Immunisation Schedule without MenZb

I'm looking for some advice here, as I got a reminder for Amelia's immunisations.

We started her at 12 weeks, and she then had the 3 month one 7-8 weeks later, but we didn't do MenZb and now the receptionist at the doctor's told me that the others should be done now (only 4 weeks after her last lot).

I have looked at the schedule in the booklet and on the net, but they all say the same thing - 6wks / 3mths / 5mths - in which case her next lot shouldn't be due for 8 weeks after the 3 month one right? The booklet doesn't say if you miss out MenZb you should get the others done any sooner than what is recommended.

Any ideas on who I could ask for a 2nd opinion?

I would do what you are doing I would say the nurse is all confused.

Hey there. I am a immunisation certified Practice Nurse. In your situation when your babe is on a catch up schedule she can have a cap of 4wks (at the earliest) and that is perfectly fine. You can leave her up to 6wks after the last lot if that will make you feel better. The two main reasons the imms are spaced as they are in the schedule, is to have immunity on board for babe asap as well as the gaps between doses increases the up take of immunity in the body. (sorry if you cant understand some of that waffle, it gets hard to explain without going into a full on education session). PM me your address and I can photocopy some of my info from my immunisation handbook, and send it to you.

Like I said in my last post : " Nurses are only there as a supplier of information and support. I hate it when my friends tell me their practice nurse is bullying them into different things"

Here is info for others mums. I have e-mailed this to luna.

Immunisation Catch Up Schedules

1. There is considerable . exibility in these schedules, and the recommended intervals between

doses are not sacrosanct. Vaccines may be given simultaneously and/or the schedule shortened

to monthly intervals if this is deemed necessary to ensure the required numbers of doses are

administered.

2. If the schedule is interrupted it is not necessary to repeat prior doses; simply resume the

schedule as if no dose has been missed.

3. If the immunisation status of a vaccine recipient is uncertain or unknown then the vaccine

provider should err on the side of giving rather than not giving the vaccine.

4. If a child attends infrequently, and failure to return for future immunisation is of concern, it is

prudent to administer as many antigens as possible at the . rst visit.

5. In the catch-up schedule for children 12–14 months of age, the third hepatitis B vaccine dose

may be moved to a six month interval if the MMR dose at 15 months coincides with the third

catch-up visit and 3 injections are not accepted.

6. MMR, Hib and pertussis are given as a priority for children 15 months of age and over because

these diseases pose the greatest immediate risk.

396 Appendix 2: Immunisation Catch Up Schedules

7. MMR should be given either at 15 months, or if the child/adult is older than 15 months, at the

. first immunisation visit.

8. A single dose of Hib vaccine administered at 15 months of age and over is sufficient to induce

immunity.

9. After the seventh birthday, Td should be used. The dTap-IPV vaccine is given at age 11 years

as a booster. As at 2006, dTap and dTap-IPV are licensed for distribution for booster doses

only. However, there are expected to be no safety concerns to giving three doses of dTap-IPV to

previously unimmunised older children and adults. Therefore, using dTap should be considered

for all catch up and adult schedules for primary and booster immunisations.

 

If you would like more information just let me know. I happy to answer any questions you may have.

 

Well we are off to get Mikey's 5 month jab's today. We often have a very lovvely nurse do our's, but there is so many diff ones it eould be any of them one lady picked Alan up and gave him a cuddle before me that made me so angry. So better not get her this time hubby and I will ask for someone else.

Monique you can certainly leave them til later this month but your Doctor's office should be open to call for an appointment today?