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General issues of Vaccine
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General issues of Tropical med.
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General issues of Travel med.
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Trematode (fluke, distoma)
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UPDATE HISTORY
- This page was created at 15th Feb 2023
Function of spleen against specific pathogens
Serious infections under apslenic condition
Vaccines specifically recommended for asplenia
Haemophillus influenzae type b (Hib) vaccine
Pneumococcal vaccines
Meningococcal vaccines
Interaction between meningococcal and pneumococcal conjugate vaccine
See Interactions of MenACWY conjugate vaccines and other vaccines
Immunization schedules for asplenia
※NOTICE
Catch-up schedules for asplenia with unimmunized for each of vaccine
Age
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Hib if unimmunized
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Pneumococcal if unimmunized
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Meningococcal if unimmunized
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Age
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years < 1
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- 3-4 Hib as Official Routine Schedules
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- 3-4 PCV13 as Official Routine Schedules
- PPSV23: wait until ≥ 2 years old
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- Wait until ≥ 2 years old
- consider unapproved imported MenACWY-CRM
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years < 1
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1 ≤ years < 2
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- 2 Hib [0, 8w]
- of which 1 dose as Official Catch-up Schedules
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- 2 PCV13 [0, 60d] as Official Routine Schedules
- PPSV23: wait until ≥ 2 years old
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1 ≤ years < 2
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2 ≤ years < 5
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- 2 PCV13 [0, 8w]
- of which 1 dose as Official Catch-up Schedules
- if PPSV23 precedes, 1 year after the precedent PPSV23
- 2 PPSV23 [0, 5y]
- 8 weeks after the last PCV13
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2 ≤ years < 5
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5 ≤ years < 6
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- 1 PCV13 as Official Catch-up Schedules
- if PPSV23 precedes, 1 year after the precedent PPSV23
- 2 PPSV23 [0, 5y]
- 8 weeks after the last PCV13
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5 ≤ years < 6
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6 ≤ years <10
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- 1 PCV13
- if PPSV23 precedes, 1 year after the precedent PPSV23
- 2 PPSV23 [0, 5y]
- 8 weeks after the last PCV13
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6 ≤ years <10
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10 ≤ years
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10 ≤ years
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Before a scheduled splenectomy
Post-splenectomy and congenital asplenia