The Australian Immunisation Handbook 10th Edition 2013

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co-administration with other vaccines, 298 contraindications to vaccination, 300 dosage and administration, 298 epidemiology, 295–296 interchangeability of vaccines, 298 precautions, 300–301 pregnancy and breastfeeding, 300 public health management, 301 recommended doses and schedules, 299–300 serological testing for immunity, 300 transport, storage and handling, 298 and travellers, 118 vaccines, 296 variations from product information, 301 virology, 295 Mycobacterium africanum, 408. see also tuberculosis Mycobacterium bovis, 408, 409. see also tuberculosis Mycobacterium canetti, 408. see also tuberculosis Mycobacterium leprae, 410, 412. see also tuberculosis Mycobacterium microti, 408. see also tuberculosis Mycobacterium tuberculosis, 408. see also tuberculosis Mycoplasma pneumoniae, 302. see also tuberculosis N National Centre for Immunisation Research and Surveillance of Vaccine Preventable Diseases (NCIRS), 3, 27, 467, 467–468, 488, 498 National HPV Vaccination Program Register (NHVPR), 9, 40, 101–102, 174 National Immunisation Program (NIP), 2, 3, 31, 67 catch-up vaccination, 38–39 catch-up worksheet for children
Northern Territory ACIR reporting, 98 adverse events following immunisation (AEFI) notification, 96 age of consent, 26 Australian Red Cross Blood Service, 457 government health authority and communicable disease control contact details, 465–466 hepatitis A, 105, 107, 199, 201, 203 hepatitis B, 109, 210 HPV reporting, 101 influenza, 251 NT Immunisation Register, 103 pneumococcal disease, 15, 52, 57–58, 105, 108, 110, 318, 321, 324, 329, 330 tuberculosis, 106, 107, 408 nursing home staff influenza, 255 vaccination recommendations, 170 O obese persons, 72 influenza, 252 occupational health and safety issues, 65 administration of vaccines, 65 occupational risks, 2, 11, 29, 36, 61, 62, 115, 130, 169–173, 371. see also under individual occupations hepatitis A, 199, 204, 205 hepatitis B, 223–224, 225, 460 measles, 274 pertussis, 310 Q fever, 346, 348 rabies and other lyssaviruses (including Australian bat lyssavirus), 371 rubella, 396 tuberculosis, 413 varicella, 430 Oceania, 113, 118, 439. see also Pacific Islands oncology patients, vaccination recommendations, 148–150 OPV, 53, 339, 341, 376 oral live attenuated typhoid vaccine. see also Vivotif Oral adverse events following immunisation (AEFI), 422 contraindications to vaccination, 421 dosage and administration, 418–419 precautions, 421–422 pregnancy and breastfeeding, 421 transport, storage and handling, 418 oral poliomyelitis vaccine. see OPV oral vaccines, 37, 68–69, 73, 123–126. see also under rotavirus, typhoid and cholera oropharyngeal cancer, 233 otitis media, 108, 191, 244, 267, 317, 321. see also pneumococcal disease P Pacific Islands. see also Oceania hepatitis B, 209, 221 rabies and other lyssaviruses (including Australian bat lyssavirus), 354 rubella, 390 tuberculosis, 408 palivizumab, 462 Papua New Guinea Japanese encephalitis, 113–114, 119, 259, 263 rabies and other lyssaviruses (including Australian bat lyssavirus), 354 typhoid, 122, 416 paracetamol, 85, 91, 292 and fits, 478 measles, 278, 279 varicella, 434 paralytic polio. see poliomyelitis parenteral Vi polysaccharide vaccines, 418. see also typhoid, vaccines adverse events following immunisation (AEFI), 422 contraindications to vaccination, 421 dosage and administration, 419 pregnancy and breastfeeding, 421 vaccination recommendations, 420 passive immunisation, 18, 456–464. see also immunoglobulins availability of immunoglobulins, 457 changes in the 10th edition of the handbook, 17 normal human immunoglobulin for intramuscular use, 457–459 potential interactions with vaccines, 463–464 specific immunoglobulins, 459–463 transport, storage and handling, 457 Pediacel, 51, 184, 193, 305–306, 340, 399 variations from product information, 189, 197, 315, 344, 406 pertussis, 302–316 adverse events following immunisation (AEFI), 312–313 bacteriology, 302 changes in the 10th edition of the handbook, 11–12 clinical features, 302 contraindications to vaccination, 312 dosage and administration, 307 interval between vaccines, 310 pregnancy and breastfeeding, 310–311 public health management, 313–314 recommendations, 307–310 transport, storage and handling, 307 and travellers, 117 vaccination of contacts of cases, 314 vaccines, 304–307 INDEX 515 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
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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
Page 17 and 18:
1.2 DEVELOPMENT OF THE 10TH EDITION
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1.3 HOW TO USE THE 10TH EDITION HAN
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1.4 WHAT’S NEW All chapters have
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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
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• 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
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• 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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Page 151 and 152:
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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
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antibodies at an age when waning of
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children aged
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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
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In recent years, hepatitis A notifi
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Inactivated hepatitis A vaccines ar
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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
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For older children and young adults
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Vaccine Age of vaccine recipient Do
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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
Page 245 and 246:
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 &
Page 251 and 252:
If scheduled doses have been missed
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However, some adult males may gain
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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
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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
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Interchangeability of meningococcal
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• Children (aged ≥9 months) and
Page 307 and 308:
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
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4.11.7 Recommendations Infants aged
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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
Page 395 and 396:
Infants living in households with p
Page 397 and 398:
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
Page 405 and 406:
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
Page 415 and 416:
4.19.5 Transport, storage and handl
Page 417 and 418:
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
Page 425 and 426:
BCG vaccination procedures BCG vacc
Page 427 and 428:
Occupational groups There is some e
Page 429 and 430:
Page 431 and 432:
In developed countries, typhoid fev
Page 433 and 434:
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
Page 441 and 442:
Reconstituted Varivax Refrigerated
Page 443 and 444:
adequate protection from varicella.
Page 445 and 446:
eceived varicella vaccine while bre
Page 447 and 448:
immunoglobulin and other blood prod
Page 449 and 450:
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
Page 463 and 464:
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 and 522: abies and other lyssaviruses (inclu
Page 523 and 524: HPV Vaccination Program, 234 human
Page 525 and 526: interferon-gamma release assays (IG
Page 527: mercury, in vaccines. see thiomersa
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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