When will the 13-valent pneumonia vaccine be ready？ What other second-class vaccines must be prepared？
Original scientific parenting editorial department scientific family parenting
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This year, it’s really the year of mycoplasma, and November is also the peak period that experts say. It’s really true that my colleagues sent me a video and photos of taking medicine from the basement of Beijing Children’s Hospital. Hey, this year the child is really going to suffer a lot!
Just two days ago, the department greatly discussed with the pediatric clinical attending doctor industry (with) business (then) (chat) for (chat), and said to the pediatric ward:
90% of babies are infected with mycoplasma pneumonia, among which refractory mycoplasma pneumonia is the main one.
Pneumonia is one of the "primary enemies" that Eva and her parents continue to fight. There have been news reports that Xiaoyi, who was born just over two months ago, was diagnosed with pneumonia, which continued to deteriorate in just one day, and severe respiratory distress syndrome appeared, and her life was dying.
News source: urban report
But do Bao’s parents know?
70% of this terrible situation can be avoided by vaccine, which is also the reason why HKUST stressed that the baby should beat pneumonia vaccine when vomiting blood.
Image source: scientific family parenting original
Since the advent of the 7-valent and 13-valent pneumonia, the number of infants suffering from pneumococcus under 5 years old has decreased by 80%-90% (data from the US Centers for Disease Control and Prevention).
Which price is more suitable, 13 or 23? When will you call? What’s the cost … Today, Keda will come to solve the questions one by one!
one
Pneumonia is 13 and 23, which one?
If the baby is vaccinated, it must be pneumonia 13 price > pneumonia 23 price!
Perhaps many parents know that 13 and 23 represent preventable diseases, so why is the price of 13, which has a relatively small coverage, slightly better?
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There are two main reasons:
Infants and young children under 2 years old are the key "targets" of pneumococcus, and the mortality rate of pneumonia ranks first for a long time.
However, the price of pneumonia at 23 can’t break through the 2-year-old limit, which is more suitable for the elderly over 50 years old and the baby with special diseases over 2 years old.
The price of pneumonia 13 is like a "small rescue", which can not only stimulate the baby to produce better antibody effect, but also produce immune memory and upgrade to a long-term "escort" of the baby.
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Although there are 10 types of pneumococci missing from the price of pneumonia 13, it has been able to resist 80% of the baby’s pneumonia, and the remaining 10 kinds of pathogenicity are not too high.
Therefore, it is a good thing for Eva to concentrate on killing the key "enemy bacteria"!
Image source: scientific family parenting original
2
Pneumonia is 13 yuan, which children can’t fight?
Domestic pneumonia 13 price suggested that the baby should be under 6 years old! The price of imported pneumonia is even more severe, and the age of the vaccinated baby should not exceed 12 months.
At the same time, many allergic babies have been forced to draw a clear line with the vaccine, but is this really necessary?
In this case, we should also be cautious about vaccination.
If the baby is allergic to infectious components such as egg white, neomycin, diphtheria toxoid and tetanus toxoid, or suffers from diseases such as thrombocytopenia, it must be carefully vaccinated.
In this case, you can vaccinate.
The baby is only a child with a history of food or contact allergy, penicillin allergy, or relatives with allergic diseases.
This situation can not only, but also should give the baby pneumonia 13 valence, enhance the baby’s immunity.
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If there are special circumstances, you must consult your doctor again before vaccination. After all, your baby’s life is only once, so you should not try it easily.
three
Baby who has had pneumonia, do you still want to fight?
Of course!
Although Eva had pneumonia caused by pneumococcus, only one antibody was produced in her body.
There are more than 90 serotypes of pneumococcus, and 1/90 antibodies can’t compete with the occasional "harassment" of other pneumococci, so there is no guarantee that other infections will not be caused again.
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Therefore, the department greatly recommends that babies who have had pneumonia should also be vaccinated with pneumonia at 13 prices!
Why do you want to get pneumonia 13 and which babies are not suitable for vaccination? I believe that Bao Baba and Bao Ma have almost got it.
Then the next section will talk about the specific vaccination process.
four
Guidelines for the vaccination process of pneumonia 13 valence
At present, parents have two choices for pneumonia: imported vaccine and domestic vaccine.
According to the inoculation time of different babies, different schemes have also appeared.
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Which is better, domestic or imported?
The existing data show that there is no significant difference in safety and effect between the two.
As for other aspects, HKUST uses a picture to help you solve your doubts:
Image source: scientific family parenting original
By comparison, it can be seen that the domestic 13-valent and imported 13-valent coverage sera are the same, and the protective efficacy is similar, the most difference is the vaccination age range!
Babies over 1.5 months old and under 6 years old (5 years old+also under 6 years old) can be given the domestic price of 13, while those who are imported at 13 prices, generally over 7 months old, have not received the basic injection, and then they can’t replant.
Therefore, the domestic 13-valent vaccination procedure is more flexible, and it also fills the immunization gap of babies aged from half a year to five years old, so that babies who missed the vaccination of imported 13-valent pneumonia vaccine have a chance to be vaccinated again.
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It is worth noting that the above inoculation procedure is the best choice.
If you haven’t given your baby the first shot of 13-valent pneumonia vaccine before reading this article, then you can choose the appropriate vaccination plan according to your baby’s age (the following applies to domestic 13-valent pneumonia vaccine):
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If you understand the vaccination procedure, you have to "grab" the vaccine! At present, most vaccines will still be in short supply.
Therefore, parents should make an appointment with the vaccination clinic of the community health service center or the designated hospital in advance.
What if I can’t make an appointment?
Move the position! Consult other health service centers in neighboring communities or private hospitals.
Ke greatly believes that the way is not important, the key is effectiveness! Whether imported or made in China, just hit it, don’t worry!
But in the process of inoculation, try not to "mix and match". Baby who has been vaccinated with imported pneumonia with a price of 13 is recommended to continue to choose imported vaccine, and vice versa.
Ps: If you can’t continue vaccination because of out-of-stock or over-age, you can also choose domestic vaccine instead. After all, it is the "first priority" to complete vaccination for your baby.
five
Precautions/Adverse Reactions after Inoculation
In order to accurately give the adverse reactions of the infants after vaccination, HKUST turned over the cases and found that the adverse reactions of pneumonia 13 were all mild.
After inoculation, some babies may have slight redness, tenderness, moderate or low fever, diarrhea and rash at the inoculation site.
At this time, parents don’t have to worry too much, just trust the baby’s resistance!
However, if the baby has other complications, or the symptoms are obviously aggravated, then you don’t have to wait. Take the baby to the hospital for emergency treatment!
Speaking of which, the division is still asking for the precautions after vaccination:
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six
Is it necessary to take the other second-class vaccines?
● Class I and Class II are relative!
According to China’s Regulations on the Administration of Vaccine Circulation and Vaccination, vaccines are divided into Class I vaccines (free of charge) and Class II vaccines (at their own expense).
This classification only represents the difference in cost and management, not the difference in importance.
Class I and Class II vaccines are relative. When the national finance allows and the vaccine is sufficient, the second category will also be included in the first category.
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● It is best to vaccinate those who are qualified in the second category!
From the point of view of disease prevention, the second-class vaccine can get wider protection.
Therefore, if there is no economic problem, it is best to vaccinate the second-class vaccine, and if you vaccinate one more vaccine, your baby will have more protection!
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Then, the question comes again: there are so many second-class vaccines, is there a feasible vaccination plan?
Following the past practice, the vaccination schedule of self-funded vaccines is not printed on the child’s vaccination certificate, and can only be obtained by asking the vaccination doctor.
At present, the best vaccination programs in China are as follows:
Types of vaccines recommended for age: Hepatitis B vaccine+BCG 2-month-old hepatitis B vaccine+pentavaccine+pneumonia vaccine+rotavirus vaccine+meningitis vaccine 3-month-old pentavaccine+pneumonia vaccine 4-month-old pentavaccine+pneumonia vaccine+rotavirus vaccine+meningitis vaccine 6-month-old rotavirus vaccine+hand, foot and mouth vaccine+meningitis vaccine 7-month-old hepatitis B vaccine+influenza vaccine 8-month-old leprosy vaccine+Japanese encephalitis vaccine. Vaccine+meningococcal vaccine 18-month-old five-vaccine+hepatitis A vaccine+measles vaccine 2-year-old Japanese encephalitis vaccine 4-year-old measles vaccine+chicken pox vaccine 6-year-old DTP vaccine 9-year-old cervical cancer vaccine 3 doses.
PS: The program integrates self-funded vaccines and free vaccines, including 15 vaccines with a total of 35 doses, which can prevent 19 infectious diseases.
The vaccines listed in one line are recommended to be vaccinated at the same time. If it is staggered, the inoculation process will become very complicated and the timely protection effect will not be achieved.
At the same time, different parts should be used, and up to five kinds of vaccines can be inoculated at the same time, orally+left and right upper arms+left and right thighs.
seven
Five vaccines are out of stock, what should I do?
As we all know, five vaccines are often out of stock all over the country, which can be said to be hard to find. What is the magical "five vaccines"?
Five vaccines refer to diphtheria-pertussis-tetanus-poliomyelitis-Haemophilus influenzae type B combined vaccine.
The five-vaccine has changed 12 injections into 4 injections, which reduces the pain of the baby’s skin and reduces the number of times parents go to the hospital. Therefore, it is very popular among parents.
Parents are very worried if the five vaccines are out of stock, so you can consider the alternative of "single vaccine combination" vaccination:
Scheme A: DPT vaccine (Class I)+inactivated polio vaccine (Class I)+Haemophilus influenzae type B vaccine (Class II).
Scheme B: live attenuated polio vaccine (Class I)+quadruple vaccine (Class II).
Babies who have been vaccinated with five vaccines before can also adopt the above alternatives.
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★ The related knowledge involved in this article has been reviewed by experts:
Wang Dongchen: Attending physician of pediatric internal medicine in 3A hospital, master of pediatrics, engaged in pediatric clinical work for five years, specializing in children’s respiratory diseases, specializing in the diagnosis and treatment of common diseases in pediatric internal medicine and newborns.
Mei Kangkang: Master of Pharmacy, National Licensed Pharmacist, Deputy Director of Children’s Hospital, has been focusing on the science of safe medication for special people (infants, lactation and pregnancy) for many years, and won the title of the most popular doctor in Weibo Health Care in 2019.
Original title: "At the peak of mycoplasma pneumonia, when will the 13-price pneumonia vaccine be ready? Can it be made up if it is missed?" What other second-class vaccines must be vaccinated? 》
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