Vaccinations

 

Reviewed & Authorised by:
Clinical Practice Committee
November 2017
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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, should be given at the appropriate chronological age.

Rotavirus vaccine

Rotavirus vaccine, Rotarix, is given at 6 weeks and 3 months of age. Any infant in NICU, who is eligible for their 6 week vaccinations and who can tolerate the oral volume and for whom it is not contraindicated should receive the Rotavirus the vaccine.

For catch up schedule, the first dose should be given before 15 weeks (latest is 14 weeks and 6 days) and the second dose should be given before 25 weeks (latest 24 weeks and 6 days)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
Rotarix(RV1) 1.5ml Oral
3 Months Infanrix-hexa 0.5ml Left Vastis lateralis
Prevenar 13 0.5ml Right Vastis lateralis
Rotarix(RV1) 1.5ml Oral
5 Months Infanrix-hexa 0.5ml Left Vastis lateralis
Prevenar 13 0.5ml Right Vastis lateralis
NB. Infanrix-hexa contains diphtheria, tetanus, acellular pertussis, inactivated polio, hepatitis B and Haemophilius influenzae type b

References

1 Immunisation Handbook 2017, page 453