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immunizationMR. TANOJ PATIDAR
1ST YEAR B. BSC NURSING
Introduction
“The word immunity means to be protect or resistant
against infection”
 Immunization is a process of protecting an individual
from a diseases through introduction of live, killed, or
attenuated organism in the individual system.
 Immunization against vaccine preventable disease is
essential to reduce the child mortality, morbidity and
handicapped.
definition
Immunization is an strategies where in antigen and
antibody are introduced or injected into the body to
protect it against of infection.
Types of immunization
 ACTIVE IMMUNIZATION
CONTI……
 PASSIVE IMMUNIZATION
WHAT IS VACCINE
 Vaccine are immune-biological substance which
produce specific protection against a give disease.
 It stimulate active production of protective
antibody and other immune mechanism.
 vaccines are prepared from live attenuated
organism and killed attenuated vaccines.
PREVENTION FOR SIX KILLER DISEASE
TUBERCULUSIS POLIOMYELITIS
CONTI….
PERTUSIS DIPHTHERICE
CONTI….
MEASLES TETANUS
TYPES OF VACCINES
1) Live attenuated vaccines.
2) Killed vaccines.
3) Toxoid.
4) Capsular or polysaccharide.
5) Subunit.
LIVE ATTENUATED VACCINES
BACTERIA:
BCG, typhoid(oral), plague.
VIRAL:
Oral polio, measles, mumps, rubella,
yellow fiver, influenza.
KILLED VACCINES
BACTERIAL:
Pertussis, typhoid, cholera.
VIRAL:
Rabies, hepatitis-B, influenza.
CAPSULAR
Thyroid-B, Hib, Meningococcal pneumococcal.
SUBUNIT
Hepatitis-B, A-cellular pertussis.
TOXOID
DEPTHERIA, TETANUS
ROUTE OF ADMINISTRATION
ORAL INTRANASAL
CONTI…
INTRAMUSCALAR SUBCATANEOUS
CONTI…
INTRADERMAL
STORAGE OF VACCINE
NATIONAL IMMUNIZATION SCHEDULE
VACCINE WHEN TO
GIVE
DOSE ROUTE SITE
For pregnant
women
TT1 Early in
pregnancy
0.5ml Intramuscular Upper arm
TT2 4weeks after
TT,1
0.5ml IM. Upper arm
TT booster If received 2TT
dose in
pregnancy
with in last
3year.
0.5ml IM Upper arm
CONT…
For infant
BCG At birth or
early as
possible till
one years of
age
0.1ml (0.05ml
unit 1 month
age)
Intradermal Left upper
Hepatitis-B At birth or as
early as
possible with
in 24 hours
0.5ml IM Antero -
side of mid
thigh
OPN-O At birth or
early as
possible with
in first 15 days
2drops Oral Oral
CONTI….
OPV 1,2,3 At 6 weeks
10 weeks
14 weeks
2 drops Oral Oral
DPT 1,2 and 3 At 6 weeks
10 weeks
14 weeks
0.5 ml IM Antero- lateral
side of mid thigh
Hepatitis-B
1,2 and 3
At 6 weeks
10 weeks
14 weeks
0.5 ml IM Antero- lateral
side of mid thigh
Measles 9 completed
month-12 month
(give up to 5
if not received at
9-12 month of
0.5 ml subcutaneous Right upper arm
Vitamin-A (1st
dose)
At 9 month with
measles
1 ml Oral Oral
CONT….
For children
DPT Booster 16-24 months 0.5ml IM Antero- lateral
side of mid
thigh
OPV booster 16-24 month 2 Drops Oral Oral
Measles(2nd
dose)
16-24 month 0.5ml Subcutaneous Right upper
arm
Japanese
encephalitis
16-24 month
with DPT /
Booster
0.5ml Subcutaneous Left upper arm
CONTI…..
Vitamin-A
(2nd and
3rd dose)
10 month
with the
DPT /OPV
2ml Oral Oral
DPT
Booster
5-6 years 0.5ml IM Upper
TT 10 years-
16 years
0.5ml IM Upper
Indian academic of pediatric(iap)
AGE VACCINE
Birth BCG, OPV, Hep-B
6 Weeks DPT, OPV, Hep-B, Hib
10weeks DPT, OPV, Hib
14 Weeks DPT, OPV, Heb-B, Hib
9 Months Measles
CONT……
15-18 Months MMR, DPT, OPV, Hib
2 Years Typhoid
5 Years DPT, OPV
10 Years TT
16 Years TT
NURSING ROLES
 Maintain current knowledge.
 Assess current immunization.
 Be skilled in vaccine administration.
 Discuss immunization clinics.
 Ensure long-term tracking.
 Keep documentation.
 Discuss follow-up care.
CONT..
 Contact centers for disease control.
 Educate parents about local and systemic; allergic
reactions.
 Address unique concerns of each family.
Immunization

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