New chip calendar. Calendar of preventive chips
Order of the Ministry of Health of the Russian Federation dated 27 chervnya 2001. N 229
"About the national calendar of preventive splintering and the calendar of preventive splintering for epidemiological indications"
(with changes as of 17 September 2006)
Div. Methodical instructions MU 3.3.2.1172-02 "Procedure for the provision of state-owned municipal organizations for the protection of health with medical immunobiological preparations within the framework of the national calendar of preventive splintering and the calendar of preventive splintering for epidemiological indications", approved by Golovnim
Vіdpovіdno to the sheet of the Ministry of Justice of the Russian Federation in 31 lipnya 2001 r. N 07/7800-YUD this order will not require state registration (information published in the Bulletin of the Ministry of Justice of the Russian Federation, 2001, N 9)
About the implementation of the position of the mandate of divas. sheet to the Department of State Sanitary and Epidemiological Monitoring of the Ministry of Health of the Russian Federation dated December 10, 2001. N 2510/12419-01-32
With the method of implementation of the Federal Law "On Immunoprophylaxis of Infectious Diseases" dated 17.09.98 N 157-FZ and ensuring the epidemiological well-being of the population Russian Federation for infections, curative procedures for specific prevention, I punish:
1. Kerіvniki organіv administrator Okhorunyyu Zhvaliyiy San'ktіv Rosіyskoji, headed by L_Karim Centerіv Derzhasanpіdnagdanda in sub'єkta Rosіyskoji conjunctiva
and the calendar of preventive splintering for epidemiological indications .
Div Methodical instructions MU 3.3.1.1095-02 "Medical contraindications before carrying out prophylactic splits with preparations of the national split calendar", approved by the Head State Sanitary Doctor of the Russian Federation on September 9, 2002.
2. Sovereign Research Institute of Standardization and Control of Medical Immunobiological Preparations. L.A. Tarasevich Ministry of Health of Russia until 01.11.2001 to apply for approval to the Ministry of Health of the Russian Federation of the text of instructions for stosuvannya vytchisnyanyh and foreign vaccines, depending on the national calendar of preventive splintering and the calendar of preventive splintering for epidemic indications.
3. Respect the order of the Ministry of Health of Ukraine and the State Committee for Sanitary and Epidemiological Monitoring of Ukraine dated 03.06.96/21.05.96 N 226/79 "On the introduction of prophylactic splits against hepatitis "B" and the Ministry of Health of Ukraine on 18.12.97 N 375 "On the calendar of preventive measures. such that he has spent chivalry.
4. Control over vikonannyam tsgo order to put the first intercessor of the Minister of Health of the Russian Federation G.G. Onishchenko.
Minister Yu.L. Shevchenko
By order of the Ministry of Health and Social Development of the Russian Federation on September 17, 2006. No. 27 Changes have been made to this addendum
By order of the Ministry of Health of Ukraine on 21 March 2014, a new national calendar of obov'yazykovy prophylactic chips and a calendar of prophylactic chips for epidemiological indications was approved.
Note
1. Vaccination against hemophilic and pneumococcal infections has been introduced in the new calendar of obov'yazykovy prophylactic splits of the Russian Federation.
2. Appointed at the calendar of prophylactic splitting and obov'yazykovymi. All other prophylactic splintering is monitored for epidemiological indications. Tobto, carried out at the time of consumption against okremyh іnfektsiіy and peevnyh categorіy hromadyan, as well as fallow in mіstsya living (for example, against tularemia, anthrax, tick-borne encephalitis and others).
Let's talk about everything.
How do you understand the "Calendar of preventive chips"?
It was introduced at the 40th anniversary of the last century in connection with the increase in the number of vaccines.
At the same time, the country may have its own national vaccination calendar.
Є enforcement of the national calendar of obov'yazykovy prophylactic splinters of Russia in calendars of other countries. Vіdminnіst polyagaє in that our calendar does not include obov'yazkovі prophylactic splitting against meningococcal and rotavirus infections, viral hepatitis A and chickenpox.
Why is tuberculosis vaccination important?
The main ambush of vaccination
The first vaccination is carried out at the canopy booth on the 3rd-7th day of life with the BCG or BCG-M vaccine.
For some reason, the child did not take away the anti-tuberculosis split in the first days of life, then they gave it to split according to the scheme: up to two months of life - without setting the Mantoux reaction, older than two months of life - only after the Mantoux reaction.
Why is vaccination against viral hepatitis important?
Hepatitis B virus is 100 times contagious, lower AIDS virus. If a woman is a carrier of the hepatitis B virus, then the risk of transmitting it to a child will be close to 70-90%. Under the hour of breastfeeding, as well as in close contact between mother and child, the risk of transmission to the virus also becomes too high.
Understandably, all future mothers are encouraged to have the Australian antigen in their bodies, but the technique, which wins, does not show yoga in 40% of cases.
The main ambush of vaccination
Like a child is healthy, Yogo is vaccinated according to the general scheme: 0-1-6 months. In case of different combinations of vaccines, it is allowed to introduce another vaccine for two or three months. The third vaccination is carried out no earlier than the following six months after the first.
However, the scheme is changing How can a baby be in the risky group?: mother ailment for gostra or chronic form of hepatitis B or in this case - internally drug-addicted ailments.
In this period, the baby is vaccinated when people are born, they gave them one, two and twelve months (0-1-2-12 months).
Why is vaccination against hemophilic and pneumococcal infections important?
Most often in children for up to five years pneumococcal infection acute pneumonia (70-90% of all cases) and otitis media with perforation of the tympanic membrane (50% of cases), pneumococcal meningitis (5-15% of all cases).
View hemophilic infection most suffer children up to five years of age. It will lead to the development of bronchitis, osteomyelitis (an igniting process that affects the bone marrow), epiglotitis (inflammation of the epiglottis), arthritis.
Moreover, the disease is very important, and it is important that they are likuvannya, leading to development great number aggravated: dical and/or heart failure, swelling of the brain and others. Oskilki tsі іnfektsії stіykі is practical to all types of antibiotics, and the capsule of the immune system could respond to them with full force.
More than that, it is important to immunize the child, the yakomog earlier. That is why the cells of maternal antibodies, like babies taken with mother's milk, are protected from two or more infections until the third month of life.
The main ambush of vaccination
The terms of the vaccination should be consistent with those assigned to the national calendar. Special respect is given to children from the risky group (for example, they often get sick). If necessary, they are attached to an individual scheme.
Why is DPT splitting and polio vaccination important?
Poliomyelitis- Grizne illness, shards leading to the development of paralysis, leading to the development of disability.
Diphtheria is right- Fatally unsafe infections. Stovpnyak bring to the development of serious slanderous courts that destruction is crazy, often - to death. Diphtheria flowing with the bending of the broken camp ( high temperature body, damage to the body and others), spasm of the laryngeal muscles (poison calls). Unfortunately, often the result of an illness is the death of a sick person.
Whooping cough- severe infection, which causes the development of a spasmodic paroxysmal cough, damage to the robotic heart and other complications.
Chips are more serious and not all babies can easily tolerate yoga. To that, the little one can look back at us with fahivtsy until this age, and also go through all the obstezhennya according to the schedule of medical examinations.
The main ambush of vaccination
Chips are more serious, not all babies can easily endure yoga. To that before her, it is necessary to keep the little one out of the way and change, because he is absolutely healthy. hot analysis blood, deep analysis of the section, neurologist's examination, ultrasound of the brain.
After reviewing the results and vaccination, the child is vaccinated. Dalі vіn otrimu revaccination vіdpovіdno to terms, zaznіnіh іn the national calendar split.
Why is vaccination against bark, rubella and mumps important?
Kir, mumps and rubella - child infections. It would be better, there is nothing terrible in them. Even our grandmothers and children got sick of them in childhood. However, not so, shards of infection can lead to a more elaborate development:
- Mumps. Sometimes deafness sets in, pancreatitis develops and type II diabetes develops, in boys - bezpiddya.
- Chervonukha. If the girl has a daily immunity to rubella, then she can fall ill with this infection during the hour of pregnancy. What can lead to the formation of congenital anomalies in the development of the fetus (heart, organs of vision and hearing, nervous system and others), vikidnya and some other consequences.
- Kir. Pneumonia develops, croup (inflammation and swelling of the mucous membrane of the larynx, which leads to the development of the venom), encephalitis (inflammation of the brain) and other complications.
The main ambush of vaccination
The Mantoux reaction is placed before the chips. Meta - to change the health of the immune system to protect the child from tuberculosis after BCG in the canopy house, and also to change it so that the child did not become infected with a non-safe infection.
After 72 years after the manipulation, the result of the Mantoux test is evaluated. Let's vaccinate children against bark, rubella and mumps.
Is it better to win the vaccines imported?
In order to be informed on the nutritional chain, briefly familiarize yourself with the effective vaccines, as they are zastosovuyutsya in medical likuvalno-prophylactic mortgages.
Vaccination against tuberculosis in Russia, it is carried out for additional BCG and BCG-M vaccines. The skin country of vicorist has its own vaccines (vitchiznyan), shards of revenge are alive weakened vaccines, transportation is not allowed for that.
BCG-M to take revenge on the change in the number of bacteria, to that it is weakened, but with whom it will vibrate sufficient immunity. At the end of the day, the rest of the hour should be given the priority of the BCG-M vaccine itself.
For vaccination against viral hepatitis B vikoristovuyutsya like vіtchiznіnі (for example, "Kombioteks"), and imported (for example, "Endzheriks V") vaccines. The stench is absolutely harmless, but it still calls out side effects, then approximately with the same frequency.
For vaccination against diphtheria, rectum, cough and poliomyelitis zastosovyvaetsya as a domestic vaccine, and import combinations.
Veterinary vaccines - whole-cell vaccines, which can be used to combat coughing up microorganisms, purified bacterial anatoxins and diphtheria (DTP), as well as the surface antigen of viral hepatitis B ("Bubo-Kok").
Imported combinations of vaccines bezklіtinnі, scho to avenge protein of a disease-causing microorganism and their anatoxins (do not avenge clitin).
To that vіtchiznânі vaccines cry out more side effects(mainly through the cough component): high temperature, judgment and others.
For the majority of vaccines, ditin is taken from 18 to 21 injections. However, when there is a shortage of imported combination vaccines, the number of vaccines shortens to 13 (“Pentxim”) and 11 (“Infanrix Hexa”) injections. The stock of imported vaccines includes a few components: "Pentxim" - against cough, diphtheria, right, poliomyelitis, hemophilic infection, "Infanrix Hexa" - against cough, diphtheria, right, poliomyelitis, viral hepatitis B and hemophilia.
In medical likuval-prophylactic mortgages for healthy children, cost-free vaccines are available, and for children with trivial medical indications of allergic reactions - imported vaccines. On the basis of this principle, doctors rely on the principle of depositing in the form of a specific medical liquor-preventive mortgage and the presence of imported vaccines.
As long as you have the financial ability, you can give your child only an imported vaccine, so that she is absolutely healthy.
Main absolute contraindications before vaccination
Global contraindications for all vaccines
- Development of a more complicated or pronounced reaction on the anterior injection of the vaccine of this series: the body temperature is higher than 40C, sudomi, pronounced allergic reaction (anaphylactic shock, kropivyanka, angioedema).
- Sudomi for normal body temperature.
- Virazhene decrease in immunity- For all vaccines that can be used to combat weakened bacterial cells (for example, BCG).
Contraindications for BCG and BCG-M
- Vaga child 2000 grams and less.
- Children, people of VIL-infected mothers, docks of their VIL-status were not assigned.
Contraindications for vaccination against bark, rubella and mumps
Evidence of severe forms of allergic reactions (Quincke's rash, kropivyanka) to aminoglycoside antibiotics: gentamycin, kanamycin.
For vaccines that vibrate on a chicken embryo- an allergic reaction to the white of a chicken or quail egg (for example, the vaccine "Priorix" was virobable in the culture of chicken embryos).
Contraindications for vaccination against hepatitis B
- Allergic reactions to baker's yeast (for example, the Combioteks vaccine was prepared on baker's yeast).
- Vaga ditini less than 1400
Contraindication for DTP
- Progressive disease of the nervous system: sclerosis, syringomyelia, and so on.
- Sudomi without raising body temperature.
Іsnuyut timchasі contraindication to chipping: acute viral and bacterial infection, ailment of the nervous system (for example, the aftermath of a lingual injury) and other ailments. When the disease progresses to remission (disappearance of symptoms), children are vaccinated.
So that the splitting vikonalized its recognition (generated by the immune system of antibodies to the introduced vaccine) and did not lead to the development of irrelevant traits, the child is guilty of being absolutely healthy at the time of vaccination!
How to prepare a child before vaccination?
What interval is necessary to trim between chips?
If the splitting of one series, for example, against pneumococcal infection, then the interval between them can be at least one month, and for AKRS - 45 days.
In other situations, it is possible to vaccinate the coming day after the rest of the splitting, but remember that the baby is perfectly healthy.
What robiti, like destroying the calendar chips?
In this case, the child should be vaccinated according to an individual schedule.
For consumption the child will take away the "nazdoganyuche" splitting, ale from other series. This allows the introduction of a number of vaccines in one day, but in different cases of the body. In this order, the intervals between the splits are short. Oskіlki, if the stench podzhuyutsya, then the level of post-vaccination immunity is significantly lower.
For example, a child in one day eliminates splitting against pneumococcal infection and viral hepatitis B. This is the first vaccine to be administered to the m'yaz one stegna, and the other - to the m'yaz іnshoy stegna.
Bathe chi don’t bathe a child on the day of splitting?
All fallow after the introduced vaccine:
- Vaccination against tuberculosis. The first day you can’t bathe a child, but you can only sip. On the coming day, you can bathe the little one, but you can still rub the month of injections.
- Vaccination against any other infection. The instructions indicate that you can bathe a child. However, it’s more beautiful to still spend the whole day with water procedures, as well as walks on the streets in the autumn-spring period. Oscilki immune system generates antibodies to the introduced vaccine. And be it cold, you can bring it to the point of getting an insufficient post-vaccination immunity, or getting sick.
Preventive chipping is a complicated topic, which can be considered as “underwater stone”.
Therefore, prior to vaccination, it is necessary to approach it individually and it is important for a specific skin type. Aja is often given to a child for an individual calendar splitting through those who in the new boulevard were medically administered or the reaction to the previous administration of the vaccine was pronounced. Therefore, the head assistant of the doctor is vi. Shards, having reportedly told about your little one, you will help the doctor to take the right decision.
Aje is the main principle of medicine "Not badass." What a splinter of vines is worth is coming: it is right and at the hour to pinch a baby, which means to a minimum the development of non-negligible nasledkiv, and also to take a good post-vaccination immunity, which will protect the baby from unsafe infections.
As you see if you act like wood chips for your child, you will have a corny material on your mother:
medical resident of child care
On the territory of Russia, like in other civilized lands of the world, there is a split calendar, approved by the Ministry of Health of the Russian Federation. It is necessary to carry out routine vaccination against infectious diseases for healthy children, starting from the people.
Within the framework of the national calendar, at the clinic for the month of living, the splitting of children should be carried out free of charge until 21.03.2011 Order No. 125N of the Ministry of Health Protection.
According to the law, vaccination should be carried out voluntarily, but in case of medical treatment, it is necessary to explain to the fathers the importance of their own prevention of unsafe infectious diseases, and the possibility of a post-vaccination reaction. As the fathers complain about vaccination, the goiter doctor can explain to them the possible negative consequences of such an opinion.
IN Federal Law 323-FZ, dated 21 leaf fall 2011, the rights and obligations of the population to carry out medical services, including in the course of vaccination, are prescribed. Goiter Law before vaccination informed on vtruchannya chi ofitsiyno vіdmovitysya vіd conducted splintering.
Dobrovіlna poіnformovana zgoda аbo vіdmova vіd medical vtruchannya
Dobrovіlna poіnformovana zgoda аbo vіdmova vіd splintering can be folded in the letter form. For the sake of splitting, the father, or the guardian of the child, signs. The doctor is responsible to inform him about this procedure, tell him about the consequences of possible complications of the planned vaccination.
Obov'yazok in an accessible form to explain to the grown-up about the lack of safety in the form of chips lying on the doctor. Even though the fathers are all the same informed about the vaccination, they write an official letter to the letter and one of them signs a special signature. Іsnuyut approved by the Ministry of Health of Russia official forms of forms for voluntary assistance medical vtruchannya(Decree No. 1177н dated December 20, 2012)
Vaccination cream, informed good luck you may need to spend an hour carrying out diagnostic examinations, carrying out juvenile manipulations and administering medicinal preparations.
Get the form:
National calendar split for 2016-2017
| Whom to pinch | Vaccination | Rules and procedures for vaccination |
| Novonarodzhenі | Vaccination against viral hepatitis B | Vaccination is carried out at the suvoria of viability prior to the instructions for vaccination of newborns. |
| Vik child 3-7 deb | Tuberculosis vaccine (BCG) | The BCG vaccine is victorious for the formation of primary immunity. |
| Vik child 1 month | Repeated splitting against hepatitis B | Carried out for children from the risk group |
| Vik 2 months | Third vaccination against hepatitis B | To fight for children from risk groups |
|
|
First vaccination against pneumococcal infection | Children from risk group |
| 3 months | First vaccination against diphtheria, cough and flu | Behind the indications, the vaccine AKDP or ADS is victorious |
| Vіk vіd 3 to 6 months | First vaccination against hemophilic infection | Vaccination is carried out for children from the group |
| Vik child 4.5 months | Other DPT vaccination | For children, yaks took the first vaccination at 3 months |
|
|
Other vaccination against pneumococcal infection | Vіdpovidno to the rules of vaccination |
|
|
First vaccination against poliomyelitis | Vykoristovuetsya inactivated vaccine |
|
|
Other vaccination against hemophilic infection | For children, yakі took off the first vaccination at 3 months (for children from the risk group) |
| Vik 6 months | Third vaccination with DPT | Carried out for children who have taken the first two vaccinations at 3 and 4.5 months. |
|
|
Third vaccination against hemophilic infection | For children from the risk group who received the first two vaccinations at 3 and 4.5 months |
|
|
Third vaccination against poliomyelitis | |
| Vik child 1 rok | First vaccination against bark, mumps and rubella. | Valid until the vaccination schedule |
|
|
Fourth hepatitis B vaccination | Valid for vaccination schedule for children at risk |
| 15 months | Revaccination against pneumococcal infection | Valid until the vaccination schedule |
| Vik child 18 months | First revaccination against cough, diphtheria and rectification | Valid until the vaccination schedule |
|
|
Valid until the vaccination schedule | |
|
|
Revaccination against hemophilic infection | Valid until the vaccination schedule |
| Vik child 20 months | Another revaccination against poliomyelitis | Vіdpovidno to the schedule of vaccination. The vaccine is alive |
| Vik 6 years | Revaccination against measles, rubella and mumps | Carried out regularly before the vaccination schedule |
| Vik child 6-7 years | Revaccination against diphtheria | |
| Vik 7 years | Revaccination against tuberculosis | The BCG vaccine is administered in several cases, as a result of the Mantoux reaction showed a negative result |
|
|
Third revaccination against poliomyelitis | Vіdpovidno to the schedule of vaccination. The vaccine is victorious. |
| 14 years | Third revaccination against diphtheria and rectification | For vaccination, anatoxin is produced from a changed number of antigens. |
| Grown up in 18 years | Revaccination against rectification and diphtheria | To be carried out skin 10 years after the last revaccination. |
| All categories of population up to 55 years | Vaccination against hepatitis B | |
| Children from 1 to 18 years of age, women up to 25 years of age. | Rubella vaccination | For the quiet, who, having not taken the vaccination, do not have any information about the splitting due to infection |
| All categories of population up to 35 years | Vaccination in the bark | For an individual scheme. For those who do not accept vaccination according to the national schedule |
| For all century groups | Influenza vaccination | Children from 6 months; students of grades 1-11; representatives of other professions; vaginal women; pensioners vikom for 60 years; conscripts; ailments from chronic somatic diseases. |
Understanding vaccination and revaccination
Vaccination is both disposable and bagatorase. Healers shatter the chips of the stylus once, the skіlki are necessary for molding up to infection resistant immunity.
Revaccination- repeated splitting, її splintering through a certain interval one hour after the previous vaccination. Її tsіl - increase the vibrations in the body of the immune system.
Groupi risiku: who to enter before them
Grupi has riziku viral hepatitis Login:
- children, whose mothers under the hour of pregnancy had hepatitis;
- what kind of fathers do drugs take;
- akshcho in sim'ї є nіy vіrusu hepatitis B or ailments on tse ill.
Group risk of infection with poliomyelitis and hemophilic infection
- children with immunodeficiencies and VIL-infection;
- with evil blood diseases and blood-forming organs;
- if VIL-infection was detected in the mother;
- all the little ones are at the children's houses.
Do not splinter children with hostile forms of ailment (including those with colds), and stretch 2-4 days after dressing. Before the splits, it is necessary to build an analysis and reconsider, there are no living ones.
Summary
At national splits, the calendar is regularly changed, new vaccines are added, and the terms of the split are changed. The number of changes is based on the results of the remaining scientific researches, which have continued and fully stocked the vaccines.
Grown-up mayut the right to virishuvati themselves, varto їm splurge their child chi nі. Particularly hospitable food is for the fathers, whose children are weakened and born earlier line, Mayut chronic somatic disease Ale not warto be afraid: the pediatrician of goiter and ulcers will make a schedule of vaccination individually or give the introduction of a splinter for your child.
Girls! Let's rіposti.
Zavdyaks to whom we are despised fahіvtsі and give advice on our food!
And yet, you can put your power below. So yak you chi fakhivtsy will give an opinion.
Thanks ;-)
All healthy little ones!
Ps. Khlopchikіv tsezh stosuєtsya! There are just more girls here ;-)
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