The Australian Immunisation Handbook 10th Edition 2013

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variations from product information, 314–316 Pharmaceutical Benefits Advisory Committee (PBAC), 3 Pharmaceutical Benefits Scheme (PBS), 3 phenol, in vaccines, 471, 484 phenoxyethanol, in vaccines, 471, 484 pilgrims attending Hajj in Saudi Arabia, 116, 120, 129, 290 plumbers, vaccination recommendations, 172 pneumococcal conjugate vaccines (PCV). see 10vPCV (10-valent pneumococcal conjugate vaccine); 13vPCV (13-valent pneumococcal conjugate vaccine) pneumococcal disease, 317–337 adverse events following immunisation (AEFI), 335–336 bacteriology, 317 catch-up vaccination for children, 46, 49, 50, 52–53, 57–58, 59–60, 63 changes in the 10th edition of the handbook, 14–15 clinical features, 317–318 contraindications to vaccination, 334 dosage and administration, 323–324 epidemiology, 318–319 and HIV-infected persons, 160 and immunocompromised persons, 145 immunocompromising conditions with increased risk of, 326–327 and Indigenous persons, 108, 110–111 and persons with asplenia, 161, 163–164 precautions, 334 pregnancy and breastfeeding, 334 and preterm infants, 143–144 recommendations, 324–333 transport, storage and handling, 323 and travellers, 118 vaccines, 319–323 variations from product information, 336–337 pneumococcal polysaccharide vaccine. see 23vPPV (23-valent pneumococcal polysaccharide vaccine) pneumonia. see Haemophilus influenzae type b (Hib); pneumococcal disease Pneumovax 23, 322, 449 catch-up schedule, 59–60 dosage and administration, 124 vaccine components, 471 variations from product information, 337 police, vaccination recommendations, 171 poliomyelitis, 338–344, 348–350 adverse events following immunisation (AEFI), 343 516 The Australian Immunisation Handbook 10th edition catch-up vaccination for children, 46, 49, 50, 53 catch-up vaccination schedules for those ≥10 years of age, 63–64 changes in the 10th edition of the handbook, 15 clinical features, 338 contraindications to vaccination, 343 dosage and administration, 341 epidemiology, 338–339 interchangeability of vaccines, 341 minimum acceptable age for the 1st vaccine dose, 46 minimum acceptable vaccine dose intervals, 50 number of vaccine doses for children, 49 pregnancy and breastfeeding, 343 pre-vaccination testing, 348–349 public health management, 343 recommendations, 342 transport, storage and handling, 341 and travellers, 118 variations from product information, 343–344 virology, 338 poliovirus, 338 polymyxin, in vaccines, 19, 472, 486 polysorbate, in vaccines, 19, 472, 485 pork industry workers. see animals, persons working with positioning for vaccination children, 77–78 infants, 75–76 older children, adolescents and adults, 78 post-exposure prophylaxis hepatitis B, 229 measles, 281 varicella, 437 post-herpetic neuralgia (PHN), 446 post-vaccination procedures adverse events following immunisation (AEFI), 85–97 changes in the 10th edition of the handbook, 9 documentation of vaccination, 97 immediate after-care, 85 immunisation registers, 98–103 poultry workers. see animals, persons working with precautions to vaccination, 5, 22, 28, 130, 477. see also under individual disease names pregnancy and cholera vaccination, 180 contact with persons who received live vaccines, 134, 142 and diphtheria vaccination, 187
and Haemophilus influenzae type b (Hib) vaccination, 196 and hepatitis A vaccination, 206 and human papillomavirus (HPV) vaccination, 240 and immunosuppressive therapy, 142 and influenza vaccination, 252, 256 and Japanese encephalitis vaccination, 264–265 and measles, 267 and measles vaccination, 275 and meningococcal vaccination, 291–292 and mumps, 295 and mumps vaccination, 300 and pertussis vaccination, 303–304, 308, 309, 310–311 and pneumococcal vaccination, 334 and Q fever vaccination, 350–351 and rabies vaccination, 370 and rotavirus vaccination, 379 and rubella, 384, 395–396 and rubella vaccination, 385, 391–392, 392–393 and tetanus vaccination, 402 and tuberculosis vaccination, 413 vaccination recommendations, 33–34, 133–144, 135–141 and varicella vaccination, 430–431, 432 and yellow fever vaccination, 443, 445 and zoster immunoglobulin, 435–436 and zoster vaccination, 453 premature infants. see preterm infants preparation for vaccine administration, 65, 70 preparation of vaccines, 66–67 pre-school workers. see early childhood education and care workers preservatives, in vaccines, 484 preterm infants, 34, 38, 143–144, 475 Haemophilus influenzae type b (Hib), 51, 144, 195 hepatitis B, 51, 144, 219 influenza, 144 needle size, length and angle, 72 pneumococcal disease, 43, 53, 143–144, 327 rotavirus, 144, 378–379 pre-vaccination procedures, 24–64 anaphylaxis response kit, 24 catch-up, 38–64 changes in the 10th edition of the handbook, 8 effective cold chain, 24–25 screening, 28–38 valid consent, 25–28 pre-vaccination screening, 28–38 checklist, 30–31 responses to relevant conditions or circumstances, 31 Prevenar 13, 320 catch-up schedule, 56, 57–58, 59–60 dosage and administration, 124, 194, 323 vaccine components, 470–472 variations from product information, 336 Priorix, 68, 269–270, 297, 386 dosage and administration, 124, 271, 298, 387 transport, storage and handling, 270, 298, 387 vaccine components, 471–472 variations from product information, 282 Priorix-tetra, 269, 270, 297, 386–387, 425–426 dosage and administration, 298, 387, 427 seroresponse assessment in study, 269 transport, storage and handling, 270, 298, 387, 427 vaccine components, 471–472 variations from product information, 282, 437 prisoners and staff. see correctional facility inmates; correctional facility staff procedures for vaccination, 24–103 administration of vaccines, 65–84 changes in the 10th edition of the handbook, 8–9 post-vaccination, 85–103 pre-vaccination, 24–64 product information for vaccines. see vaccine product information prone position, 75–76, 78 ProQuad, 68, 270, 297, 387, 425–426 adverse events following immunisation (AEFI), 279, 434 seroresponse assessment in study, 269 transport, storage and handling, 270, 298, 387, 427 vaccine components, 469, 471–472 variations from product information, 282, 437 public health management, 5, 8. see also under individual disease names purified chick embryo cell vaccine (PCECV), 69, 71, 133, 355, 356, 358, 363, 370 variations from product information, 371 Q Q fever, 345–352 adverse events following immunisation (AEFI), 351–352 Australian Q Fever Register, 102 bacteriology, 345 changes in the 10th edition of the handbook, 15 clinical features, 345 contraindications to vaccination, 351 dosage and administration, 348 INDEX 517 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
Page 9 and 10:
List 4.13.1: Conditions associated
Page 11 and 12:
PREFACE The 10th edition of The Aus
Page 13 and 14:
Secretariat support, Australian Tec
Page 15 and 16:
PART 1 INTRODUCTION TO THE AUSTRALI
Page 17 and 18:
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 •
Page 25 and 26:
• The section on vaccination of p
Page 27 and 28:
4.6 Human papillomavirus • HPV va
Page 29 and 30:
• For Aboriginal and Torres Strai
Page 31 and 32:
Part 5 Passive immunisation • Inf
Page 33 and 34:
without the harmful consequences of
Page 35 and 36:
(vaccine failure). Often such infec
Page 37 and 38:
will occur following receipt of a s
Page 39 and 40:
cases, both the doctor issuing the
Page 41 and 42:
Should a child or adolescent refuse
Page 43 and 44:
• check that the correct time int
Page 45 and 46:
Note: Please discuss this informati
Page 47 and 48:
Condition or circumstance of person
Page 49 and 50:
Condition or circumstance of person
Page 51 and 52:
Table 2.1.3: Live attenuated parent
Page 53 and 54:
An online ‘catch-up calculator’
Page 55 and 56:
Use of serological testing to guide
Page 57 and 58:
• For some vaccines, catch-up vac
Page 59 and 60:
Figure 2.1.1: Catch-up worksheet fo
Page 61 and 62:
Vaccine Minimum age for 1st dose in
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Table 2.1.6: Number of vaccine dose
Page 65 and 66:
Catch-up guidelines for individual
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If 13vPCV is not available, and 10v
Page 69 and 70:
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
Page 165 and 166:
Page 167 and 168:
Page 169 and 170:
Haematopoietic stem cell transplant
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Vaccine Months after HSCT Comments
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depending on the number of vaccines
Page 175 and 176:
Persons with functional or anatomic
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Table 3.3.5: Recommendations for va
Page 179 and 180:
Persons with autoimmune diseases an
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Table 3.3.6: Recommended intervals
Page 183 and 184:
3.3.7 Vaccination of persons at occ
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Occupation Vaccine Providers of hom
Page 187 and 188:
against certain vaccine-preventable
Page 189 and 190:
3.3.11 Vaccination of persons who i
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waters. All cases of cholera report
Page 193 and 194:
Children aged 2-6 years Three doses
Page 195 and 196:
4.1.11 Adverse events The inactivat
Page 197 and 198:
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
Page 203 and 204:
children aged
Page 205 and 206:
4.3 HAEMOPHILUS INFLUENZAE TYPE B 4
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• Hiberix - GlaxoSmithKline (PRP-
Page 209 and 210:
4.3.7 Recommendations Infants A Hib
Page 211 and 212:
4.3.11 Public health management of
Page 213 and 214:
In recent years, hepatitis A notifi
Page 215 and 216:
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
Page 223 and 224:
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
Page 235 and 236:
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
Page 243 and 244:
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
Page 249 and 250:
• Gardasil - CSL Limited/Merck &
Page 251 and 252:
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
Page 257 and 258:
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
Page 263 and 264:
7.5 µg of viral haemagglutinin (in
Page 265 and 266:
Table 4.7.1: Recommended doses of i
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• Chronic respiratory conditions,
Page 269 and 270:
Residents of residential aged care
Page 271 and 272:
influenza vaccine prior to administ
Page 273 and 274:
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
Page 287 and 288:
Table 4.9.1: Recommendations for me
Page 289 and 290:
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
Page 295 and 296:
Table 4.9.2: Post-exposure prophyla
Page 297 and 298:
4.10 MENINGOCOCCAL DISEASE 4.10.1 B
Page 299 and 300:
4.10.4 Vaccines There are different
Page 301 and 302:
Polysaccharide vaccines Quadrivalen
Page 303 and 304:
Interchangeability of meningococcal
Page 305 and 306:
• 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
Page 311 and 312:
Trivalent measles-mumps-rubella (MM
Page 313 and 314:
4.11.7 Recommendations Infants aged
Page 315 and 316:
Vaccination with other live attenua
Page 317 and 318:
acquired from healthcare workers. 1
Page 319 and 320:
demonstrated a more rapid decline,
Page 321 and 322:
• Boostrix-IPV - GlaxoSmithKline
Page 323 and 324:
in the previous 10 years. 19,45 Adu
Page 325 and 326:
(see ‘Women who are planning preg
Page 327 and 328:
an HHE. An HHE may last from a few
Page 329 and 330:
The product information for Quadrac
Page 331 and 332:
4.13 PNEUMOCOCCAL DISEASE 4.13.1 Ba
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non-Indigenous children (88%). 19,2
Page 335 and 336:
10-valent pneumococcal conjugate va
Page 337 and 338:
lesser antibody responses to 2nd or
Page 339 and 340:
Table 4.13.1: Recommendations for p
Page 341 and 342:
Category B: Conditions associated w
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Children aged >5 years to 15 years)
Page 345 and 346:
Non-Indigenous adults A single dose
Page 347 and 348:
Adults who have a condition listed
Page 349 and 350:
4.13.11 Adverse events 10-valent pn
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5 years with a condition(s) associa
Page 353 and 354:
virtually eradicated in India, but
Page 355 and 356:
formaldehyde, glutaraldehyde, polys
Page 357 and 358:
4.14.8 Pregnancy and breastfeeding
Page 359 and 360:
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
Page 365 and 366:
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
Page 373 and 374:
Pre-exposure prophylaxis for rabies
Page 375 and 376:
The relevant state/territory health
Page 377 and 378:
Although data are limited on the ef
Page 379 and 380:
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
Page 385 and 386:
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
Page 391 and 392:
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
Page 403 and 404:
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 and 528: mercury, in vaccines. see thiomersa
Page 529: Northern Territory ACIR reporting,
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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