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Prem babies and first vaccinations
Abbylovescakes

26 Posts

Posted:  11-Oct-2017 17:04
Ive just done my 2 day imms and vaccs training but there is one thing I am still unclear on. Re: prem babies having their first imms in hospital - is there a cut off for this? For example, would you immunise a baby born at 30 weeks in hospital? I appreciate very prem babies are likely to still be in hospital at 8 weeks old, but I'm unsure, for example, if a baby born at 32 weeks, would be immunised in hospital or primary care. Is there a national policy, is it local policy or clinical judgement?

Thanks
Della

1600 Posts

Posted:  11-Oct-2017 20:22
I don't know the answer to this, but hospital would decide if first imms whilst still there are necessary ,and it would say on discharge summary if they had been given. So it is a decision that you would ever have to make yourself.
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alicog

418 Posts

Posted:  11-Oct-2017 20:23 Log in to like this post
babies will always be vaccinated in community unless still in hospital, if so they will be vaccinated there. They are given at 8 week post delivery , not 8 week after due date.
mika

401 Posts

Posted:  11-Oct-2017 21:42
Don't forget you may need to adjust the paracetamol dose as per children's BNF depending on the baby's gestation and weight.
blue.tunic.syndrome

1493 Posts



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Posted:  12-Oct-2017 00:21
Also review the SPC of Rotavirus re gap between doses for prem babies . Agree with Alicog 

Faith x
Sisters function as safety nets in a chaotic world simply by being there for each other.
Abbylovescakes

26 Posts

Posted:  12-Oct-2017 12:08
So they would only be vaccinated in hospital if they were inpatients at the time, otherwise it would be done in GP? And if they did have an adverse reaction to the first, they should have their second in hospital - so I would just ask the parent how they were?

Will look re: paracetamol and rotavirus gap. Thanks
Abbylovescakes

26 Posts

Posted:  12-Oct-2017 12:13
So they would only be vaccinated in hospital if they were inpatients at the time, otherwise it would be done in GP? And if they did have an adverse reaction to the first, they should have their second in hospital - so I would just ask the parent how they were?

Will look re: paracetamol and rotavirus gap. Thanks
blue.tunic.syndrome

1493 Posts



Profile Picture
Posted:  12-Oct-2017 13:08
Yes Abby, it seems that you are concerned about adverse reactions in this group, I wouldn't have any more concern vaccinating a prem child than any other. 
One thing you do need to do is take time to choose the 2 sites on the right thigh carefully with a smaller leg, identifying the muscle and placing the first high enough to enable a second vaccine a minimum of 2.5cm away. 

Faith x
Sisters function as safety nets in a chaotic world simply by being there for each other.
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