Vakcine i dojenje (za majku)

vakcina

U slučaju da majka dojilja treba da iz određenih razloga primi neku od vakcina prenosim vam preporuke Centra za kontrolu i sprečavanje bolesti .
Da ne bi došlo do grešaka u prevodu evo originalnih preporuka na engleskom jeziku, sa linkovima ka detaljima, vezanih za vakcinaciju majki koje doje i uticaja tih vakcina na dojenje odnosno dojenče:

Vaccine/Immunobiologic Precautions for Breastfeeding Citation
Immune globulins, pooled or hyper-immune Immune globulin or specific globulin preparations None General Recommendations on Immunization:
Recommendations of the Advisory Committee on Immunization Practices (ACIP) and the American Academy of Family Physicians (AAFP)

MMWR Vol 51, RR-2;1-36 2/8/2002
Diphtheria-Tetanus Toxoid None General Recommendations on Immunization:
Recommendations of the Advisory Committee on Immunization Practices (ACIP) and the American Academy of Family Physicians (AAFP)

MMWR Vol 51, RR-2;1-36 2/8/2002
Hepatitis A Inactivated virus Data on the safety of this vaccine in breastfeeding situations is not available. While it is unlikely that the vaccine would cause untoward effects in breastfed infants, consider administering immune globulin rather than vaccine. Protection against viral hepatitis: Recommendations of the Immunization Practices Advisory Committee (ACIP)
MMWR Vol 39, RR-2;1-26 2/0/1990
Hepatitis B Recombinant or plasma-derived None Prevention and Control of Influenza: Recommendations of the Advisory Committee on Immunization Practices (ACIP)
MMWR Vol 53;1-40 04/30/2004
Influenza Inactivated whole virus or subunit None Using Live, Attenuated Influenza Vaccine for Prevention and Control of Influenza
MMWR Vol 52, RR-13;1-8 09/26/2003
Live attenuated virus Encourage the use of inactivated influenza vaccine when feasible for children aged 6 to 23 months, as well as for their close contacts and caregivers.
Japanese encephalitis Inactivated virus Data concerning the safety of this vaccine during breastfeeding is not available. Therefore, this vaccine should not be routinely administered. Inactivated Japanese Encephalitis Vaccine: Recommendations of the Advisory Committee on Immunization Practices (ACIP)
MMWR Vol 42, RR-1;12-13 1/8/1993
Measles Live attenuated virus None General Recommendations on Immunization:
Recommendations of the Advisory Committee on Immunization Practices (ACIP) and the American Academy of Family Physicians (AAFP)

MMWR Vol 51, RR-2;1-36 2/8/2002
Meningococcal meningitis Polysaccharide None Control and Prevention of Meningococcal Disease and Control and Prevention of Serogroup C Meningococcal Disease: Evaluation and Management of Suspected Outbreaks: Recommendations of the Advisory Committee on Immunization Practices (ACIP)
MMWR Vol 46, RR-5;1-51 2/14/1997
Mumps Live attenuated virus None General Recommendations on Immunization:
Recommendations of the Advisory Committee on Immunization Practices (ACIP) and the American Academy of Family Physicians (AAFP)

MMWR Vol 51, RR-2;1-36 2/8/2002
Pneumococcal Polysaccharide Data concerning the safety of this vaccine during breastfeeding is not available. However, it is unlikely that the vaccination would cause untoward effects in breastfed infants. Prevention of Pneumococcal Disease: Recommendations of the Advisory Committee on Immunization Practices (ACIP)
MMWR Vol 46, RR-8;1-24 4/4/1997
Polio, inactivated Inactivated virus None General Recommendations on Immunization:
Recommendations of the Advisory Committee on Immunization Practices (ACIP) and the American Academy of Family Physicians (AAFP)

MMWR Vol 51, RR-2;1-36 2/8/2002
Rabies Inactivated virus Data concerning the safety of this vaccine for breastfeeding infants is not available. However, this vaccine is commonly given to nursing mothers without observed untoward effects in breastfed infants. General Recommendations on Immunization:
Recommendations of the Advisory Committee on Immunization Practices (ACIP) and the American Academy of Family Physicians (AAFP)

MMWR Vol 51, RR-2;1-36 2/8/2002
Rubella Live attenuated virus None Recommendations for Using Smallpox Vaccine in a Pre-Event Vaccination Program Supplemental Recommendations of the Advisory Committee on Immunization Practices (ACIP) and the Healthcare Infection Control Practices Advisory Committee (HICPAC)
MMWRVol 52, No Dispatch2-26-03;1 02/26/2003Smallpox Vaccination Information for Women Who Are Pregnant or Breastfeeding
Smallpox (Vaccinia) Live attenuated virus Do not administer this vaccine to nursing women. If a smallpox outbreak occurs, contact your state health department for further recommendations.
Tuberculosis (BCG) Attenuated mycobacterial Data concerning the safety of this vaccine during breastfeeding is not available.
Typhoid (ViCPS) Polysaccharide Data concerning the safety of this vaccine during breastfeeding is not available. However, the vaccine may be used when the risk of exposure to typhoid fever is high. Breastfeeding and Maternal Medication,
Recommendations for Drugs in the
Eleventh WHO Model List of Essential Drugs
Adobe PDF file [PDF-609k]
External Web Site Icon
Typhoid (Ty21a) Live bacterial Data concerning the safety of this vaccine during breastfeeding is not available. However, the vaccine may be used when the risk of exposure to typhoid fever is high. Breastfeeding and Maternal Medication,
Recommendations for Drugs in the
Eleventh WHO Model List of Essential Drugs
Adobe PDF file [PDF-609k]
External Web Site Icon
Varicella Live attenuated virus None Prevention of Varicella: Recommendations of the Advisory Committee on Immunization Practices (ACIP)
MMWR Vol 45, No RR-11;1-25 07/12/1996
Yellow fever Live attenuated virus Avoid administering this vaccine to nursing mothers due to the theoretical risk of transmitting 17D virus to the breastfed infant. However, when nursing mothers travel to high-risk yellow fever-endemic areas, vaccinations can not be avoided or postponed. Yellow Fever Vaccine Recommendations of the Advisory Committee on Immunization Practices (ACIP), 2002
MMWR Vol 51, No RR17;1 11/08/2002
Centers for Disease Control and Prevention. Health Information for International Travel 2003-2004. Atlanta: US Department of Health and Human Services, Public Health Service, 2003.

Izvor: www.cdc.gov
foto: www.pjvoice.com

Tereza Miljković
vr. savetnica za dojenje
urednica sajta www.superbeba.com

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