The Australian Immunisation Handbook 10th Edition 2013

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transport, storage and handling, 440 and travellers, 122 vaccine, 440 variations from product information, 445 virology, 439 yellow fever vaccine-associated viscerotropic disease, 444, 445 Z Zagreb, 363 zoo workers. see animals, persons working with Zostavax, 323–324, 447–449 adverse events following immunisation (AEFI), 454 dosage and administration, 449–450 precautions, 454 transport, storage and handling, 449 vaccination recommendations, 452 variations from product information, 337, 455 zoster (herpes zoster), 446–455 adverse events following immunisation (AEFI), 454 catch-up vaccination, 63–64 changes in the 10th edition of the handbook, 16 clinical features, 446 co-administration with other vaccines, 449–450, 453 contraindications to vaccination, 453 dosage and administration, 449–450 epidemiology, 446–447 precautions, 453–454 pregnancy and breastfeeding, 141, 453 and recipients of normal human immunoglobulin and other blood products, 166 recommendations, 147, 159, 450–453 serological testing for immunity, 452–453 transport, storage and handling, 449 vaccine, 68–69, 447–449 variations from product information, 454 virology, 446 zoster immunoglobulin (ZIG), 460. see also Zoster Immunoglobulin-VF (human) Zoster Immunoglobulin-VF (human), 435–437 variations from product information, 438 524 The Australian Immunisation Handbook 10th edition
INDEX 525 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
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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
Page 19 and 20:
1.3 HOW TO USE THE 10TH EDITION HAN
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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
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4.6 Human papillomavirus • HPV va
Page 29 and 30:
• For Aboriginal and Torres Strai
Page 31 and 32:
Part 5 Passive immunisation • Inf
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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
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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
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Condition or circumstance of person
Page 49 and 50:
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
Page 131 and 132:
departure to allow for the period w
Page 133 and 134:
Selected vaccines based on travel i
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Tick-borne encephalitis Tick-borne
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Page 139 and 140:
Page 141 and 142:
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
Page 171 and 172:
Vaccine Months after HSCT Comments
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depending on the number of vaccines
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Persons with functional or anatomic
Page 177 and 178:
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
Page 199 and 200:
• Adacel - Sanofi Pasteur Pty Ltd
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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-
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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
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4.5.3 Epidemiology The prevalence o
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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
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Management of infants born to mothe
Page 235 and 236:
Household or other close (household
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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
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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
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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
Page 265 and 266:
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
Page 291 and 292:
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
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4.10 MENINGOCOCCAL DISEASE 4.10.1 B
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4.10.4 Vaccines There are different
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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
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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
Page 317 and 318:
acquired from healthcare workers. 1
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demonstrated a more rapid decline,
Page 321 and 322:
• 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
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
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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
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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
Page 347 and 348:
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
Page 387 and 388:
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
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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
Page 407 and 408:
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
Page 413 and 414:
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
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APPENDIX 2: LITERATURE SEARCH STRAT
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APPENDIX 3: COMPONENTS OF VACCINES
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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 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: varicella-zoster immunoglobulin, 45
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