Dear Ayahnya Haikal & Mbak Sera,

Gak masalah kok kalo haikal batuk pilek kemudian diimunisasi.
Kan minor illness. Dan bukan alasan utk menunda imunisasi.
Memang ada beberapa kondisi imunisasi boleh ditunda spt reaksi
anafilaktik, sakit akut, dsb.

Berikut artikel yg dicompile dari berbagai sumbert termasukIDAI.

Moga membantu.

Lulu
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Tulsan ini bahan buku imunisasi yg diambil dari berbagai sumber, WHO, AAP,
IDAI

Indikasi kontra imunisasi.
Pada dasarnya, sedikit sekali kondisi yang menyebabkan imunisasi harus
ditunda. Pilek, batuk, suhu sedikit meningkat, bukan halangan untuk
imunisasi.

Beberapa kondisi di bawah ini bukan halangan untuk imunisasi:
- Gangguan saluran napas atas atau gangguan saluran cerna ringan
- Riwayat efek samping imunisasi dalam keluarga.
- Riwayat kejang dalam keluarga.
- Riwayat kejang demam
- Riwayat penyakit infeksi terdahulu
- Kontak dengan penderita suatu penyakit infeksi
- Kelainan saraf menetap seperti palsi serebral, sindrom Down
- Eksim dan kelainan lokal di kulit
- Penyakit kronis (jantung, paru, penyakit metabolik)
- Terapi antibiotika; terapi steroid topikal (terapi lokal, kulit, mata)
- Riwayat kuning pada masa neonatus atau beberapa hari setelah lahir
- Berat lahir rendah
- Ibu si anak sedang hamil
- Usia anak melebihi usia rekomendasi imunisasi

Kondisi dimana imunisasi tidak dapat diberikan atau imunisasi boleh ditunda:

- Sakit berat dan akut; Demam tinggi;
- Reaksi alergi yang berat atau reaksi anafilaktik;
- Bila anak menderita gangguan sistem imun berat (sedang menjalani terapi
steroid jangka lama, HIV) tidak boleh diberi vaksin hidup (polio oral, MMR,
BCG, cacar air).
- Alergi terhadap telur, hindari imunisasi influenza
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http://www.prodigy.nhs.uk/guidance.asp?gt=Immunizations%20-%20childhood

REASONS TO DELAY VACCINATION

        Acute illness: if a child is suffering from any acute febrile
illness, postpone immunization until the child has fully recovered. Minor
infections without fever or systemic upset are not reasons to postpone
immunization.
        Adverse reaction to vaccine: vaccines should not be given to
those who have had: a confirmed anaphylactic reaction to a previous dose
of the same vaccine. Diphtheria containing vaccines should not be given if
there is a confirmed anaphylactic reaction to neomycin, streptomycin or
polymyxin B (which may be present in trace amounts).
        Untreated malignant disease or altered immunity: those receiving
immunosuppressive or X ray therapy or high-dose corticosteroids. Malignant
conditions of the reticulo-endothelial system such as lymphoma, leukaemia,
or Hodgkin's disease, and where the normal immunological mechanism may be
impaired.
        Children who have received another live vaccine, including
Bacillus Calmette-Guérin vaccine (BCG), within 3 weeks: do not give
measles, mumps, and rubella (MMR) vaccine within 3 months of an injection
of immunoglobulin.
        Pregnancy should be avoided for 1 month after MMR vaccine, as 
for
rubella vaccine. Although there is no information to suggest that tetanus,
diphtheria, or meningococcal C vaccination is unsafe during pregnancy, do
not use unless there is a high risk of the individual developing the
disease. Do not offer BCG to women who are pregnant or who are
breastfeeding, unless it is thought that they are at high risk of catching
TB.
        Tuberculin positive: BCG vaccine should not be administered to
individuals who are tuberculin-positive (that is, an induration of 5 mm or
greater in diameter in the Mantoux test, or a Heaf grade 2 to 4).
Where there is doubt, seek appropriate advice from a consultant
paediatrician, District Immunization Coordinator or Consultant in
Communicable Disease Control, rather than withholding vaccine.
NOT contraindications to vaccination
The following are not reasons to delay or avoid vaccination:
        A personal or family history of allergy not related to one of 
the
vaccine components.
        A family history of any adverse reactions following 
immunizations.
        A stable neurological condition such as cerebral palsy, Down's
syndrome, or spina bifida.
        Previous history of pertussis, measles, rubella or mumps 
infection.
        Prematurity: immunization should not be postponed.
        Contact with an infectious disease.
        Asthma, eczema, hay fever, or 'snuffles'.
        Treatment with antibiotics or locally acting (e.g. topical or
inhaled) corticosteroids.
        Child's mother is pregnant.
        Child being breastfed.
        History of jaundice after birth.
        Under a certain weight for child's age.
        Over the age recommended in the immunization schedule. (There is
currently no pertussis-containing vaccine licensed for immunization in
children age 7 years or older.)
        Family history of convulsions. Immunization should be carried 
out
after advice on the prevention of pyrexia has been given.
        Surgery is not a contraindication to immunization, nor is recent
immunization a contraindication to anaesthesia or surgery.
        HIV-positive: most vaccines in the childhood vaccination
programme are suitable for people who are HIV-positive. In areas where the
risk of contracting tuberculosis and HIV is high, the World Health
Organization states that it may be appropriate to vaccinate asymptomatic
HIV-positive people. However, the Joint Committee on Vaccination and
Immunization advises that BCG should not be administered to individuals
infected with HIV.




AYO GALANG SOLIDARITAS UNTUK MEMBANTU KORBAN MUSIBAH DI ACEH & DAN SUMATERA 
UTARA !!!
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