Vaccinations

 

Reviewed & Authorised by:
Clinical Practice Committee
September 2015
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This Document

Introduction

Preterm and low birthweight infants

Vaccination as per schedule (i.e., at the usual chronological age, with the usual vaccine dose and interval) is recommended for preterm infants and infants with low birthweight. If an infant is in hospital when vaccination is due, the scheduled 6-week vaccines, with the exception of rotavirus vaccine (see below), should be given at the appropriate chronological age.

Rotavirus vaccine

Rotavirus vaccine is an exception to the above recommendation. It is best to vaccinate preterm infants as they leave hospital because of vaccine virus shedding in the stool. However if discharge is not anticipated before 15 weeks, which is the upper age limit for giving dose one, then giving Rotavirus vaccine in hospital is acceptable. Universal precautions must be maintained. Subsequent doses must be 4 weeks apart with the third dose given before age 8 months.1
 

Purpose

The following policy/recommended best practices outline the way in which immunisations are administered to ensure safety and best outcome.

Scope

Applies to all Nurses who:

  1. Are required to administer Hepatitis B vaccination and Hep B Immunoglobulin after birth.
  2. Have completed the Vaccination Programme Training to administer immunisations to infants at six weeks and three months in Newborn Services.
Parental consent and prescribing As outlined in each individual RBP.

Routine Schedule for All

Age Vaccine Dose Site
6 Weeks Infanrix-hexa 0.5ml Left Vastis lateralis
Prevenar 13 0.5ml Right Vastis lateralis
RotaTeq 2ml Oral
3 Months Infanrix-hexa 0.5ml Left Vastis lateralis
Prevenar 13 0.5ml Right Vastis lateralis
RotaTeq 2ml Oral
5 Months Infanrix-hexa 0.5ml Left Vastis lateralis
Prevenar 13 0.5ml Right Vastis lateralis
RotaTeq 2ml Oral
NB. Infanrix-hexa contains diphtheria, tetanus, acellular pertussis, inactivated polio, hepatitis B and Haemophilius influenzae type b

References

1 Immunisation Handbook 2014, page 118