Nhung tre nao khong nen tiem chung

Khong co nhieu chong chi dinh trong tiem chung. Tat ca tre em can duoc tiem chung, tru mot so truong hop dac biet. Chang han, nhung tre bi benh AIDS khong nen tiem vacxin BCG (phong lao).

Nhung tre bi nghi ngo nhiem HIV hoac da co dau hieu cua benh AIDS can duoc tiem vacxin soi khi duoc 6 thang tuoi va nhac lai luc 9 thang tuoi.

Doi voi nhung tre da co phan ung qua man cam khi tiem vacxin, khong nen tiem tiep nhung lieu tiep theo. Nguoi co tien su di ung voi cac thanh phan cua vacxin cung khong nen tiem.

Con nhung truong hop sau van nen di tiem chung:

- Co tien su di ung hoac hen (tru truong hop ban biet ro di ung voi mot thanh phan nao do cua vacxin).

- Om nhe (nhu viem nhiem duong ho hap hoac tieu chay) co than nhiet duoi 38,5 do C.

- Tien su gia dinh co giat, dong kinh, hoac ngat.

- Dang dieu tri cac thuoc khang sinh.

- Nhiem hoac nghi ngo nhiem HIV nhung chua bieu hien trieu chung AIDS.

- Dau hieu va trieu chung cua AIDS, ngoai tru vacxin BCG.

- Cac benh man tinh (nhu benh ve tim, phoi, than) hoac benh gan.

- Cac benh than kinh bam sinh nhu bai nao hoac hoi chung Down.

- De non hoac nhe can (khong nen tri hoan tiem vacxin).

- Da hoac sap phau thuat.

- Suy dinh duong.

- Co tien su vang da khi de.

Neu tre bi tieu chay khi uong vacxin bai liet OPV, can cho uong mot lieu bo sung cach lieu thu 3 it nhat 4 tuan.

Luu y khi tiem chung:

- Neu tiem hon mot loai vacxin trong cung mot thoi diem, phai su dung rieng bom kim tiem cho tung loai vacxin; khong duoc tiem cung mot cho o dui hoac tay. Moi loai vacxin can duoc tiem o nhung vi tri khac nhau.

- Khong tiem hon mot lieu cua cung mot loai vacxin cho phu nu hoac tre em trong mot lan tiem chung.

- Tiem dung khoang cach. Phai doi toi thieu 4 tuan giua cac lieu doi voi OPV, DPT (bach hau, ho ga, uon van) va viem gan B.

(Theo Suc Khoe & Doi Song)