reaction

  • fever and irritability for 48 hours

  • treated with paracetamol

• major local reaction

  • rare

  • redness and swelling over > 2/3 of upper arm

• major generalised reaction

  • high fever

  • inconsolable crying

• Anaphylaxis

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