о прививках

[avva]

Вот эта запись (англ.) очень заслуживает внимания любого, кого интересует тема прививок, по-моему.

Я даже думаю, что было бы полезно перевести ее полностью и опубликовать по-русски; к сожалению, сам я не смогу найти для этого время.

Comments

[avtsin.livejournal.com]

ant_fugue provided a very good set of rules:
1. Always vaccinate in the beginning of the week in the beginning of the day (i.e. Mon or Tue morning). That way, should you as a parent have any questions, you can all YOUR pediatrician for the next 8 hours and ask. Also they will be in the office the following morning.
* Corollary I - ER staff is fabulous at treating shotgun wounds to the abdomen, but they don't specialize in post-vaccination complications. However, while waiting for the ER doctor to look at your child, you will sit in the same chair that a child with viral diarrhea was sitting in 10 minutes earlier. SO ER is not a great place to go unless you really, really need to. Vaccinate early in the week, early in the day, and you can work with your pediatrician who knows YOUR child. Vaccinating your child on a Friday afternoon before a camping trip is just stupid.
* Corollary II - if you are not familiar with febrile seizures, this is as good a time as any to learn about them. High fevers arise from things other than vaccines, as a parent you need to know about them. Ask your pediatrician.
2. You can expect to see fevers up to 101F after a vaccination. That is normal, just plan for it. Some people do not give their child tylenol for the first set of vaccines to see how high the fever goes naturally - if the fever went past 103-104, you probably don't want to vaccinate that child anymore, the temperature regulation system is immature. Most children (like 99% of them) will not go past 101.
3. The more a child sleeps after the vaccination, the better. Don't schedule play dates or shopping trips, vaccine day is relaxation at home and lots of sleep. Encourage your child to take an extra nap. Some kids will sleep 4 extra hours on the vax day, that is GREAT.
4. 95% immunization rate in the population is enough to prevent epidemics and create herd immunity. A child who reacts to vaccines to strongly is in the 5% that can (and should!) avoid vaccinations.
5. Sometimes a child's leg may swell and redden after a shot. That will go away in a couple of days, and it's not a complication - the nurse did not place the needle properly, or the child moved his leg during the shot. This is not a big deal, and it will have no long-term consequence.
6. Если у Вас младенец, не вакцинируйте его гепатитом Б в роддоме. The rule to vaccinate the babies in L&D is created because the babies who need the vaccines the most (the ones wiht sick parents and relatives) are the least likely to see a pediatrician afterwards (migrant workers etc). If you are not in the direct risk group, establish breastfeeding and rule out health issues / jaundice (about 2 weeks - 1 month postpartum) before vaccinating. Then vaccinate with HepB alone. You should see no reaction or a very small reaction (baby a little sleepy and fussy through the day, maybe running a minor fever) - HepB by itself is a very mild vaccine. If you see that, great, you can go on to DTaP, HIB etc. If you see much more than that (103 fever, baby screaming for hours, etc - happens in less than 1% of HepB vaccinations), stop right there.
7. If you are breastfeeding, breastfeed the baby lots on the vaccination day. If you are bottlefeeding, the baby may need to drink a little extra water because of the fever. If the baby has "gone off her food" for the day, that's fine also. Please no "schedule".

Here's the link: http://moretp.livejournal.com/74494.html?thread=502270#t502270