The Australian Immunisation Handbook 10th Edition 2013

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H-B-Vax II, 212, 217 dosage and administration, 123, 211, 222 vaccination schedule, 156, 214 vaccine components, 469, 472 healthcare workers hepatitis B, 228 influenza, 255 measles, 274 pertussis, 310 poliomyelitis, 342 rubella, 389–390 tuberculosis, 413 vaccination recommendations, 169, 170 varicella, 430 hepatitis A adverse events following immunisation (AEFI), 207 changes in the 10th edition of the handbook, 12 clinical features, 198 co-administration with other vaccines, 203 dosage and administration, 201–203, 202 epidemiology, 198–199 and HIV-infected persons, 160 and Indigenous persons, 107, 203 interchangeability of vaccines, 203 minimum acceptable age for the 1st vaccine dose, 47 minimum acceptable vaccine dose intervals, 50 number of vaccine doses for children, 49 pregnancy and breastfeeding, 137, 206 public health management, 207 recommendations, 203–206 route of vaccine administration, 68–69 serological testing for immunity, 206 transport, storage and handling, 201 and travellers, 119 vaccines, 199–201 variations from product information, 207 virology, 198 hepatitis A/hepatitis B combination vaccines, 205, 217, 224 hepatitis A/typhoid combination vaccines, 205–206 hepatitis B, 208–230 adverse events following immunisation (AEFI), 227–228 booster doses, 224–225 catch-up vaccination guidelines for children, 51 catch-up vaccination schedules for those ≥10 years of age, 63–64 changes in the 10th edition of the handbook, 12 clinical features, 208 combination vaccines, 224 508 The Australian Immunisation Handbook 10th edition contraindications to vaccination, 227 dosage and administration, 217–218 epidemiology, 209–210 hepatitis B immunoglobulin (HBIG), 219 higher risk groups, 220–224 and HIV-infected persons, 160 and Indigenous persons, 109, 221 interchangeability of vaccines, 217 minimum acceptable age for the 1st vaccine dose, 46 minimum acceptable vaccine dose intervals, 50 non-responders to vaccination, 226 number of vaccine doses for children, 49 pregnancy and breastfeeding, 138, 227 and preterm infants, 144 public health management, 228–229 recommendations, 218–227 route of vaccine administration, 68–69 serological testing for immunity, 225 transport, storage and handling, 217 and travellers, 117–118 vaccination schedules, 214–215 vaccination schedules, accelerated, 215–216 variations from product information, 230 virology, 208 hepatitis B immunoglobulin (HBIG), 229, 460 availability, 457 and HBsAg-positive mothers, 219 Hepatitis B Immunoglobulin-VF, 229 hepatitis C patients, hepatitis B vaccination, 222 herpes zoster (HZ), 423. see also zoster (herpes zoster) and varicella vaccination, 434 Hiberix, 51, 193 transport, storage and handling, 194 variations from product information, 197 Hirschsprung’s disease, and rotavirus vaccination, 380 history of vaccination. see vaccination status and history HIV-infected persons. see also immunocompromised persons categories of immunocompromise, 158 hepatitis B, 220, 222 measles, 277 rubella, 392 tuberculosis, 413 typhoid, 421 vaccination recommendations, 158–160 varicella, 431 yellow fever, 444 zoster, 447, 450–451, 454 homeless people, influenza vaccination, 255 homosexuals. see men who have sex with men HPV Register. see National HPV Vaccination Program Register (NHVPR)
HPV Vaccination Program, 234 human diploid cell vaccine (HDCV), 68, 133, 355, 356, 358, 359, 363, 365, 370 variations from product information, 371 human papillomavirus (HPV) adverse events following immunisation (AEFI), 241–242 catch-up vaccination schedules, 63–64 changes in the 10th edition of the handbook, 13 clinical features, 231–232 co-administration with other vaccines, 237 contraindications to vaccination, 241 dosage and administration, 236–237 epidemiology, 232–234 female vaccination, 237–238 and HIV-infected persons, 159–160 interchangeability of vaccines, 237 male vaccination, 238–239 National HPV Vaccination Program Register (NHVPR), 101–102 pregnancy and breastfeeding, 139, 240 recommendations, 237–240 route of vaccine administration, 68–69 transport, storage and handling, 236 vaccines, 234–236 variations from product information, 242 virology, 231 human rabies immunoglobulin, 357, 362–363 and post-exposure prophylaxis, 360–368 and pregnancy and breastfeeding, 370 hypopituitarism, vaccination recommendations, 165 hypotonic-hyporesponsive episode (HHE), 93 and pertussis vaccination, 312–313 I immigrants. see migrants to Australia immunisation, commonly asked questions, 487–488 active, 18–20 passive, 17, 18, 456–464 immunisation handbook background, 1–2 development, 3–4 fundamentals of immunisation, 18–23 how to use, 5–6 literature search strategy, 467–468 what’s new, 7–17 Immunisation History Statements, 99–100 immunisation registers, 85–97 immunocompromised persons. see also immunocompromising conditions hepatitis B, 222 human papillomavirus (HPV), 239 influenza, 253–254 measles, 275–276, 277 rotavirus, 373, 379, 380–381 rubella, 392 typhoid, 421 vaccination recommendations, 32, 145–165 vaccination recommendations for household members of, 36, 148 varicella, 430, 431 yellow fever, 444 zoster, 435–436, 447, 450, 451–452, 453 immunocompromising conditions. see also immunocompromised persons; immunosuppressive therapy asplenia, 161–164 haematopoietic stem cell transplant (HSCT) recipients, 161–164 HIV-infected persons, 158–160 persons with autoimmune and other chronic conditions, 165 solid organ transplant (SOT) recipients, 150–154 immunoglobulin administration, and zoster vaccination, 454 immunoglobulin recipients. see normal human immunoglobulin (NHIG) recipients immunoglobulin treatment. see normal human immunoglobulin (NHIG) treatment immunoglobulins, 456–464 adverse events, 464 availability, 457 contraindications to use, 464 for intramuscular use, 457–459 normal human immunoglobulins (NHIG), 456 specific immunoglobulins, 456–457, 459–463 immunosuppressive therapy and measles vaccination, 277 and rabies post-exposure prophylaxis, 362 and rubella vaccination, 392 and tuberculosis vaccination, 413 and varicella vaccination, 431 and zoster immunoglobulin, 435–436, 461 and zoster vaccination, 453 Imogam Rabies Pasteurized, 355 Imojev, 37, 111, 260–261 adverse events following immunisation (AEFI), 265–266 booster doses, 264 dosage and administration, 125, 262–263 lower age limits for, 127 pregnancy and breastfeeding, 140, 264–265 impaired immunity. see immunocompromising conditions impaired immunity, persons with. see immunocompromised persons INDEX 509 INDEX
Page 1 and 2:
The Australian Immunisation Handboo
Page 3 and 4:
FOREWORD Since 1932, when Governmen
Page 5 and 6:
TABLE OF CONTENTS PART 1 INTRODUCTI
Page 7 and 8:
LIST OF TABLES Table 2.1.1: Pre-vac
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List 4.13.1: Conditions associated
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PREFACE The 10th edition of The Aus
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Secretariat support, Australian Tec
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PART 1 INTRODUCTION TO THE AUSTRALI
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1.2 DEVELOPMENT OF THE 10TH EDITION
Page 19 and 20:
1.3 HOW TO USE THE 10TH EDITION HAN
Page 21 and 22:
1.4 WHAT’S NEW All chapters have
Page 23 and 24:
2.2 Administration of vaccines •
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• The section on vaccination of p
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4.6 Human papillomavirus • HPV va
Page 29 and 30:
• For Aboriginal and Torres Strai
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Part 5 Passive immunisation • Inf
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without the harmful consequences of
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(vaccine failure). Often such infec
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will occur following receipt of a s
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cases, both the doctor issuing the
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Should a child or adolescent refuse
Page 43 and 44:
• check that the correct time int
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Note: Please discuss this informati
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Condition or circumstance of person
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Condition or circumstance of person
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Table 2.1.3: Live attenuated parent
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An online ‘catch-up calculator’
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Use of serological testing to guide
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• For some vaccines, catch-up vac
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Figure 2.1.1: Catch-up worksheet fo
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Vaccine Minimum age for 1st dose in
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Table 2.1.6: Number of vaccine dose
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Catch-up guidelines for individual
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If 13vPCV is not available, and 10v
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Previous vaccination history 2 prev
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PART 2 VACCINATION PROCEDURES 57 Ta
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PART 2 VACCINATION PROCEDURES 59 Ta
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Catch-up schedules for persons ≥1
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For additional details on these rec
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2.2 ADMINISTRATION OF VACCINES 2.2.
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• Never freeze a vaccine after it
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PART 2 VACCINATION PROCEDURES 69 In
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2.2.5 Vaccine injection techniques
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Interruption to a vaccination If th
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2.2.7 Positioning for vaccination I
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Children ≥12 months of age Cuddle
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2.2.8 Identifying the injection sit
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• Place the palm over the greater
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2.2.9 Administering multiple vaccin
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2.3 POST-VACCINATION 2.3.1 Immediat
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Management of an immediate adverse
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Management of anaphylaxis Rapid IM
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Autoinjectors are generally not app
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Australia. 16 This vaccine is no lo
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Any serious or unexpected adverse e
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Consumers and immunisation service
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When relevant, immunisation service
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National Human Papillomavirus Vacci
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Immunisation service providers enro
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PART 3 VACCINATION FOR SPECIAL RISK
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Thus, a vaccine to prevent Hib dise
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3.1.2 Adults Hepatitis B Indigenous
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een low in younger Indigenous adult
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3.2 VACCINATION FOR INTERNATIONAL T
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• vaccination history (including
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departure to allow for the period w
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Selected vaccines based on travel i
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Tick-borne encephalitis Tick-borne
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3.2.5 Vaccinating the traveller wit
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• Travel health and quarantine se
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whether the AEFI is likely to recur
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(see Appendix 1 Contact details for
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avoided, except in situations where
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3.3.3 Vaccination of immunocompromi
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Use of live viral or live bacterial
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Influenza vaccination is recommende
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Page 167 and 168:
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Haematopoietic stem cell transplant
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Vaccine Months after HSCT Comments
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depending on the number of vaccines
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Persons with functional or anatomic
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Table 3.3.5: Recommendations for va
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Persons with autoimmune diseases an
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Table 3.3.6: Recommended intervals
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3.3.7 Vaccination of persons at occ
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Occupation Vaccine Providers of hom
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against certain vaccine-preventable
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3.3.11 Vaccination of persons who i
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waters. All cases of cholera report
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Children aged 2-6 years Three doses
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4.1.11 Adverse events The inactivat
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4.2.4 Vaccines Diphtheria toxoid is
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• Adacel - Sanofi Pasteur Pty Ltd
Page 201 and 202:
antibodies at an age when waning of
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children aged
Page 205 and 206:
4.3 HAEMOPHILUS INFLUENZAE TYPE B 4
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• Hiberix - GlaxoSmithKline (PRP-
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4.3.7 Recommendations Infants A Hib
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4.3.11 Public health management of
Page 213 and 214:
In recent years, hepatitis A notifi
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Inactivated hepatitis A vaccines ar
Page 217 and 218:
Co-administration with other vaccin
Page 219 and 220:
Recommendations for the use of comb
Page 221 and 222:
4.4.10 Adverse events The most comm
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4.5.3 Epidemiology The prevalence o
Page 225 and 226:
4.5.4 Vaccines Monovalent hepatitis
Page 227 and 228:
For older children and young adults
Page 229 and 230:
Vaccine Age of vaccine recipient Do
Page 231 and 232:
Combination hepatitis A/hepatitis B
Page 233 and 234:
Management of infants born to mothe
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Household or other close (household
Page 237 and 238:
with occult hepatitis B infection.
Page 239 and 240:
immune memory persists and is thoug
Page 241 and 242:
to suggest that a higher proportion
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Table 4.5.3: Post-exposure prophyla
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4.6 HUMAN PAPILLOMAVIRUS 4.6.1 Viro
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women. The prevalence of high-risk
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• Gardasil - CSL Limited/Merck &
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If scheduled doses have been missed
Page 253 and 254:
However, some adult males may gain
Page 255 and 256:
4.6.9 Contraindications The only ab
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4.7 INFLUENZA 4.7.1 Virology The in
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Figure 4.7.1: Influenza notificatio
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Always check annual seasonal influe
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7.5 µg of viral haemagglutinin (in
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Table 4.7.1: Recommended doses of i
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• Chronic respiratory conditions,
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Residents of residential aged care
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influenza vaccine prior to administ
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4.8 JAPANESE ENCEPHALITIS 4.8.1 Vir
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28 days following vaccination with
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When using JEspect in children aged
Page 279 and 280:
4.8.8 Pregnancy and breastfeeding I
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4.9 MEASLES 4.9.1 Virology Measles
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4.9.4 Vaccines Monovalent measles v
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4.9.6 Dosage and administration The
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Table 4.9.1: Recommendations for me
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increase in adverse events from vac
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Immunoglobulin or blood product adm
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approximately 5%. 2,25 There is als
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Table 4.9.2: Post-exposure prophyla
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4.10 MENINGOCOCCAL DISEASE 4.10.1 B
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4.10.4 Vaccines There are different
Page 301 and 302:
Polysaccharide vaccines Quadrivalen
Page 303 and 304:
Interchangeability of meningococcal
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• Children (aged ≥9 months) and
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Appendix 1 Contact details for Aust
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4.11 MUMPS 4.11.1 Virology Mumps is
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Trivalent measles-mumps-rubella (MM
Page 313 and 314:
4.11.7 Recommendations Infants aged
Page 315 and 316:
Vaccination with other live attenua
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acquired from healthcare workers. 1
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demonstrated a more rapid decline,
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• Boostrix-IPV - GlaxoSmithKline
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in the previous 10 years. 19,45 Adu
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(see ‘Women who are planning preg
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an HHE. An HHE may last from a few
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The product information for Quadrac
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4.13 PNEUMOCOCCAL DISEASE 4.13.1 Ba
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non-Indigenous children (88%). 19,2
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10-valent pneumococcal conjugate va
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lesser antibody responses to 2nd or
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Table 4.13.1: Recommendations for p
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Category B: Conditions associated w
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Children aged >5 years to 15 years)
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Non-Indigenous adults A single dose
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Adults who have a condition listed
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4.13.11 Adverse events 10-valent pn
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5 years with a condition(s) associa
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virtually eradicated in India, but
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formaldehyde, glutaraldehyde, polys
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4.14.8 Pregnancy and breastfeeding
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4.15 Q FEVER 4.15.1 Bacteriology Q
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4.15.4 Vaccine • Q-Vax - CSL Limi
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individuals, which can be accessed
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Refer to 3.3 Groups with special va
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4.16 RABIES AND OTHER LYSSAVIRUSES
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4.16.4 Rabies vaccines • Mérieux
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of an even more accelerated schedul
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Pre-exposure prophylaxis for rabies
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The relevant state/territory health
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Although data are limited on the ef
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Table 4.16.2: Post-exposure prophyl
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Figure 4.16.2: Post-exposure prophy
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Figure 4.16.3: Booster algorithm fo
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allergic reaction occurs following
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age group11,12 and affecting 3.8% o
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of age, the risk of IS was increase
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Interchangeability of rotavirus vac
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gestational age; median 34 weeks) w
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Infants living in households with p
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4.17.12 Variations from product inf
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2003, rubella notifications in Aust
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zoster virus [Oka strain]). Lyophil
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children
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A number of commercial assays for t
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Germany indicates that no case of v
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case. Seronegative women of child-b
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4.19 TETANUS 4.19.1 Bacteriology Te
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Formulations for children aged
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4.19.5 Transport, storage and handl
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foreign bodies (especially wood spl
Page 419 and 420:
studies indicate that the adverse r
Page 421 and 422:
The product information for Adacel
Page 423 and 424:
of MDR-TB cases identified has incr
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BCG vaccination procedures BCG vacc
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Occupational groups There is some e
Page 429 and 430:
Page 431 and 432:
In developed countries, typhoid fev
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A 4th capsule taken on day 7 has be
Page 435 and 436:
Page 437 and 438:
4.22 VARICELLA 4.22.1 Virology Vari
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as a case of wild-type varicella oc
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Reconstituted Varivax Refrigerated
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adequate protection from varicella.
Page 445 and 446:
eceived varicella vaccine while bre
Page 447 and 448:
immunoglobulin and other blood prod
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eported in a 9-year follow-up of 70
Page 451 and 452:
high-dose intravenous NHIG are like
Page 453 and 454:
4.23 YELLOW FEVER 4.23.1 Virology Y
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Co-administration with other vaccin
Page 457 and 458:
Page 459 and 460:
Vaccine-associated neurotropic adve
Page 461 and 462:
1000 cases per 100 000 population i
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administration of Zostavax with 23-
Page 465 and 466:
diagnosis. In addition, the risk of
Page 467 and 468:
Laboratory testing to check for an
Page 469 and 470:
Page 471 and 472: the immunoglobulin preparations con
Page 473 and 474: Prevention of measles Measles vacci
Page 475 and 476: who are being treated with immunosu
Page 477 and 478: limb with a separate syringe, and a
Page 479 and 480: APPENDIX 1: CONTACT DETAILS FOR AUS
Page 481 and 482: APPENDIX 2: LITERATURE SEARCH STRAT
Page 483 and 484: APPENDIX 3: COMPONENTS OF VACCINES
Page 485 and 486: Vaccine component* Vaccine brand
Page 487 and 488: APPENDIX 4: COMMONLY ASKED QUESTION
Page 489 and 490: When should preterm infants be vacc
Page 491 and 492: If a parent decides not to have a c
Page 493 and 494: Should vaccines be given to persons
Page 495 and 496: eason not to vaccinate. Asthma, ecz
Page 497 and 498: Does MMR vaccine cause inflammatory
Page 499 and 500: (either alone or in combination) fo
Page 501 and 502: A4.5 Questions about the need for i
Page 503 and 504: APPENDIX 5: GLOSSARY OF TECHNICAL T
Page 505 and 506: Enzootic enzootic infections are pr
Page 507 and 508: Rotavirus a virus that is a common
Page 509 and 510: APPENDIX 6: COMMONLY USED ABBREVIAT
Page 511 and 512: OPV oral poliomyelitis vaccine PCEC
Page 513 and 514: Year Vaccine 2003 Varicella 2003 Me
Page 515 and 516: identifying the injection site, 79-
Page 517 and 518: Australian Capital Territory advers
Page 519 and 520: and travellers, 119 vaccines, 177-1
Page 521: abies and other lyssaviruses (inclu
Page 525 and 526: interferon-gamma release assays (IG
Page 527 and 528: mercury, in vaccines. see thiomersa
Page 529 and 530: Northern Territory ACIR reporting,
Page 531 and 532: and Haemophilus influenzae type b (
Page 533 and 534: espiratory syncytial virus monoclon
Page 535 and 536: Therapeutic Goods Administration (T
Page 537 and 538: varicella-zoster immunoglobulin, 45
Page 539 and 540: INDEX 525 INDEX
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