Routine Vaccination

Dr. Animesh Das

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Vaccines Used

BCGBacillus Calmette–Guérin

BCG vaccine provides immunity or protection against tuberculosis (TB).

It is administered as fast as possible on the 1st Day after birth.

The vaccine may be given to persons at high risk of developing TB. It is also used to treat bladder tumors or bladder cancer.

BCG is given as a single intradermal injection at the insertion of the deltoid (Left Upper

Arm). 0.1ml(0.05ml until 1 month age)

But If BCG is accidentally given subcutaneously, then a local abscess may form (a "BCG-oma") that can sometimes ulcerate, and may require treatment with antibiotics

immediately. When it given subcutaneously, it may induce local infection and spread to the regional lymph nodes,

causing either suppurative and nonsuppurative lymphadenitis.

BCG immunization generally causes some pain and scarring at the site of injection. The main adverse effects

are keloids—large, raised scars.The insertion of deltoid is most frequently used because the local complication rate is smallest when that site is used. Nonetheless, the buttock is an alternative site of

administration because it provides better cosmetic outcomes.

Hepatitis B

A course of Four vaccine Injections is given on this sequence 0 (after birth),

6th week, 10th week, 14th week.

This vaccine is usually given by injection into a muscle

(shoulder or thigh) (0.5 ml Intra-muscular Antero-lateral side

of mid-thigh)

Some Important Issues After HepB Vaccine Administration

allergic reaction, including: rash, itching/swelling

(especially of the face/tongue/throat), severe dizziness, trouble breathing.

DTP

DPT (also DTP ) refers to a class of combination vaccines against three infectious diseases in

humans: diphtheria, pertussis (whooping cough), and tetanus. The vaccine components include diphtheria and

tetanus toxoids and killed whole cells of the organism that causes pertussis.

At 6 weeks, 10 weeks & 14 weeks0.5 ml Intra-muscular Antero-lateral

sideof mid thigh.

DPT booster16-24 months

Measles

9 completed months-12 months.(give up to 5 years if not received

at 9-12 months age)

0.5 ml Sub-cutaneous Right upper Arm

OPV

OPV-0 At birth or as early as possiblewithin the first 15 days

2 drops Oral

1,2 & 3 At 6 weeks, 10 weeks & 14 weeks 2 drops Oral Oral

OPV Booster On 16-24 months

Vitamin A

Vitamin A (1stdose)

At 9 months with measles 1 ml( 1 lakh IU)

Oral Oral after that on 24th, 30th, 36th, 42nd, 48th, 54th, 60th month.

TT

Given In 10th and 16th Year

0.5 ml Intra-muscular

Upper Arm

There are few ore Vaccines which

are not mentioned here as because

those are not included in our

routine immunization shedule in

this areas.

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