The Australian Immunisation Handbook 10th Edition 2013

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4.17 Rotavirus 372 4.18 Rubella 384 4.19 Tetanus 397 4.20 Tuberculosis 408 4.21 Typhoid 416 4.22 Varicella 423 4.23 Yellow fever 439 4.24 Zoster (herpes zoster) 446 PART 5 PASSIVE IMMUNISATION 456 5.1 Passive immunisation using immunoglobulin preparations 456 APPENDICES 465 APPENDIX 1: Contact details for Australian, state and territory government health authorities and communicable disease control 465 APPENDIX 2: Literature search strategy for the 10th edition of the Handbook 467 APPENDIX 3: Components of vaccines used in the National Immunisation Program 469 APPENDIX 4: Commonly asked questions about vaccination 473 A.4.1 General questions 473 A4.2 Questions about contraindications and precautions 477 A4.3 Questions about vaccine safety 481 A4.4 Questions about vaccine content 484 A4.5 Questions about the need for immunisation 487 A4.6 Further information about vaccination 488 APPENDIX 5: Glossary of technical terms 489 APPENDIX 6: Commonly used abbreviations 495 APPENDIX 7: Overview of vaccine availability in Australia 498 INDEX 500 vi The Australian Immunisation Handbook 10th edition
LIST OF TABLES Table 2.1.1: Pre-vaccination screening checklist 30 Table 2.1.2: Responses to relevant conditions or circumstances identified through the pre-vaccination screening checklist 31 Table 2.1.3: Live attenuated parenteral and oral vaccines 37 Table 2.1.4: False contraindications to vaccination 38 Table 2.1.5: Minimum acceptable age for the 1st dose of scheduled vaccines in infants in special circumstances 46 Table 2.1.6: Number of vaccine doses that should have been administered by the current age of the child 49 Table 2.1.7: Minimum acceptable dose intervals for children
Page 1 and 2: The Australian Immunisation Handboo
Page 3 and 4: FOREWORD Since 1932, when Governmen
Page 5: TABLE OF CONTENTS PART 1 INTRODUCTI
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
Page 63 and 64:
Table 2.1.6: Number of vaccine dose
Page 65 and 66:
Catch-up guidelines for individual
Page 67 and 68:
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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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:
Page 153 and 154:
Page 155 and 156:
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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
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Recommendations for the use of comb
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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
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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
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Management of infants born to mothe
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Household or other close (household
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with occult hepatitis B infection.
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immune memory persists and is thoug
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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
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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
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Polysaccharide vaccines Quadrivalen
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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
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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
Page 329 and 330:
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
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
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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
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
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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
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
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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
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
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Occupational groups There is some e
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In developed countries, typhoid fev
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A 4th capsule taken on day 7 has be
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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
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:
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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
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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 and 538:
varicella-zoster immunoglobulin, 45
Page 539 and 540:
INDEX 525 INDEX
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The Australian Immunisation Handbook 10th Edition 2013

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