Enhanced immunisation schedule Victoria

Transcription

1 Children from March 2016 Age Disease Vaccine brand Birth Hepatitis B H-B-Vax-II Paediatric 2 months - from 6 weeks Diphtheria-tetanus-pertussis, poliomyelitis-hepatitis B- Reconstitute Site given Route given Notes 7 Antero lateral Give within 7 days of birth, preferably within 24 hours of birth Pneumococcal Prevenar 13 7 Antero lateral Rotavirus RotaTeq* 7 Mouth oral Must be given before 13 weeks of age 4 months Diphtheria-tetanus-pertussispoliomyelitis-hepatitis B- Pneumococcal Prevenar 13 7 Antero lateral Rotavirus RotaTeq* 7 Mouth oral No dose if 1st dose not given 6 months Diphtheria-tetanus-pertussispoliomyelitis-hepatitis B- From 6 months of age with underlying medical Give with an 8 week interval after dose 2 of Infanrix hexa, at minimum age of 24 weeks Pneumococcal Prevenar 13 7 Antero lateral Rotavirus RotaTeq* 7 Mouth oral No dose if previous doses not given. Dose 3 must be given before 33 weeks of age Influenza As supplied 7 Antero lateral < 12 months of age SC/ Annually. In children aged 6 months to less than 9 years of age in the first year of administration, give 2 doses a minimum of one month apart Give 0.25ml from 6 months to under 3 years of age

2 Children from March 2016 (continued) Age Disease Vaccine brand Reconstitute Site given Route given Notes From 6 months to 59 months (inclusive) Aboriginal & Torres Strait Islanders Influenza As supplied 7 Antero lateral < 12 months of age, Deltoid > 12 months SC/ Annually. In children aged 6 months to less than 9 years of age in the first year of administration, give 2 doses a minimum of one month apart. Give 0.25ml from 6 months to under 3 years of age. 12 months Measles-mumpsrubella Haemophilus influenzae type b-menigococcal C 12 months of age premature baby Hepatitis B < 32 weeks gestation or < 2000g birthweight 12 months of age premature baby < 28 weeks gestation or with underlying medical 18 months Measles-mumpsrubella-varicella (chickenpox) 4 years - from 3 years 6 months -poliomyelitis 4-5 years of age with underlying medical Priorix* or M-M-R-II* 3 Deltoid Priorix SC /, M-M-R-II SC Menitorix 3 Deltoid Only protects against 'C' strain meningococcal disease H-B-Vax-II Paediatric 7 Deltoid single booster dose Pneumococcal Prevenar 13 7 Deltoid See current Handbook for children at PrioixTetra* or ProQuad* Infanrix or Tripacel 3 7 Deltoid Deltoid Infanrix IPV 7 Deltoid PriorixTetra SC/, Proquad SC Handbook recommends 2nd dose of Varilrix /Varivax to reduce incidence of 'breakthrough' varicella. This MUST be on prescription. Minimum 1 month interval for 2 live vaccines. Pneumococcal Pneumovax 23 7 Deltoid See current Handbook for recommended additional doses for children at Australian Childhood Immunisation Register (ACIR): Intramuscular injection () Needle size Angle of needle insertion Infants & children 23G/25G, 25mm length 90 to skin plane Pre-term babies & very small babies 25G/23G, 16mm length 90 to skin plane

3 Adolescents from March 2016 Age Disease Vaccine brand Reconstitute Site given Route given Notes years or Year 7 Secondary school Varicella (chickenpox) Varilrix* or Varivax* 3 Deltoid SC Catch-up program ends in 2017 From 15 years of age Aboriginal From years of age Aboriginal People with underlying medical Human papillomavirus (HPV) Gardasil 7 Deltoid 3 dose course (O,2m,6m). Notify all doses immediately to National HPV Register Boostrix 7 Deltoid Influenza As supplied 7 Deltoid SC/ Annually Pneumococcal Pneumovax 23 7 Deltoid See current Handbook for recommended additional doses for people at Influenza As supplied 7 Deltoid SC/ Annually. See current Handbook for identification of people at Intramuscular injection () Needle size Angle of needle insertion Adolescent 23G/25G, 25mm length 90 to skin plane Very large adolescent 23G/25G, 38mm length 90 to skin plane

4 Adults from March 2016 Age Disease Vaccine brand From years of age Aboriginal From 15 years of age Aboriginal Reconstitute Site given Route given Notes Pneumococcal Pneumovax 23 7 Deltoid See current Handbook for recommended additional doses for people at Influenza As supplied 7 Deltoid SC/ Annually Pregnant women Influenza As supplied 7 Deltoid SC/ At any stage of pregnancy People with underlying medical From 50 years of age Aboriginal Boostrix 7 Deltoid Pregnant women from 28 weeks gestation during every pregnancy Partners of women who are at least 28 weeks pregnant if the partner has not received a pertussis booster in the last ten years Parents/guardians of a baby under six months of age and they have not received a pertussis booster in the last ten years. Influenza As supplied 7 Deltoid SC/ Annually. See current Handbook for identification of people at Pneumococcal Pneumovax 23 7 Deltoid See current Handbook for recommended additional doses for people at From years Diphtheria-tetanus ADT Booster 7 Deltoid Offer pertussis combination vaccine on prescription as an alternative if no dose has been received as an adult From 65 years Influenza As supplied 7 Deltoid SC/ Annually Pneumococcal Pneumovax 23 7 Deltoid See current Handbook for recommended additional doses for people at Intramuscular injection () Needle size Angle of needle insertion Adults 23G/25G, 25mm length 90 to skin plane Very large adult 23G/25G, 38mm length 90 to skin plane

5 Additional at risk groups from March 2016 Group Disease Vaccine brand Reconstitute Site given Route given Notes Women planning pregnancy Measles, mumps, rubella Priorix*/M-M-R-II* 3 Deltoid Priorix SC/, M-M-R-II SC Rubella non-immune women planning pregnancy or shortly after delivery or after delivery Vulnerable citizens Vaccine preventable diseases on National Immunisation Program (NIP) NIP vaccines 7 Deltoid As applicable See the Free vaccine Victoria - Criteria for eligibility Hepatitis B vaccine for eligible people at risk Rabies vaccine for eligible people at risk BCG for eligible infants & children Hepatitis B Engerix (paediatric/adult) 7 Deltoid Household contacts or sexual partners of people living with hepatitis B infection People who inject drugs or are on opioid substitution therapy People living with hepatitis C Men who have sex with men People living with HIV Prisoners and remandees People no longer in a custodial setting who commenced but did not complete the vaccine course while in custody Rabies As supplied 3 Deltoid Volunteer handler of Australian bats in Victoria for the primary course Post exposure prophylaxis Tuberculosis As supplied Supply limited to specialist hospital services Australian Childhood Immunisation Register (ACIR): Intramuscular injection () Needle size Angle of needle insertion Infants, children & adults 23G/25G, 25mm length 90 to skin plane Very large adult 23G/25G, 38mm length 90 to skin plane