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THE VACCINES IN THE PREMATURE CHILD
When the parents have had a premature newborn baby, sometimes doubts are had on in what moment his vaccines are going to be applied to him, if it depends on his weight on having been born, or of that they reach certain weight, etc.
Nevertheless, in general terms, the vaccines in the premature babies and newborn babies of low weight apply to themselves exactly in the same dates that if they had been born in the normal time (2, 4, 6 months, etc)
Only if the baby remains deposited in the hospital probably be late him a little, depending on the clinical condition in which it is.
The nica consideration is that if the child is in hospital, we do not apply the vaccine of the polio of attenuated living viruses type trivalent Sabin, but that of unactivated viruses type (intramuscular) Salk to avoid transmission of the virus vacunal of the polio in the room of cradles (to See later, YOU VACCINATE IN INMUNODEPRIMIDOS).
The vaccine against the hepatitis B applies them to itself when they are already going to go out of the hospital or two months after age.
The premature babies who develop later chronic respiratory illness, must receive annually from 6 months of age the vaccine against the flu, at the beginning of the autumn.
YOU VACCINATE IN INMUNODEPRIMIDOS
- The children with immunodeficiencies must not receive any of the vaccines by means of attenuated living viruses, for the possibility of developing a serious form (even mortal) of the infection that tries to get ready.
- The children without spleen (to whom the spleen has been extirpated to them by medical problems, traumatism, etc) take risk of serious infections as some microbes (pneumococcus, meningococos, Hemophilus). The vaccine one owes them admnistrar antineumocócica and brought together to Hemophilus influenzae type B as soon as possible.
- To the children who receive corticoids to high doses or chemotherapy for the cancer the vaccines are late until they finish his treatments and have the state of immunity near to the normality. In the chronic processes, in principle, only it is vaccinated by unactivated viruses, type DPT. Equal there happens in the children with infection VIH (congenital AIDS).
- To the children in whose house there is a patient inmunodeprimido, that is to say, that receives chemotherapy, or that presents some illness or immunodeficiency, does not owe to them to administer the vaccine antipoliomielítica oral type Sabin of living viruses, since the virus vacunal is eliminated by the excrement, leaving the possibility of affecting these patients.
In these cases, the intramuscular unactivated vaccine would be the stated one.
THE VACCINES IN THE ADOLESCENTS
- It is necessary to verify that they have the second dose of the vaccine against the measles, German measles or parotiditis ("triple viral"); if they do not have it, it is necessary to them to apply.
- Also it is necessary to apply a reinforcement against the diphtheria and the lockjaw.
- If at this age they have not been immunized against the hepatitis B or if his scheme remained incomplete, this one must begin with 3 doses; the second one, one month after the first one and the third one, 6 months after the second one.
- In areas of high incidence of hepatitis A also it is recommended to apply this vaccine. The new scheme consists of 2 applications with 6 months of interval between each one.
- Also it is necessary to apply the vaccine against the chicken pox to all the adolescents who did not present the illness or who were not vaccinated previously, applying two doses to them with a month of interval between each one.
- The vaccine against the flu him must be applied every year to the adolescents who suffer from asthma or chronic respiratory problems.
- Only in special situations, as for example, to the adolescent to whom the spleen should have been extirpated by some cause, it is indicated to administer it the vaccine against the pneumonia (pneumococcus).
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