Contents Chapter Topic Page Neonatology Respiratory Cardiology

3.5.6 Rubella - Contraindicated in pregnancy (even though no reported cases
of congenital rubella syndrome due to vaccine).
3.5.7 Measles - If < 9 months old presence of maternal Ab may decrease
immunogenecity. Avoid in persons hypersensitive to neomycin,
polymyxin OR anaphylaxis to egg ingestion.
3.5.8 MMR and Influenza – severe reaction to hen’s eggs or neomycin.
3.5.9 Pneumococcal – children less than 2 years old; revaccination within 3
years has high risk of adverse reaction; avoid during chemotherapy or
radiotherapy and less than 10 days prior to commencement of such
therapy – antibody response is poor. Pregnancy.
3.5.10 Hepatitis A: Severe hypersentivity to aluminium hydroxide,
phenoxyethanol or neomycin.
3.5.11 Typhoid (whole-cell) and Cholera: patients with chronic illness such as
multiple sclerosis, rheumatoid arthritis, diabetes and compensated
cardiac conditions may suffer a relapse.
3.5.12 Meningococcus A, C, Y & W-135: polysaccharide vaccine : Not useful
in children < 2 years old.
3.5.13 Japanese B: contraindicated in immunodeficiency and malignancy,
diabetes, acute exacerbation of cardiac, hepatic and renal conditions.
3.6 The following are NOT contraindications to vaccination in
Children
3.6.1 Mild illness without fever e.g. mild diarrhoea, cough, running nose.
3.6.2 Asthma, eczema, hay fever, impetigo, heat rash, etc.(avoid injection in
area of skin lesion).
3.6.3 Treatment with antibiotics or locally acting steroids.
3.6.4 Child's mother is pregnant.
3.6.5 Breast fed child (does not affect polio uptake).
3.6.6 Neonatal jaundice.
3.6.7 Underweight or malnourished.
3.6.8 Over the recommended age.
3.6.9 Past history of pertussis, measles or rubella (unless confirmed
medically).
3.6.10 Non progressive, stable neurological conditions like Cerebral palsy,
Down’s syndrome, simple febrile convulsions, controlled epilepsy.
mental retardation.
3.6.11 Family history of convulsions.
3.6.12 History of heart disease, acquired or congenital.
3.6.13 Prematurity (give immunisation according to schedule irrespective of
gestational age).