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Hepatitis B and BCG vaccination
birth dose (Maternity ward)
Appreviations:
• HepB : Hepatitis B
• BCG: Bacile Calmette Gue...
Hepatitis B vaccine
Introduction
 Hepatitis B (Hep B) is a viral infection in the
blood that cause liver problems includi...
Hep B vaccine- con’t
 Prevention of perinatal HBV transmission
In order to prevent HBV transmission from
mother to infant...
Hep B vaccine- con’t
Presentation
 Hepatitis B vaccines are available in liquid single-
dose glass vials.
Injection equip...
Hep B vaccine- con’t
All the baby should have Hep B vaccine.
◦ Low birth weight baby
◦ Premature baby
◦ Jaundice (yellow)
...
Hep B vaccine- con’t
 Minimal side effect:
◦ Local pain (3-29/100)
◦ Myalgia
◦ Transient fever (mostly within 24hrs) (1-
...
3/30/2016 SKMH Maternity 7
Hepatitis B Injection
3/30/2016 SKMH Maternity 8
BCG vaccine
Introduction
 BCG (Bacille Calmette Guerin) called Mycobacterium
bovis which is closely related to Mycobacter...
BCG vaccination:
 Mild side effect
◦ Papule may be red, tender and
indurated (2-4wks).
◦ The papule commences two or more...
BCG vaccination (con’t)
 Severe adverse effect (rarely)
◦ Local abscess
◦ Keloid
◦ Lymphadenitis
◦ Suppuration (onset 2-6...
BCG and Hep B vaccine
Contraindications:
Absolute contraindications
 Anaphylaxis after a previous dose.
 Immunodeficienc...
Vaccine vial monitors (VVMs)
3/30/2016 SKMH Maternity 13
BCG injection site
3/30/2016 SKMH Maternity 14
3/30/2016 SKMH Maternity 15
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Bcg and hep b vaccination

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Bcg and hep b vaccination

  1. 1. Hepatitis B and BCG vaccination birth dose (Maternity ward) Appreviations: • HepB : Hepatitis B • BCG: Bacile Calmette Guerin • HIV: Human Immunodeficiency Virus. • NIP: National Immunization Program
  2. 2. Hepatitis B vaccine Introduction  Hepatitis B (Hep B) is a viral infection in the blood that cause liver problems including liver cancer.  If a mother is infected with Hep B, the virus can be transmitted to the baby during birth.  90% of baby infected with Hep b around the time of birth will carry the infection for life (chronic).  25% of babies who develop chronic infection will die of liver failure or liver cancer later in life.  Because of don’t feel sick, most people do not know they have the infection. 3/30/2016 SKMH Maternity 2
  3. 3. Hep B vaccine- con’t  Prevention of perinatal HBV transmission In order to prevent HBV transmission from mother to infant, the first dose of HB vaccine needs to be given as soon as possible after birth (preferably within 24 hours). (WHO)  The NIP policy recommends Hep B birth vaccine is given within 24 hrs after birth, as this is when it is most effective. It can be given up to 7 days where this can not be achieved. 3/30/2016 SKMH Maternity 3
  4. 4. Hep B vaccine- con’t Presentation  Hepatitis B vaccines are available in liquid single- dose glass vials. Injection equipment  0.5 ml auto-disable (AD) syringes are recommended.  If AD syringes are not available, standard disposable syringes (1 ml or 2 ml with 22/23 gauge needle is recommended) must be used ONCE ONLY. Dosage  The standard paediatric dose is 0.5 ml. Route  Intramuscular (IM) injection into the right thigh. 3/30/2016 SKMH Maternity 4
  5. 5. Hep B vaccine- con’t All the baby should have Hep B vaccine. ◦ Low birth weight baby ◦ Premature baby ◦ Jaundice (yellow) ◦ And HIV mother should still given Hep B vaccine. 3/30/2016 SKMH Maternity 5
  6. 6. Hep B vaccine- con’t  Minimal side effect: ◦ Local pain (3-29/100) ◦ Myalgia ◦ Transient fever (mostly within 24hrs) (1- 6/100) ◦ Swelling (3/100) ◦ Erythema (3/100) ◦ Headache (3/100)  Severe reaction: anaphylaxis (1.1/1000000) 3/30/2016 SKMH Maternity 6
  7. 7. 3/30/2016 SKMH Maternity 7 Hepatitis B Injection
  8. 8. 3/30/2016 SKMH Maternity 8
  9. 9. BCG vaccine Introduction  BCG (Bacille Calmette Guerin) called Mycobacterium bovis which is closely related to Mycobacterium tuberculosis, the agent responsible for tuberculosis. It is prevent children getting more severe forms of TB, particularly TB meningitis.  It is freeze-dried and need to be mixed with the correct diluent from the same manufacturer before administration Dose:  a vial with 20doses, dose for new born is 0.05ml. Route:  ID into the R) upper arm.  BCG vaccine vials must be discarded 6hrs after mixing.  BCG can give up to baby 1 year old.3/30/2016 SKMH Maternity 9
  10. 10. BCG vaccination:  Mild side effect ◦ Papule may be red, tender and indurated (2-4wks). ◦ The papule commences two or more weeks after vaccination and then may progress to become ulcerated healing after 2-5 months leaving a superficial scar. 3/30/2016 SKMH Maternity 10
  11. 11. BCG vaccination (con’t)  Severe adverse effect (rarely) ◦ Local abscess ◦ Keloid ◦ Lymphadenitis ◦ Suppuration (onset 2-6 months)- 1per 1000- 100000 ◦ Systemic (1-12 months onset time) ◦ Cutaneous skin lesions ◦ Osteitis (1/3333-100000000) ◦ Disseminated BCG ◦ Immune Reconstitution Syndrome: collection of inflammatory disorders 3/30/2016 SKMH Maternity 11
  12. 12. BCG and Hep B vaccine Contraindications: Absolute contraindications  Anaphylaxis after a previous dose.  Immunodeficiency: do not give BCG vaccine to an infant who is known to be infected with HIV, even if they have no symptoms. Other vaccine can be given. Relative contraindications  Temperature > 38.5. children with minor cough and colds can safely3/30/2016 SKMH Maternity 12
  13. 13. Vaccine vial monitors (VVMs) 3/30/2016 SKMH Maternity 13
  14. 14. BCG injection site 3/30/2016 SKMH Maternity 14
  15. 15. 3/30/2016 SKMH Maternity 15

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