What kind of ailments chipped btszh. Vaccinum tuberculosis (BCG)

Instructions on vaccination and revaccination against tuberculosis with BCG and BCG-M vaccines

II. Suction of tuberculous (BCG) dry vaccine for internal use

The drug is a live bacterium of the BCG-1 vaccine strain, lyophilized in 1.5%. rozchiny glutamate sodium. Porous mass, powder-like, either in viglyad? Tablets of white or cream color, hygroscopic.

PRISCHEPNA dose to take 0.05 mg in 0.1 ml of the product.

Biological and immunological authorities.

Appreciable.

A drug of indications for specific prophylaxis of tuberculosis.

Methods for sucking and supplementing.

The BCG vaccine should be administered internally in a dose of 0.05 mg in a volume of 0.1 ml. First vaccination should be given to healthy newborn children for 3-7 days of life.

Revaccination for children at 7 and 14 births, which may have a negative reaction to the Mantoux test for 2 TO tuberculin PPD-L. The reaction is negative when there is an increase in the presence of an infiltrate, a hyperaemia, or when a prick reaction is present (1 mm). Children infected with tuberculosis mycobacteria, as they may have a negative reaction to the Mantoux test, do not need revaccination. The interval between the Mantoux test and revaccination is to be blamed for not less than 3 days and not more than 2 days.

Scheduling to carry out special preparations for medical personnel of a shelter (viddlennya), admission to prematurity, child polyclinics or feldsher-obstetric points. Vaccination of newborns should be carried out at a rank hour in a special introduction to the room, when they look around the children by a pediatrician. In polyclinics, children are allowed to spend some time in front of a doctor (paramedic) with a viscous thermometer on the day of conversion, with medical evidence and anamnesis. If necessary, consult with drug addicts, advance blood and slaughter. In the history of the new-born (medical card), indicate the date of chipping, the series and control number of the vaccine, the brewery, the term of the addiction to the drug.

For vaccination (revaccination), one-time tuberculosis syringes should be filled with 1.0 ml with thin pistons and thin heads with short vision. To get rid of syringes and golki, we will end with the term of adherence and without needles. For dermal injection, soak a syringe with a cold and cotton swabs at a disinfectant rose (5% chloramine), then centralize it. Zaboronyaє zasosuvannya for other purposes of tools, signs for carrying out splitting against tuberculosis. In the room for chipping, the vaccine is taken (in the refrigerator, under the lock) and distributed. Especially, if you don’t think about it before BCG vaccination, I don’t allow it to be in the room. It is unacceptable that one day splitting against tuberculosis with other parenteral manipulations is unacceptable.

Ampoules with a vaccine should be carefully looked at before opening.

The drug is not suitable for use:

If there is a third-party inclusion, it does not break at all when the plastic is damaged in the diluted preparation.

Dry the vaccine to be bred without prior to implantation with a sterile 0.9% solution of sodium chloride, which can be delivered to the vaccine. The dealer is guilty, but we can see through, bezbarless and not the mother of other houses.

Wipe the shyka and the head of the ampoule with alcohol; Then press the fillet and insert the shy of the ampoule, lighting the fillet into a sterile gauze servet.

To remove a dose of 0.05 mg of BCG in 0.1 ml into an ampoule with a 20-dose vaccine, transfer it with a sterile syringe, a mixture of 2.0 ml, with a small glass, 2 ml of 0.9% sodium chloride, and in an ampoule with a 10 dose vaccine - 1 ml of 0.9% sodium chloride solution. The vaccine is to blame for the increase in the amount of 1 hilini, 2-3 times. A siege should not be allowed, or the establishment of the plastics, that they do not break when struck.

When a vaccine is brewed, it is necessary to seize it from a dormitory thaden light (cylinder from a black paper) and live immediately after breeding. Nevikoristan vaccine should be used in boils for 30 minutes, in an autoclave at 126 ° C for 30 minutes or for disinfecting doses (5% for chloramine) for 60 minutes.

For one splinter with a syringe, draw 0.2 ml (2 doses) of the dispensed vaccine, then put 0.1 ml of the vaccine through the head into a sterile cotton swab, and push the syringe plunger before the spray is needed - 0.1 ml. Before the skin kit, the vaccine is guilty of the need for a very careful mixing of the syringe 2-3 times. With one syringe, the vaccine can be administered only one child.

The BCG vaccine should be administered suvoro internally at the boundary between the upper and middle third of the outer surface of the left shoulder, after the anterior processing of the skin with 70 ° alcohol. Introduce the head with a glimpse into the surface of the ball of the tensioned shkiri. With a small amount of vaccine, a small amount of the vaccine should be injected, the amount of vaccine will change, but the head has gone exactly internally, and then the entire dose of the drug (only 0.1 ml). at correct technology the introduction is guilty of a papule of a biluvate colora with a diameter of 7-9 mm, znikє, as a rule after 15-20 minutes.

The application of the dressing and the treatment with iodine or other disinfecting solutions were blocked at the time of the introduction of the vaccine.

Reaction to the introduction

At the time of the introduction of the BCG vaccine, a specific reaction develops in viglyadi papules with a size of 5-10 mm in diameter.

In newborns, it is normal for a splintered reaction to appear after 4-6 months. The reaction of high turnover development lasting 2-3 months, in some and in more trival terms. In revaccinated patients, the muscle reaction develops in 1-2 months. Misce Slid of a unique mechanic teasing, especially before an hour of water procedures.

In 90-95% of those vaccinated, the surface scar up to 10.0 mm in diameter is to blame for the microscopic scraps. The development of vaccinations and revaccinations is very rare and has a muscle-like character.

Prototype

Before vaccination:

1) Prematurity grade 2-4 (with weight less than 2500 g).

2) Vaccination is given in case of acute illnesses and chronic illnesses (internal uterine infections, septic infections, hemolytic ailments, important nervous system with neurological symptoms, generalized schooling, etc.) key manifestations getting sick.

3) Immunodeficiency stun (pervinne).

4) Generalized infection of BCG, revealed in the first children of the family.

5) HIV infection in the mother.

Children who do not split in the period of neonatal disease, if the vaccine is contraindicated, the BCG-M vaccine is indicated.

Before revaccination:

1. Statements of infectious diseases and non-infectious diseases, aggravated chronic diseases, including allergic ones. The splitting should be carried out after 1 month of writing, or the time of the remission.

2.I will become immunodeficient, evil new affirmations be it localization. In case of recognized immunosuppressants and alternate therapy, the splitting should be carried out not earlier, not after 6 months after the end of the treatment.

3. Tuberculosis, diagnosis of MBT infection in anamnesis.

4. Positive and general Mantoux reaction with 2 TO tuberculosis PPD-L.

5. Folded reactions to the previously administered BCG vaccine (keloid scar, lymphadenitis and in.).

In case of contact with infectious ailments in the homeland, a child's mortgage, etc. chips to spend the end of the term quarantine or maximum term incubation period for this zhvoryuvannya.

Individuals, at the same time, are responsible for the splinters, but they were taken for a glance and for the sake of the splinters from the general view or evidence of contraindication. Whenever it is necessary to carry out preliminary clinical and laboratory procedures.

Children who were not vaccinated during the neonatal period should receive the BCG-M vaccine. Children at the age of 2 months and older should carry out the Mantoux test 2 TO tuberculin PPD-L in advance and vaccinate only tuberculin-negative patients.

Other preventive scraps can be carried out at an interval of at least 1 month before the BCG revaccination.

Form vipusku

In ampoules, there should be 0.5 mg (10 doses) or 1.0 mg of the drug (20 doses) in a set with a bottle - 0.9% sodium chloride solution - 1 or 2 ml each in an ampoule, obviously.

One pouch contains 5 ampoules of BCG vaccine and 5 ampoules of 0.9% sodium chloride (5 sets).

The term for BCG vaccine - 2 fate.

The drug is taken at a temperature of 5-8 ° C.

III. Stagnation of tuberculosis vaccine (BCG-M) dry (for delicate primary immunization)

The drug is a live bacterium of the BCG-1 vaccine strain, lyophilized in 1.5% of sodium glutamate. The porous mass is powdery, either in the viglyad? The tablet is white or in the cream color. Hygroscopic. PRISCHEPNA dose is 0.025 mg to the drug in 0.1 ml of the drug.

Biological and immunological authorities

Live mycobacterium strain BCG-1, multiply in the organism of chipped, produce up to the development of trivial immunity to tuberculosis.

appraisal

A drug of indications for delicate specific prophylaxis of tuberculosis.

Ways to suck and add

The BCG-M vaccine should be used internally at a dose of 0.025 mg in 0.1 ml of the bottle.

Apply BCG-M vaccine:

1. In a canopy booth of premature newborns with a masoyu tila R 2,000 and more, with an updated cob materi, the day before the vipiska.

2. In the case of preterm neonatal care hospitals (2nd stage of health care) - children with a weight of 2300 g and more before the visa for a hospital doctor.

3. Children polyclinics - children, who did not take anti-tuberculous splinters in a canopy booth for medical indications and as a result of vaccination for the nobility.

4. On the territory of the serious epidemiological situation with tuberculosis, the BCG-M vaccine is used for vaccination of all newborns.

Children who have not been vaccinated in the first days of life, vaccinate the first two months in a child's polyclinic or for a drug-prophylactic pest without an average tuberculous diagnosis.

Children older than 2 months old before vaccination need a Mantoux test for 2 TO tuberculosis PPD-L before vaccination. Vaccinate children with a negative reaction to tuberculin. The reaction is negative when there is an increase in the presence of an infiltrate (hyperaemia) or the presence of a prick reaction (1.0 mm). The interval between Mantoux breakdown and vaccination is to blame for not less than 3 days and not more than 2 days.

Scheduling to carry out special preparations for medical personnel of a shelter (viddlennya), for a prematurity, child polyclinics or paramedics and obstetric stations. Carrying out wood chips at home will be hardened. In order to allow children to spend some time in advance, carry out a doctor (paramedic) with a vasculature thermometer on the day of crushing, with medical evidence and anamnesis. If necessary, consult with drug addicts and pre-treatment blood and slaughter. In the history of the new-born ailment (medical card), indicate the date of chipping, the series and the control number of the vaccine, the brewery, the term of the addiction to the drug.

For vaccination, one-time sterile tuberculosis syringes, 1.0 ml, with pistons and thin short heads with short vision are used for vaccination. To get rid of syringes and golts from the end of the term of adherence and without needles. For dermal injection, soak a syringe with a cold and cotton swabs at a disinfectant rose (5% chloramine), then centrally lower it. To collect the vaccine for other purposes of the tools, which are indicative for carrying out chipping against tuberculosis. Especially, if you don’t think about it before BCG vaccination, I don’t allow it to be in the room. It is unacceptable that one day splitting against tuberculosis with other parenteral manipulations is unacceptable.

Ampoules with a vaccine should be looked over at once before rozkrittyam. The drug is not suitable for use:

When there is a label on the ampoule, or the wrong one is stored;

With the last term of adherence;

With the appearance of cracks and a tip on the ampoule;

With a change in physical power to the drug (the pill is wrinkled, the color is changed, etc.);

If there is a third-party inclusion, it does not break the plastic in the diluted preparation.

To dry the vaccine bezposeredno before implantation with sterile 0.9% solution of sodium chloride applied before the vaccine. The retailer is guilty but we will be able to see through, bezbarless and not the mother of outsiders.

Wipe the shyka and the head of the ampoule with alcohol; Then press the fillet and insert the shy of the ampoule by burning the fillet into a sterile gauze servet.

To remove a dose of 0.025 mg of BCG-M in 0.1 ml into an ampoule with a vaccine, transfer 2 ml of 0.9% sodium chloride solution with a sterile syringe in a bottle. The vaccine is guilty of increasing the amount of 1 hour after 2-3 times.

A siege should not be allowed, or the establishment of the plastics, that they do not break when struck.

When a vaccine is brewed, it is necessary to seize it from a dormitory thaden light (cylinder from a black paper) and live immediately after breeding. Nevikoristan vaccine should be used for 30 minutes in an autoclave at 126 ° C for 30 minutes or for disinfecting doses (5% for chloramine) for 60 minutes.

For one chippings, draw 0.2 ml (2 doses) of the vaccine with a sterile syringe, then put 0.1 ml of the vaccine into a sterile cotton swab through a head into a sterile cotton swab; Before a skin set of two doses, the vaccine should be carefully mixed with an additional syringe 2-3 times. With one syringe, the vaccine can be administered only one child.

The BCG-M vaccine should be administered suvoro internally at the boundary between the upper and middle third of the outer surface of the left shoulder, after the anterior processing of the skin with 70 ° alcohol. Introduce the head with a glimpse into the surface of the ball of the tensioned shkiri. A small amount of vaccine should be injected with a small amount of vaccine, which will change, but the head has gone exactly internally, and then the entire dose of the drug (only 0.1 ml). With the correct technique, the introduction is guilty of a papule of a bluish color with a diameter of not less than 7-9 mm, it is known, as a rule, after 15-20 min.

The introduction of the drug to the shkir is unacceptable, since at the same time a cold abscess can be established.

The application of the dressing and the treatment with iodine and other disinfecting solutions have been barred from the introduction of the vaccine.

Reaction to the introduction

At the moment of the introduction of the BCG-M vaccine, a specific reaction develops in viglyadi papules with a size of 5-10 mm in diameter.

In newborns, a normal breakdown reaction appears after 4-6 months. Reaction of high turnover development for 2-3 months, in some cases and in more trival terms.

Misce Slid of a unique mechanic teasing, especially before an hour of water procedures.

The development of vaccinations is very rare and has a muscular character.

Prototype indications for vaccination with BCG-M vaccine for newborns

1. Prematurity - masa tila with populations less than 2000 rubles

2. Vaktsinatsіyu vіdkladayut at GOSTR zahvoryuvannyah i zagostrennyah hronіchnih zahvoryuvan (vnutrіshnoutrobna іnfektsіya, gnіyno-septichnі zahvoryuvannya, gemolіtichna hvoroba novonarodzhenih seredno-i vazhkoї formyl, vazhkі urazhennya nervovoї sistemi nevrologіchnoyu of symptoms generalіzovanі shkіrnі urazhennya i etc) to zniknennya klіnіchnih proyavіv getting sick.

3. Immunodeficiency stun (periwinkle).

4. Generalized infection of BCG, revealed in the first children of the family.

5. VIL-infection at the mother.

Individuals, at a time when they are chipped, are guilty of being taken for a glance, and chippings for general use or evidence of evidence. If necessary, carry out an assessment of clinical and laboratory conditions.

Children who were not vaccinated during the neonatal period should receive the BCG-M vaccine for a contraindication.

Form vipusku

In ampoules, 0.5 mg of the drug (20 doses) in a set with a bottle - 0.9% sodium chloride solution, 2 ml in ampoules.

One pouch contains 5 ampoules of BCG-M vaccine and 5 ampoules of 0.9% sodium chloride solution (5 sets).

Term of adherence of BCG-M vaccine - 1 pik.

Take care of your choice and transport

The drug is stored at temperatures of 5-8 ° C.

Transport by all types of transport at temperatures of 5-8 ° C.

IV. Folding for the introduction of BCG and BCG-M vaccines

The reasons for the decline in the rate of immunization with tuberculosis vaccine, in the case of the biological authorities, may be the breakdown of the technique of introducing the drug, the indication before the breakdown, as well as the pathology of the child's reactivity to the breakdown.

Folded shipping according to the following categories:

I will look at the importance of early detection and the need for adequate visits in cases of early diagnosis of BCG-M vaccine administration, indications of the onset of a complex of organisation for a timely diagnosis, in the case of a dispensary.

The algorithm (post-mortem) of the drug includes in itself the onset of the stage of treatment of the child after the introduction of the anti-tuberculous vaccine:

1 step. When looking at a pediatrician in the minds of a child's polyclinics, it is necessary to remember that a child's skin is splintered with a tuberculosis vaccine, before a muscular prone reaction is started, 6 pediatricians are examined. When looking at the pediatricians of the animal, I respect at the time of the introduction of vaccines and the countries of regional (shey, pahvovy, over- and above-clavicular) lymph universities.

Variations on the injection of vaccine more than 10 mm or more than 10 mm of one from the values ​​of peripheral lymphatic universities, or trivial, after 6 months, not starting the muscle preparation for consultation It is shown that there is a supplementation in a child phthisiatrician, as well as children with groin (axillary), supra-, subclavicular lymphadenitis, vyavleniya vipadkovo with radiological circumcision of organs breast cancer from the drive of a small improvement in a lymphatic university, the "turn" of tuberculin reactions, hypersensitivity to tuberculosis, symptoms of tuberculous intoxication, frequent colds, Indications of cystic disease, osteomyelitis, chronic synovitis and arthritis.

2 step. In the minds of the children's polyclinics of phthisiatricians at the presentation of clinical manifestations of the disease, a large number of diagnostic visits for the confirmation of diagnosis. Clinical criteria for post-vaccination acceleration, which allow for the recognition of nonspecific levels, guidance below.

Lymphadenitis (regional, more often pakhvov (axily), sometimes above- or even more inclusive, are developed in the main among children) early vik):

Growth of lymphatic universities up to IV ("leaven"), V ("fossil mountain") and more - VI ("hairy mountain") size;

The consistency of lymphatic universities is a mix of - soft, elastic, piznish - schilna;

Palpation of lymphatic universities is painless;

Shkіra above them is not changed, nor is the horny color;

It is possible to supervise the case with a breakthrough of caseous masses called fistula and fistula with clear or clear visions.

Infiltrate is developed during the introduction of the vaccine:

At the center there can be a bend,

Size from 15 to 30 mm - і large;

Supervise the growth of regional lymph universities.

Cold abscess (scrofuloderma):

Pukhlinopodibneosvita without any shkiri over him;

Palpation is painless, fluctuations start in the center;

It is not easy to supervise the reactive growth of groin lymph universities;

Virazka (in times of unfortunate diagnosis of cold abscess and self-induced rosette).

Virazka (defect of the school and the adipose tissue in the injection of the vaccine):

The size of the curve is from 10 to 20-30 mm in diameter (the edge of the curve, the infiltration is weakly twisted around, the bottom is turned in with clear dark vision).

Keloid scar (puffin-like disease in the introduction of a vaccine of a small size, which grows over the level of shkiri). On the basis of a scar, which is formed during the normal interruption of the vaccine process, keloid:

Mа shіlnu, inodі cartilaginous consistency;

In comrade keloid, we can see well when looking around the capillaries;

The form of the scar is round, elipopodibna, inodi zirchasta;

The surface is smooth, glossy;

Harvesting from blue-erysipelas, intensively erysipelas with cyanotic appearance to brown;

I will be happy to see you in your area, before you will come to see more of them.

Ostiti - striking system systems (key picture in the middle of the battle). The criterion for allowing the post-vaccination etiology to be allowed for the process is 6 months. up to 1 rock and interconnection in the field of battle

In the minds of the child's polyclinics, carry out the following additional information:

Laboratory methods: back-to-back analyzes blood and slaughter,

Tuberculosis diagnostics: Mantoux test for 2 TO tuberculosis PPD-L (if the diagnosis is accelerated after 12 months, or in case of immunization with tuberculosis vaccine),

Oglyadovu radiographs of the organs of the breast.

3 step. The preparation of clinical and radiological treatment of the child from adolescence is sent to a specialized anti-tuberculosis report for verification of diagnostics and signs of abuse.

In the minds of the anti-tuberculosis dispensary, an additional X-ray tomography and verification of diagnosis should be carried out.

Tomographic dosage of organs in the breast is shown:

When explicit pathological changes on the survey radiographs of the organs of the thoracic cells, which can be used for the tomography of the middle for the verification of the diagnosis;

With revealed cystkovo-swelling pathology.

When the patient is on the BCG-osteitis, it is necessary to carry out visual X-rays of the affected person in two projections, which allow the patient to see it. characteristic signs pathology, regional osteoporosis, atrophy of the cyst, in the area of ​​destruction in the metaphysical areas of the long tubular cysts with the darkening of fatty inclusions, sequestration, contact destruction of the loamy surface of the tissue, in the area of ​​the skin

To verify the diagnosis of BCG, it is important to use bacteriological methods (the test of the culture of the student with the proof of his belonging to M. likarsky style, For the animals especially respect for lykarsku sensitivity to Cycloserine). If possible, the vicorist method can also be used for molecular biology methods for identifying an animal.

In case of unfortunate verification of the applicability of the doctor to Mbovis BCG, the diagnosis of post-vaccination acceleration is established on the basis of a comprehensive treatment (clinical, radiological, laboratory). For setting up a diagnosis of phthisiatric therapy at the stage of clinical manifestations of illness, a large number of visits for the treatment of a child and indicative of anti-tuberculous therapy.

Likuvannya post-vaccination accelerated to carry out phthisiatric medicine, in the minds of the anti-tuberculosis dispensary, according to to our principles Likuvannya of a child of ailing posalegeneous tuberculosis, with individualization in fallowness in the form of an accelerated and widening process. The hospitalization in the specialization of the hospital is shown in the times of the ill-health of adequate therapy in the outpatient minds. Carrying out any kind of prophylactic splitting before the hour of detecting the child (podlitka) with the drive is categorically fenced off.

Let us conclude with the 4th stage of the algorithm of lykarsky visits for setting up a diagnosis of post-vaccination acceleration at the time of the introduction of BCG vaccine є informing about the development of accelerated medical institutions to deal with these problems, and by itself:

It is secret to bring to the house of Kerivnik medical mortgageі direct the extraordinary visibility to the center of the sovereign sanitary-epidemiological view;

Store the "Card for the restoration of the sick with the accelerated use of tuberculosis vaccine" (supplement 1) and send it to the Republican Center for the Acceleration of Anti-Tuberculosis Vaccine of the Ministry of Healthcare of the Russian Federation at NDI Faculty of Medicine;

About all the problems of acceleration and unseen reactions or inconsistency of the physical authorities of tuberculosis vaccine are discussed in the GISK im. L.A. Tarasovich, Ministry of Health of Russia.

V. Organization of vaccination of newborns

1. Organizational vaccination of newborns head license shelter booth (head of the office).

2. The head likar of a canopy booth (admission) sees no less than two nurses for undergoing special training from the technology of the introduction of vaccines.

3. When sent to the child's polyclinic picture (oblikova form N 0113 / y), a shallow bunk (admission) is set on the new date of the internal vaccination, seriu vaccine, term of attachment and institution of the name.

4. A quiet day (indicated) in the form of a father, after 4-6 days of internal vaccination, the child is guilty of developing a child's reaction due to the appearance of a child, when a child is shown to have the necessary further Misce reaction categorically zaboronyatsya be-like differences and make up with pink ointments.

5. For children who have come to the posture of a canopy bed, as well as for new children, for some reason, for some reason, no scraps have been crushed, vaccination should be carried out at the child's clinic paramedic).

For vaccination of newborns with an internal method in a child's room of a canopy booth (admission), it is necessary to have a mother:

Refrigerator for the preparation of BCG and BCG-M vaccines at a temperature of + 8 ° C.

Syringe of 2-5 grams of disposable vaccine dilution for vaccine dilution - 2-3 pcs.

Disposable tuberculosis syringes with good fit with a piston and a thin short head with a short oblique sprout - not less than 10-15 pcs. for one day robots.

Golki ін'єкційні N 840 for vaccine dilution - 2-3 pcs.

Ethyl alcohol (70%) restoration N 74 \ 614 \ 11 (12).

Chloramine (5%), restoration N 67 \ 554 \ 250. Prepare on the day of vaccination.

All the necessary for the internal vaccination of the subject of guilt is secured under the lock in the okremiy shafi. Vikoristannya їх for any goals to categorically fence.

When children are vaccinated without being vaccinated during the neonatal period, in the clinic, additional mothers are required to carry out the Mantoux tuberculosis test.

Vi. Organization of revaccination against tuberculosis

1. Setting the Mantoux test for 2 TO tuberculosis PPD-L and anti-tuberculous revaccination, one and the same warehouse of specially prepared middle medical workers for children from small towns, district and central district polyclinics, 2 people.

2. The warehouse of the brigade and the plan-graphs of the robots are routinely made out by the order of the head doctor of the general prophylactic mortgage.

3. Medical sisters, who are part of the brigade, are guilty of good volodymy by the method of setting, assessing Mantoux samples and carrying out splitting. Try to put one medical sister, the assessment of the guilt is to conduct offenses of a member of the brigade, and chippings, in the number of cases, can be carried out by one or the other. medical sisters... For an hour, before the brigade, a medical adviser is connected to the team, establish how to carry out mass tuberculosis diagnostics and revaccination.

4. Medical practitioners on missions to carry out an examination for samples and chips, organize them, select and direct to the phthisiatric department of individuals who require additional assurance for tuberculosis; make out the documentation, store the name about the Viconan robot. Likars of children and peddlers, workers of the sanitary and medical station and phthisiatricians control the robot on the missions.

5. The plan-graph of the robots of the brigades needs to transfer repeated visits to the rock to hunt children and children, as they bully out through the sickness or for a short time to the medical team at the first mass.

6. At the skin anti-tuberculosis dispensary (seen) there is a person who is suspected of anti-tuberculous scraps, on the yak lay control over the work of the brigades of the district, I will help you methodically and revaccination of non-infectious individuals.

7. Outside of the contingent population, they treat anti-tuberculosis debris, as well as the number of internal revaccination revaccinations, the head medicine of the polyclinic, the central and regional dispensary, the head dispensary, the outpatient clinic sovereign center In a sanitary and epidemiological way, I will look at the individuals that will be able to see the robot without any preference.

The head of the doctor of the anti-tuberculosis dispensary (oblast, district order) is responsible for organizing the child’s reception of the drug for the child’s treatment (early, school age) with the help of an accelerated child for the post. Lіkuvannya is guilty of conducting a doctor's examination of a phthysiopediatric clinic;

Vii. Instruments for the Mantoux test before revaccination and for revaccination

For single-use one-gram tubercular syringes for one day, a team needs 150 syringes for one day with good pistons with a short skewed piston; 3-5 pieces of 2-5 gram syringes with heads for vaccine dilution. For the number of syringes and heads, the number of syringes needed for the revaccination of patients should be adjusted: for schoolchildren of the 1st grade - 50%; 9th grade - 30% of scholars.

Transferring to the bagatorazovy zasosuvannya tools:

Bix 18 x 14 cm for cotton - 1 pc.

Sterilizator - stacking for syringes мністю 5.0; 2.0 gr. - 2 pcs.

Syringe 2-5-ml - 3-5 pcs.

Holki ін'єкційні N 804 for tuberculosis from a vial and for dilution of vaccine - 3-5 pcs.

Anatomical prints 15 cm - 2 pcs.

Ampoule razkrivannya file - 1 pc.

Lines of millimeters with a size of 100 mm (plastic) - 6 pcs. or special calipers.

Flasks for medicines єmkistiu 10 ml - 2 pcs.

Dice мністю 0.25-0.5 liters. for disinfecting solutions - 1 pc.

To carry out tuberculosis diagnostics and revaccination in great collectives using the brigade method, if 2 medical nurses work at once, in the minds of an uninterrupted flow of fluids, a set of

A tool for testing tuberculosis test and revaccination of guilty but one and one mother. With one sterile syringe, tuberculin or BCG vaccine can be administered only by one person.

VIII. Flipping to the plan and control of the plan

1. To lay down the plan of anti-tuberculous splinters, lay on the head doctors in the center of the sovereign sanitary-epidemiological view, a gentle booth, a child home polyclinics, Protituberculous dispensary (in the inter-area of ​​the region and establish a dermal diagnosis).

2. Establishment of a plan for splitting against tuberculosis in the district, place, region to become the center of the sovereign sanitary and epidemiological visibility with the head pediatricians and anti-tuberculous dispensaries.

3. The revaccination plan for the district, place, region will transfer:

the number of children and children who eat anti-tuberculous chippings;

calendar plan for contingent coverage and BCG revaccination within an hour of the time spent on those chips;

preparation of medical personnel for carrying out splitting and instructions.

4. A group of individuals, which are used for splitting in children and teenage groups, to carry out out-of-town pediatric henchings, as a service to the collective, and install.

5. When a vaccination plan is put together, the population in a given area, place, and the revaccination plan should be taken as a basis for the revaccination plan - the number of children, adolescents and grown-ups, who undergo revaccination from urachuvannyh samples, the number of

6. Control over the plan of anti-tuberculous chips on the places where the center of the sovereign sanitary and epidemiological look is given, which is submitted for the form N 086 / u establish, how to carry out the chips.

7. The need for tuberculosis should be counted as two doses of 0.1 ml for the skin of a person who needs to be taken care of. If you need a vrahovuvati, in ampoules of 3 ml - 30 doses - for 15 cholovik. One liter of tuberculosis will be given 10,000 doses, which will be used for treatment of 5,000 doses.

8. The need for BCG and BCG-M vaccines for vaccination of newborns should include 20-30 ampoules of tuberculosis vaccine dry for intramuscular administration and retail (in a set) in a month on one day, every day, every day. If you need to take 10 or 20 doses of BCG vaccine, you also need to get it.

Vaccination against tuberculosis for the duration of the day is contraindicated for all new-born children in the first day of life. Immunization of the disease is overwhelming. At the connection, there is a high risk of information for the skin people, chipping is the most effective, accessible and non-baked prophylactic entry.

BCG crushed in newborns - well tse?

The BCG Bula vaccine has been distributed close to that. In a quiet place, a warehouse of chipped chips has developed, having known a change and modernization. Heads of scientific advances and widespread awareness of BCG in the distance will deny effective antibiotics, as if they get into the body of people, they will be bursting with immunity, they will appear in the form of antibodies according to the diagnosis. Syrovatka from tuberculosis to take revenge on the strains of the weakened fever ailment. Win is not a victim of infection, ale the immunity of pratsyuvati in renewed strength.

To carry out immunization from tuberculosis in a canopy booth. To that for the little new mothers, the procedure may be unsupported. Before the team, like to break up the scraps, the medical staff is guilty of eliminating the age of the woman. This is often the case for new-baked mothers, as a result of which the BCG chips can be damaged and which can be seen as a result of it.

BCG vaccine is administered to all neonates... Also, do not put any scraps, as the mother of the newly born baby has signed a message to the immune system.

For whom BCG chips are needed

Chipping of BCG infection from tuberculosis diseases. It’s a lot of fathers to wonder about the need for vaccination of a newborn child, even in the last ten years it’s practically not sensitive to tuberculosis.

Vaccination of BCG to carry out treba. In the first 10 years of the life of a child, you can be found in the wards of the Infectious Disease of Development. If there is any splitting, then the infection will not become. As soon as the infection still penetrates into the child's body, it is placed in the childish scraps of robbing him from an unsafe acceleration, invalidization and lethal result. So easy way dad can save his little one because of the problem of this ailment.

Antiprivacy advocates not to put BCG on children. Deyakі navіt talk about those scho vaccine infects babies. However, fathers, who are thinking, are guilty before the child is aware of the inheritance of tuberculosis and a strong assessment of the risk of child's infirmity.

Spillage of tuberculosis requires robiti, to that:

1. Information can be found in any kind of mission - in shops, community transport, children's kindergarten or schools. The names of people who are ill are not recognized as healthy people.
2. The head is not safe to go out to people with a form of tuberculosis. You can install it in polyclinics, pharmacies, pharmacies and other installations.
3. The enemy of the enemy is not only the lower viddili dichotomous systems... Tuberculosis is permanent settling in the intestines, reproductive organs, knitted fabric in the largest segments of the human body.
4. Diagnosis of tuberculosis on the current day is difficult. It is easy to find broncholegenic forms of ailments, and іnshі vimagayut a great deal of diagnostic visits.
5. It is problematic to cope with acute forms of tuberculosis. I will seriously destroy the robot's organs and systems, and in the running view, I will rob the child with an indiscriminate.

Skіlki razіv put chips BCG

The first vaccine against tuberculosis is administered to children in the shelter. They take away the baby, and turn the matus around after immunization. Tom is not disgusting to mami, in a way to introduce syrovatka.

Other and onset of BCG breakdown

The BCG revaccination is planned for 7 years for the day, but the child is not small against the evidence and splitting in the period of new pregnancy. Until the end of the hour, the power of the vaccine diminishes. To that, if the daddy is summing up, they are working on the BCG in 7 years, then they know about the term of the work. Immunity for a one-time introduction of the vaccine is saved for 6-7 years. Before the team, as a result of the development of BCG in 7 years, the reaction of the body to the Mantoux test is reversed. In case of a negative result, the need for a small patient to be pricked is necessary, and the risk of infection in the whole period is significant. Semirichna child today is in contact with a great number of people and can take Koch's stick in the most unsuccessful moment.

Batkіv tsіkavit, naskіlki dovgo zhishchaє BCG from tuberculosis since 7 years. The immunity of the scraps is preserved up to 13-14 years, for which it is recommended to repeat the vaccination .

Kudi to shrug off BCG rubble

The vaccine is administered in the form childish in the shoulder. Newborn children, schoolchildren and grown-up children should be diagnosed with tuberculosis in one place.

Yak viglyadaє I will give a prick in 2, 3 and 4 months

For nutrition about those who are healing BCG, they do not give a monophonic response. All lay down to the body of the little patient. In some children, the scar will form in 2 months, and in others only until the end of the 4th month.

Immediately after the introduction of the grain, there may be a lot of chips. Tse shkіrna reaction to the introduction of the drug, yak vvazhaєya normal. With a stretch of the onset of the author of the month, a papule is formed at the injection. Bagato batkiv in the whole period will keep on going, but the little guy has a fire in the middle of the day. One day, at the injection, there will be a gn_jnik, and after a ten hour, a gn_y will come out of scraps. Qia the severity of the reactions of the body to the vaccine is the norm.

Fathers do not go to panicuvati, but to mamagatisya to fit in with the bulb for the injection. It is necessary to gain patience and finish the test, leave a scar to form. Crushing BCG heals with a stretch of decilkoh months. After 2-4 months of immunization, a scar will appear at the injection. It’s worth talking about those children who have responded correctly to the vaccine. If there is no scar on the shoulders of the child through the introduction of the sirovatka, then we can talk about the wrong vaccination and immunity to tuberculosis.

Prototype

Immunization against tuberculosis with BCG vaccine is not carried out:

• every hour of visitation for women of any kind and social groups;
• pid hour of chest vigodovuvannya;
• with individual patient's cleanliness to the warehouse sirovatka;
• in case of severe allergic reactions or severe inheritances as a result of the previously administered BCG vaccine;
• individuals who are sick or have a malformation with immunodeficiency, as they do not receive adequate therapy;
• premature babies weighing less than 2.5 kg;
• in the period gostrich zhvoryuvan or zagostrennya chronic infections.

accelerated BCG

Often the little daddy is wrong to take the normal reaction of the body to the chips. Tati and mami vvazhayut, as if the scraps in the baby were festering, then the tse was slowed down. To that, the medical practitioners are responsible for reporting on those how to behave during the course of immunization and reactions, there may be problems in the administration of the drug.

In most children, vaccination against tuberculosis is not vicious. If the child has chipped, drowsiness and appetite may increase. However, in a stretch of several days, signs are passed without trace.

About the side reactions and acceleration it seems in the following ways:

• ignited regional lymphatic universities;
• zberіgaєtsya stretching the tension;
• on the shkіrі at the child the visip appeared;
• a "cold abscess" was formed in the injection of syrovatka (a part of the result of drinking the drug in the ointment);
• generalized information.

BCG-M: відміну від BCG

Yakshcho will be turned up before the instructions for storing crushed stone BCZH-Mі BCG, then it is possible to know the difference between them. The vaccine with the M prefix - the syrovatka is weakened. Take revenge on the minority of tuberculosis patients. This kind of drug is recommended for vicoristovuvati for revaccination.

BCG vaccine revenge 0.05 mg for tuberculosis. Syrovatka BCG-M revenge 0.025 mg zbudnikiv. The vaccine has been weakened only since 1991 and is recognized for singing groups of patients.

BCG-M to put premature babies in a sheltered booth with little wagyu, її stasis with a child’s schliness to allergy. It is recommended to be victorious for a weakened sirovatku for patients who are sick before the court, may cause childbirth trauma or neurological illness. For a specific skin type, it is necessary to replace the standard splinters of tuberculosis with a fixed version of the assessment by a pediatrician or an immunologist.

Mantu pislya BCG

For immunization against tuberculosis, children should regularly conduct a test - and the results allow judging those who were trapped by Koch's bat. In case of a positive reaction, the child's mantu should be carefully checked.

Chewing mantu i without BCG. If the child was not splintered from tuberculosis, then the test for the new one should be carried out not once per pik, but two times. Skin 6 months it is necessary to keep the baby in check, to prevent the infection with Koch's bat.

For this reason, before a test for tuberculosis is impossible, it is impossible to get wet, because of the stereotype that you cannot buy a child's mantu. So dad vvazhayut, it is not possible to soak the BCG chips to re-burn. However, likars do not give such suvorikh obmezhen . It is not recommended to rub it with a washcloth, scratch or curl the papule. Kupati ditini mochiti m_sce introduced sirovatki is not hardened. Pislya BCG you can go for walks and go to the kindergarten or school. Do not administer any strict immunization against tuberculosis.

Are you running out of food?

Lykar-pediatr, child cardiologist

Send food

One of the generalized vaccines is the BCG scraps for children, who are the first to break it down in a child's room, in a sleeping booth, on 3-4 days, send a baby to the light. About her, walk around without my terrible heritage and expedited. Having heard a lot of them, many fathers take on themselves a certainty and view of the vaccination cycle, without getting into a new one. If you want the first connection - learn in detail about the licenses, as well as BCG, and evaluate everything for and against the rubble.

Scho tse take BCG - an earth abbreviation, it is deciphered yak BCG - Bacillus Calmette, T. E. Batsil Calmette-Guerin. Uninvolved on the її obsessiveness and relevance in to the lucky day, Far from all there may be a statement, but also BCG and in what way the price is put. Tse vaccine against tuberculosis, get ready for a live, weakened tuberculosis stick of a cow. Vaughn is not uncomfortable for the people, so as a special way to go to the piece middle. Її main features: meta - prevention of tuberculosis; seizure is not an infection, but a admitted infections in the form of ailment; the development of important forms of illness - tuberculous meningitis, infection of loam and cysts, non-insecure forms of infection of legends; Allowing the desire for a reduction in the amount of sickness in the middle of children.

So as to ensure all the importance of such vaccination, BCG splitting in newborns should be placed earlier: when there is a daytime, it should be shown in a canopy booth. Then, if necessary, there are two more two processes to be carried out, called revaccination. For more information, now, if you want to break the BCG chips for children, there will be noble daddy, you will be calm. Vaccination One of the most sickly nutrition about vaccination is the development of BCG splinters for children. It’s well-known from the well-received calendar, three: for 3-7, add a message at once when the baby appears in the light; in 7 years; at 14. Inodi in the sleeping booth for some reasons, vaccination against tuberculosis is not carried out (for example, in a baby, there is a contraindication). Even in 2 months, the car will still get rid of the chips, there are no special problems. Alle the axis of writing the term (for example, in 3 months), before the cym, the test of Mantoux should be made. If only the result is negative, vaccination can be carried out. Likewise, it is self-templating in 7 and 14 rocks. This technique allows a small organism to become resistant to tuberculosis, to increase the capacity to infuse mycobacteria. Moreover, revaccination in 7 and 14 years is required in a generalized order, as the child is in contact with tuberculosis (for example, infections of some middle class relatives).

Another nourishment, scho to trivialize daddy, is to try to frustrate the chips of BCG for new people, and it’s not unbeatable. Zvichne mіsce ін'єкції - the last side of the left shoulder, vibrate between the upper and middle 1/3 of the shoulder. The vaccine preparation is administered for children: children, as well as internally, as well as for internal use. If there were any reasons, you should inject the vaccine in your shoulder, vibrate in your shoulder, vibrate your child's nest, in which you can safely deliver an injection, - most often it is easy.

Unimportant to those who have all the information, which is, by itself, the chips of BCG for new people, for the present, and is available to the fathers, who see them as well as earlier. Even more relevant on the current day of food, which one is more in the splintered BCG: coristas chi shkodi for the health of the baby? Z revoag can be as follows, such as: minimum inheritance; acceleration - great fertility; some turbo-bots when looking after the month of ін'єкції: daddy often energize, where you can wet the BCG chips - so, at all, they didn’t rip it up; lowering the risk of tuberculosis infection; with information about the permission of ailments against in larger easy form; not allowing a fatal result in tuberculosis. As long as the vaccination has a style of positive moments, why does one pick up so many negative ones? At the same time, the reasons are: there are a number of unsatisfactory acceleration in case of undetected contraindications or incorrect introduction of vaccines; in ridkіsnyh vipadkah - more and more protracted mіstsya іn'єktsії: to all the fathers of the Tsikavo nobility, as the accumulation of BCG is healed, so as the process of getting through the whole fate of vaccination; The broadens and nimble are sensitive about those components, such as formalin, mercury salts, phenol, polysorbate, and aluminum hydroxide - no scientific basis for information about it.

The decision about the vaccination of the baby is taken by the daddy, having called in front of everything for and against, in order to be carried out in a complex way for the evidence of evidence for BCG splintering. Even the stench in a large number of vaccines is the reason for the development of those who have been given a quicker vaccination. Prototype indications For vaccination, the following are indications: zagvoryuvannya in the course of zagostrennya (to put scraps in the picture); internal uterine infection; hemolytic ailment; gnіyno-septic sickness; neurological symptoms in case of important lesions of the nervous system; large scale training; evil new affirmations; perineum immunodeficiency; reception of immunodepressants; tuberculosis in some members of the family; exchange therapy; VIL-infection at mother. For revaccination (for 2 months) there is a list of indications: hospri zhvoryuvannya; allergic reactions; immunodeficiency; sumn_vna abo w positive reaction Mantoux; evil new affirmations; exchange therapy; reception of immunodepressants; tuberculosis; accelerated the reaction to the forward chipping; contact with tuberculous disease.

Likar zobov'yatsii viyaviti in the child the appearance of cich prototypes in front of tim, as to pinch yogo, so as it is not necessary to bring to the breaking of norms and slowness. According to the reaction of BCG splitting, the decoding is carried out: if the vaccination has passed far away, i.e., the baby has developed immunity against tuberculosis. With a hand of the whole fate, they are encouraged to see the little one: the fathers also know how to decipher the BCG chips from children.

Small organisms are ever more responsive to anti-tuberculous vaccination, so the inheritance of BCG splitting in children can be very young. Fathers are of noble nobility, as they develop within the framework of norms and not guilty of experiencing unnecessary experiences, but for some vartos, respect and occasionally talk about them. As far as BCG scraps are concerned, the reaction will take on a normal course of time after vaccination has been carried out. Someone will see it through the day, some people - until the end of another month, and some - only until the end of the day. Throwing in for a consultation before a doctor in a whole vypadku for an hour is not a matter of course, but if you are planning to look around a pediatrician about those who are so bad, it’s necessary. Especially lyakk batkiv get used to the injection at the moment. To fix a panic, so how to understand well is not to faint, how robiti, how the scraps of BCG will fester in an hour after being vaccinated. Dyyseno, by stretching out the decilkokh mіsyatsіv on the puncture mіsіnіtsіn іtvoryuєt a gnіynik with a thorny head in the middle. Win step-by-step skorinkoy, as it is impossible to see, not to see something, but then to see it by itself, and a little bit of scraps to get healed. So it’s not so bad, because the BCG scraps are festering - it doesn’t mean that you missed her because the baby had problems with health. Everything is so guilty. In small children, daddy turns to sickness with such a problem, but after the end of the whole fate of vaccination in this child there is no scar of BCG splitting, as in large children. The reasons for this may be the case: the vaccine was injected incorrectly (i.e., it is necessary that there may not be any traces on the surface); The most insecure factor, which can provoke more inheritance, is the last reason. So, as long as BCG chippings do not follow on the baby's hand, it’s not enough to do it. You will need to follow the doctor's recommendations to repeat the vaccination again. One of the inheritances is that the temperature can be adjusted over several days for BCG chips. It’s not critical, and it’s not necessary to go through 2-3 days: the body actively responds with such a rank to the introduction into a new bacterium. As soon as the temperature of the back of the head and trimming is more than 3-oh days, it’s innocently turning up for lykarskoy support. There is a lot of dressings for food, if you can buy a child for the splinters of BCG: a counter-indication for a lot of nemans (no need to cheat with a Mantoux breakdown). However, at temperature adjustments tila is more beautiful than the kidneys with water procedures, so do not ruin the baby's camp. Such inheritance of BCG splinters in children is not to be unsatisfactory and not to blame for viclikati, feeling the fear of the fathers. For a renewed calm, you can consult with a doctor for quiet reactions, as you make a bumble. With the hand of the first fate of the child's life, it is carried out regularly, the pediatrician takes a look at the pediatrician, and you can consult with the driver of how to undergo the reaction of the child's body to vaccination.

In some cases, there is a serious delay in the use of BCG chips, as long as they did not notice the necessary proof. The stink axis is not safe for the health of the child.

Before that, as a vaccination, for goiters, consult the fathers, who are not safe for BCG in the event of a lack of contraindications. The folds will be on the walls of the seryoznі, so you will leave your trace on the whole life of the little cholovіchka. However, judgmental and literate fathers are guilty of a great deal of reason, which will also be unsuccessful if there is a lack of anti-indications. Until the latest side effects It is not safe for the life of children, to be recognized: lymphadenitis - firing lymph nodes means that microbacteria have penetrated into lymph nodes from children, but it is unacceptable: if the diameter of the firing is more than 1 cm, less Zanadto is large, large-scale, and not m_sceva, as to be suitable for the norm, the area of ​​the suppuration is tied with immunodeficiency; osteomyelitis can be treated with vicious vaccines; cold abscess develops in 1-15 ms. for vaccination, when the drug is used for intradermal administrations, intradermally, it is thirsty surgical engagement; a large bend in size in a diameter greater than 10 mm means a child's appearance high sensitivity before the components of the drug - therapy is interconnected with muscular diseases, ale information about such expedited procedure should be entered into a special medical card; cicatricial scar at the viglyadi chervonoi, swollen shkiri in the center of the child: it will be a signal to the doctors about those that BCG cannot be introduced again; generalized by BCG-infection - even more ridkisne, a little more accelerated in case of the presence of children with immunity; osteitis (so the name of tuberculosis of the cyst) develops after 0.5-2 times of vaccination, it is also rare, and even more insecure images of serious damage in immune systems maluk_v.

Those dads, who are wondering, need to chew on the BCG for their babies, ask for such a significant list to get more and more quickly and are introduced as a result of vaccination. Here it is a good idea to lay down all kinds of licks, which are guilty of giving the fathers all the necessary clarification. Nemag protypokazan - nemaє i unfailing heritage... Then there will be a difference in the fact that the organism of the child of abductions from such a terrible illness, like tuberculosis, if not 100%, then I would like to be guaranteed if the form of illness is easy. It is necessary to know everything for and against, the first step is to take a further decision, as soon as your baby is healthy.

BCG (shortly as BCG bacil Calmette-Guerin) is a vaccine against tuberculosis, based on a weakened live tuberculosis stick. Mikobakterіya practically lost health before it was infected with human organism, and it was left in a piecemeal medium. Tse vnutrіshkirna in'єktsіya, yaku zasosovuyut since 1927 r

Prophylactic chipping against tuberculosis is the price of chipping, as a child shy in a shallow booth. The way of introduction of BCG vaccine of prostate. However to the medical practitioner it is necessary to be respected and selected. Only the medical personnel of the Middle Lanka are allowed to visit the procedure, who undergo special training.

vaccine warehouse

The BCG drug is to avenge the development of microbacteria. The current warehouse of vaccines does not appear to be in the warehouse of the drug at the time of the first delivery in 1927. VOOZ has taken the opportunity to give all types of microbacteria, how to get vicarious at the BCG virobnitstv.

To reject the required culture of mycobacteria, which are necessary for the establishment of vaccine preparations, the method of sowing the bacilli in a specially stemmed vital center is used. Klіtinna culture is virostaє in the minds of the living middle-class for seven days. For the whole bacillus, it goes through the process of processing:

• vision;
• filtration;
• concentration;
• bringing the mass to a uniform consistency;
• diluted with purified water.

As a result, a vaccine is ready to take revenge on the dead and alive bacteria. The number of bacteria in a single dose of the drug may vary. Tse to lay down according to the type of bacteria and the specificity of a particular vaccine. The types of BCG vaccines are prepared for the year. However, 90% of all drugs replace one of the strains of mycobacteria:

• Tokyo 172.
• Danska one thousand three hundred thirty one.
• French 1 173 P2.
• Glasko 1077.

The effectiveness of vicious strains in all preparations is similar.

Prototype indications for BCG

The introduction of the BCG vaccine is contraindicated in new diseases in vipads, when:

• prematurity (vaga when people are less than 2.5 kg);
• zahvoryuvannya in state form;
• additional information;
• gn_ain_ ailing;
• anemia (as a legacy of blood insanity);
• damage to the robotic nervous system with symptoms of neurology;
• іnfektsії shkіrnykh pokrivіv;
• weakening immunity;
• oncological illness;
• exchange of lіkuvannya;
• tuberculosis of members of the family;
• motherboard VIL-infection.

Algorithm for introducing BCG

Ustatkuvannya for the procedure:

1. Sterile steel, cotton swabs, servetki, tweezers.
2. Medical latex gloves.
3. BCG vaccine, razchinnik.
4. A glass for an ampoule with a preparation.
5. Black cone for taking out the light.
6. Two syringes - for 2 ml of tuberculosis.
7. Container for vikoristanikh syringes.
8. A range of disinfecting solutions for used materials.
9. Etilovium alcohol 70%.

The history of the medical teacher

1. Prepare the necessary materials.
2. Vimiti hands, hang, put on mittens, mask.
3. In the boxes, wipe the ampoules with the drug and the bottle, sprinkle the ampoules with a cotton swab, soak them in alcohol, sprinkles.
4. Attach it with a sterile servet and break it.
5. Vikoristani materіali vikinuti in a cooked box with a disinfectant solution.
6. Place the ampoules in a beaker.
7. Distribute a 2 ml syringe pack. Put on the head and get it done. Bring in a small bucket.
8. 3 ampoules with a razchinnik fill in a syringe with a volume of 2 ml.
9. Inject the vaccine into the ampoule with the vaccine carefully.
10. The vaccine is being mixed. The syringe is thrown into a container with a disinfectant ridino in front of it.
11. Open the package of the tuberculin syringe, put on the carton and attach it.
12. Pour 0.2 ml of the finished vaccine into the syringe for 3 ampoules with the broken vaccine.
13. Place the ampoule with surpluses of the finished preparation into the bottle, close it with a sterile servet and svitlozakhisny cone.
14. Sterile servet is taken with pincers. She has a syringe. Servetka wakes up to the Unity with a disinfectant solution.
15. The syringe is guilty of a surplus of the drug in the total amount of 0.1 ml. The syringe is withdrawn from the middle of the sterile table.

Note: Novonarodzhenim gain 0.1 ml of the dose, the rate of introduction is 0.05 ml. The introduction of BCG is carried out by instructing mothers of the child about the rules to look after the injection.

Misce of the vaccine

For the recommendation of the All-Union Health Protection Organization, the BCG vaccine should be put in liva shoulder, According to the approximate line of the upper and middle part. Russia has such a way of storing itself. The drug is administered strictly for the first time. The internal yazov or the nursery is fenced. Iakshcho vaccine for some reason, it’s uncomfortable to visonati in the shoulder, won’t be injected into the steg.

De vaccinated

At the shallow booth, all the little ones were shy about the people. If the child didn’t take the vaccine for an hour, the immunization was carried out in a polyclinic, de-spostering new neoplasms.

Whether a child's polyclinic has a special possession of splintered cabinet, a vaccination procedure is carried out. One hour vaccination, blood sampling, injections drugs unacceptable. In the case of two procedural rooms, one is used for routine in-line procedures, the other is for vaccination only. If there is only one room - for the vaccination of children with BCG, a specific day of pregnancy is designated. The office is victorious on a weekly basis for carrying out this procedure.

The BCG vaccine can be delivered to the tuberculosis dispensary. Ditina, scho maє high risik development of an active reaction, vaccinated viklyuchno in stationary minds.

The legislation of the Russian Federation allows the conduct of immunization at home. The visit of a special brigade with the necessary possessions and materials is available on a paid basis. The servant was given not to enter until the interruption of regular visits for medical insurance and paid by the deputy of the servant.

BCG vaccination can be carried out in a special vaccination center. The center is guilty of the mother of the certificate, which at the time of the certification procedure was carried out.

type of vaccine

The vaccine is available in two versions: BCG and BCG-M. The BCG-M preparation should be given two times less bacteria and sparing vaccination options. The drug is stagnant until children are quiet, for some reason it is not possible to introduce differences, signs of health of a child. As a rule, the price of premature babies is less than 2.5 kg.

If you shy away from chips

The first vaccination should be carried out at the canopy booth for 3-7 days after the population. Only at times, if the contraindication is not revealed. The first revaccination is carried out in 7 years.

Before immunization, a test is carried out - the Mantoux test. In case of a negative reaction, vaccination is carried out not earlier than after three times after the test, not before two times. As far as the reaction of the body to the sample is positive, immunization is not carried out.

Another revaccination is carried out in 14 years according to similar rules. The Mantoux test is carried out at a time, because of the results of the drug, it indicates vaccination, if not necessary.

We will grow people vaccinated only once, after 30 years.

Yak to shy away from BCG

The technique of the introduction of BCG vaccine is based on respect for the implementation of the general rules. Vaccination should be carried out strictly on the basis of the injection into the syringe. Dilyanka of the left shoulder is covered with 70% ethyl alcohol.

The head is injected with the edge up into the surface of the shkiri ball. For slickness, the introduction is lightly tightened. It is necessary to have a chance to turn over, so that the goalkeeper has drunk exactly on the way. For the whole, a small amount of vaccine is administered. Then the drug is administered on a regular basis. As a result of the correct viscous scraps, a papule of a bluish color is established. Make the diameter 7-9 mm. Name the primary papule with a stretch of 20 quills per injection.

Preparation for BCG crushed is not required.

Storage of chips

At the time of the introduction of the drug, a muscle reaction develops. Vona maє kіlka zvnіshnіkh types:

• papule;
• infiltrate;
• pustule;
• slope.

In newborns, abnormally vaccinated, the split reactions develop by 4-6 times. During revaccination procedures, the reaction will appear in 1-2 months.

The storage can be found locally:

• viniknennya g_ynikiv;
• firing lymph nodes;
• the appearance of keloidnyh scars.

Yak viglyadaє reaction to BCG

BCG vaccine for allergic reactions. With a shkirny cover, they will repair the accumulation of T-lymphocytes, as they actively fight against tuberculosis. The development of the general reaction of the shkirny cover will be observed.

In the first few days, for the splintering of any visible changes of the shkirny cover, the cover cannot be spared. Possibly small pochervoninnya in the injection. The visibility of the visible reaction can be trivial for a few days. It is not guilty that it is not guilty that it is not guilty that it is not guilty that it is taken from the nasal skirting when the injection is given.

A small papule is established in a month's time for vaccination. The name is a small chubby with a birth. The course of development of a normal reaction and you can talk about the successful vaccination. Inodi singing daddies will supervise sverbinnyas. Rozchisuvati її categorically zaboronyaєtsya schob uniknuti the pedagogical information.

After the end of three months, the papule shrinks and heals. On the scene of the healed wound, a small bluish scar appears. The size of the hem varies from 7 to 10 mm. Scar less than 4 mm to reduce the amount of vaccination achieved. Protuberculous immunity is not viral.

Fathers need nobility - the vaccine will not capture people who are infected with tuberculosis. It’s very good for the development of important forms of tuberculous disease, which can lead to a lethal result. To clean up the child in the first days of his life will be necessary in a way. If the child is seen in the navkolishniy svit, de 2/3 of the population is in infectious diseases, it may be just as good.

Tuberculosis to enter before the turn of the poor Infectious diseases... Three million people on the whole planet are close to each other. Likuvannya to pass through the whole field in the reception of antibiotics.

Pathology is often provoking acceleration, may relapse. For the hijacker, the immunization of BCG is declared. Deyakі daddy do not want to pinch their children, be afraid side reactions from tsyogo koshty.

Shcheb zhrozumiti, chi varto stab an anti-tuberculous drug, treba z'yasuvati, which itself is BCG: warehouse, mechanism of action, specialty vicoriannya.

Go to the BCG vaccine warehouse

Instructions for storing

In the area of ​​the left shoulder abo stegna. Introduce the drug internally. Before the immunization, a retreat is carried out with the mark of a demonstration of the prototype. For a whole likar, the temperature of tila, the first digit arterial vise, Vivchaє anamnesis, vipisuє, if necessary, directed to additional equipment or laboratory diagnostics.

Prevaccination before vaccination is time-based and absolute. Before the first group, lay the following:

• Newborn masa tila less than 2.5 kg.
• After an hour of vaginosity, if the baby appears on the light, it will be ill, connected to the internal uterine information.
• On epidermal curvatures
• Pukhlin's crayfish is revealed.
• The child has hemolytic pathology.
• Є Infectious pathology.
• Chronic ailment has become aggravated.
• The child's temperature is increased.
• Completed exchange therapy course.

In many cases, vaccination is transferred to the period when it becomes normal and stable.

Absolutely re-insured below:

• The mother has no diagnostics for VIL.
• The birth trauma caused the brain to shrink.
• The close relatives of the bully have been registered post-vaccination accelerated.
• Immunodeficiency disease in a child.
• Allergy to components.
• Down's syndrome was diagnosed, or there was a breakdown on the genetic basis.
• Є Dose for the appearance of Koch's sticks in the organisms (in the case of tuberculosis).

If you pinch people when there is evidence of a new counter-indication, then side reactions may develop.

Yaksho stan is allowed to carry out, the physician of the attack, before the injection. For the introduction of BCG, use a 0.2 ml syringe. For viroblennya zahisnih forces like tuberculosis, add a dose of 0.1 ml. Instead of ampoules, there is a difference between sodium chloride. Mіsce ін'єкції wipe with an antiseptic wipe. Then the skin is pierced, the finished preparation is injected.

When the technique of staging the injection, in the zone of injection, a small bag with a diameter of about 0.7-0.9 cm is formed in the zone.

Carried out in 6-7 years. Before re-immunization, the Mantoux test must be carried out in order to permeate the body at the back of Koch's stick. The loss of skin chips is more beautiful than a single hour of uniqueness of seeing people through the weakness of immunity and the development of infection with infectious and viral pathologies. It is also recommended to sposter behind the camp of the child, so that you do not miss the development of secondary manifestations.

To reduce the risk of post-vaccination delay, it is recommended to visit the following:

• For a few days before and after the manipulation, we include the selection of products that can cause allergies (for example, chocolate, citrus fruits).
• Zbіlshiti with living rіdini.
• On the day of splintering vipiti antihistamine drug.

A detailed description of BCG vaccination is given in the instructions before the drug.

Ryatuє chi BCG from tuberculosis

BCG for viral immunity against tuberculosis.

Stovidsotkov's guarantee that people are not sick of the infection pathology, the drug is not given.

Allegedly, specific immunity does not allow important forms of ailment to develop, acceleration.

Until the last week of the Russian people, they showed that children were immunized 15 times less than ailments for tuberculosis, but they didn’t get BCG vaccinated.

British physicians see a decrease in the risk of infection in splintered children by 80%. The incidence of tuberculosis diagnoses among vaccinated people is reduced by a factor of two. The risk of a lethal result is reduced by 30%.

In such a rank, BCG is a clue to tuberculosis, like to take revenge in warehouses alive, or weakened mycobacterium. The drug allows virobiti specific immunity against Koch's sticks. The vaccine will not give rise to a new infection. If infected, the pathology will be lighter and less severe. Isnu BCG-M - tse analogue of BCG, which is the same warehouse, ale less concentration of bacteria, before the victories of side reactions.