Preface
There are many parents who will face the question: My child is full moon, but there is still jaundice, can I vaccinate? Do I have to wait for the jaundice to subside before I can vaccinate?
First of all, we need to know what is neonatal jaundice?
Neonatal jaundice is the most common clinical symptom in infancy and is mainly caused by the accumulation of bilirubin in the body, causing yellowing of the skin, mucous membranes, or other organs. Jaundice is only a symptomatic diagnosis, not a disease. Neonatal jaundice is divided into physiological jaundice, breast milk jaundice and pathological jaundice, most of which are physiological jaundice.
Second, we need to understand the need for vaccination
The mainland is an area with a high incidence of hepatitis B (HBV, hepatitis B), and early vaccination against hepatitis B is the key to reducing the rate of HBV infection in newborns and controlling the epidemic of hepatitis B. Some guidelines point out that preterm infants should be given the first dose of hepatitis B vaccine as soon as possible if their vital signs are stable and do not need to be considered weight, and most preterm infants can be vaccinated with other vaccines according to the usual schedule according to their actual age, and there is no need to delay vaccination according to corrected age. It is also believed that babies with physiologic jaundice and well-behaved breast milk jaundice cannot be vaccinated. The World Health Organization (WHO) has long pointed out that jaundice in newborns after birth is a false contraindication to vaccination. It has also been pointed out in domestic literature that for infants with late-onset breast milk jaundice and simple indirect bilirubin increase, transcutaneous bilirubin increase alone cannot be used as a contraindication to hepatitis B vaccination.
Recommendations for vaccination given at the end
1. The situation that can be vaccinated
Children with physiological jaundice and breast milk jaundice are in good health and can be vaccinated according to the immunization schedule.
Children with pathological jaundice have stable vital signs and can be vaccinated against hepatitis B normally.
2. Suspension of vaccination
Children with pathological jaundice need to be identified in a timely manner, postpone vaccination with other vaccines, and go to a specialist outpatient clinic is recommended.
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