Doctor, can children have a history of febrile seizures, can they be vaccinated?
Doctor, the baby has congenital heart disease, what do I need to pay attention to when getting vaccinated?
Doctor, my child's jaundice has not gone away, can I get the hepatitis B vaccine?
Doctor, does the child have eczema on his face and needs to completely subside before he can get the vaccine?
For healthy children, vaccination is a routine operation, and it is the simplest, most effective and economical means to fight infectious diseases and help children build an immune barrier.
*From the Internet).
But for children with special health conditions, vaccination is often "difficult".
Lele (pseudonym) was a premature baby who had epilepsy caused by a cerebral hemorrhage, and the epilepsy was controlled after **. According to the doctor's advice, the parents strictly pay attention to Lele's dietary hygiene and balanced nutrition.
But there's one thing parents have been worried about, and that's vaccination.
Every time the parents took Lele to be vaccinated, the doctor had no choice but to tell them that there were clear contraindications to vaccination, and for Lele's condition, they could not be vaccinated for the time being.
In fact, Lele is not alone, children with congenital heart disease, neonatal biliary atresia, congenital hypothyroidism, febrile seizures from 3 months to 5 years old, and children under 14 years old with a history of asthma, allergic rhinitis, eczema and other common diseases often face difficulties in vaccination.
Ask questions
qustions
Answer
answers
q
Can premature babies be vaccinated?
A: Yes
Premature babies can be vaccinated (weighing less than 2Preterm infants of 5 kg cannot be vaccinated with BCG for the time being, weighing 25 kg, good growth and development can be inoculated);
Preterm infants born to mothers who are negative or positive for hepatitis B surface antigen (HBSAG) should receive the first dose of hepatitis B vaccine as soon as possible within 24 hours of birth, and then complete the three-dose hepatitis B vaccine on a monthly schedule one month after vaccination.
Preterm infants born to HBSAG-positive mothers receive the first dose of hepatitis B vaccine after birth and 100 IU of hepatitis B immune globulin (HBiGT) injected intramuscularly into different (limb) sites.
Critically ill preterm infants should receive their first dose of hepatitis B vaccine as soon as their vital signs have stabilized.
*From the Internet).
q
Can children with bronchial asthma be vaccinated?
A: Yes
It can be given if you are in remission (long-term maintenance of inhaled asthma medications, including low-dose inhaled corticosteroids) and are in good health.
If a child with asthma has a severe allergy to eggs, vaccinate in a place with rescue equipment and under the supervision of a medical professional.
Vaccination should be withheld during acute asthma exacerbations (symptoms such as wheezing, cough, shortness of breath, chest tightness), especially systemic corticosteroids, including oral and intravenous administration.
*From the Internet).
q
Can a child with epilepsy be vaccinated?
A: Yes
People with seizures who have not had seizures for 6 months or more (seizures that are controlled), with or without antiepileptic drugs, can receive all vaccinations, as well as those with a family history of epilepsy.
If you have had seizures in the last 6 months, you will be deferred from vaccination.
q
Can children with cerebral palsy be vaccinated?
A: Yes
Follow the procedure for vaccination.
q
My child has eczema, can I get vaccinated?
A: Yes
Mild eczema can be inoculated to avoid eczema locations.
If the eczema is severe and accompanied by oozing or ulceration, postpone vaccination, and resume vaccination after improvement.
*From the Internet).
After vaccination, it is important to stay for observation
After the child is vaccinated, they will be observed in the observation area for 30 minutes. At the same time, observe whether the child has a rare rapid anaphylaxis, and if an adverse reaction occurs, seek medical help as soon as possible.
Parents can ask the staff about the precautions after vaccination, as well as vaccination-related questions, such as how to deal with fever and other questions, and keep the consultation**. At the end of the observation period, parents can only leave the vaccination clinic after confirming that their child is normal.
Keep track of vaccination records
It is important to keep accurate vaccination records. This helps ensure that children are up to date and that relevant vaccine supplements are available when needed.
Coordinate with the school
For children with special needs who need to be vaccinated at school, parents should coordinate with the school to ensure that the necessary vaccination records and documents are provided.
In general, vaccination of children with special health conditions requires individualized care and planning. Parents should actively work with their doctor to ensure that their children are properly protected from immunizations.