Precautions for meningococcal vaccination

  Meningococcal vaccines are divided into meningococcal polysaccharide vaccine (MPV), meningococcal polysaccharide conjugate vaccine (MPCV) and combination vaccine due to different preparation processes. There are currently 5 types of meningococcal vaccines on the market in China: Group A Meningococcal Polysaccharide Vaccine (MPV-A), Group A Meningococcal Polysaccharide Vaccine (MPV-AC), ACYW135 Meningococcal Polysaccharide Vaccine (MPV-ACYW), A+ Group C meningococcal conjugate vaccine (MPCV-AC), AC-Hib combination vaccine (MPCV-AC-Hib).
  Of EPI vaccination program meningitis
  vaccination and vaccination doses MPV-A 2 times, respectively, in 6 months, 9 months seeded by each one. MPV-AC was vaccinated in 2 doses, 1 dose each at 3 years old and 6 years old.
  Note ①The interval between two doses of MPV-A should not be less than 3 months. ②The interval between the first dose of MPV-AC and the second dose of MPV-A is at least 1 year. ③The interval between two doses of MPV-AC should not be less than 3 years. Avoid repeated vaccination within 3 years.   School-
  age children choose to vaccinate non-immunization program meningococcal vaccine vaccination program
MPCV-AC vaccine ① 3 to 23 months old infants, basic immunization complete 2 to 3 doses, each dose interval at least 1 month. One dose of MPCV-AC should be boosted every 5 years. ② People ≥2 years old should receive 1 dose of MPCV-AC, and booster immunization of MPCV-AC should be performed every 5 years. ③The specific vaccination procedure can be carried out in accordance with the vaccine instructions.
  MPCV-AC-Hib vaccine ① 2 to 5 months old, 3 doses of basic immunization, at least 1 month between each dose. ② 6 to 11 months of age, 2 doses of basic immunization, with an interval of at least 1 month between each dose. ③12 to 71 months old, 1 dose of basic immunization.
  For those who have completed the basic immunization of MPCV-AC-Hib, one dose of MPCV-AC should be boosted at 5 years after the basic immunization.
  The MPV-ACYW vaccine is not recommended for basic immunization against meningococcal meningitis in children under 2 years of age. MPV-ACYW can be used instead of MPV-AC for booster immunization of children aged 3 and 6 years.
  Vaccinations for special populations
  HIV-infected persons shall be vaccinated and re-vaccinated in accordance with the immunization program stipulated by the national immunization program, and the dose shall be boosted every 5 years after completing the routine immunization.
  For people with other immune deficiencies, people with lack of complement components, functional or anatomical asplenia should be vaccinated and supplemented in accordance with the immunization program specified by the national immunization program. It is recommended to boost the dose every 5 years after completing the routine immunization.
  Pregnant women: Pregnant women who are at risk of infection or travel to areas endemic for meningococcal meningitis can be vaccinated against meningococcal.
  Travellers who travel, work or live in areas where meningococcal outbreaks are occurring or where meningococcal outbreaks are occurring should be vaccinated against meningococcal before departure. Perform in accordance with the instructions.
  Hot Topic
  Q: before and after vaccination to pay attention to what?
  Answer: Before vaccination, it is necessary to know if the recipient has any contraindications for meningococcal vaccination. People who are allergic to any component of the vaccine and those who are allergic to tetanus toxoid should not be vaccinated with MPCV-AC and MPCV-AC-Hib; patients with encephalopathy, uncontrolled epilepsy and other progressive neurological diseases, moderate or For severe acute diseases, no matter whether you have fever or not, you should be cautious about vaccination.
  After vaccination, you need to stay on site for 30 minutes to observe whether there is any allergic reaction, etc., and then leave after there is no abnormality. Rest properly after going home, drink plenty of water, eat lightly, keep warm, and avoid strenuous activities. Pay attention to the hygiene of the inoculation site to avoid secondary infection.
  Q: What should I do if there is an adverse reaction?
  Answer: The adverse reactions after vaccination are generally very mild, mostly manifested as redness, swelling, induration, pain at the injection site, and occasionally blisters. Very few babies will have systemic reactions, such as fever, diarrhea, anorexia, vomiting, fatigue, rash, etc. It mainly appears within 24 hours after vaccination, and it can subside on its own. Generally, no special treatment is required. If you have a fever that exceeds 38.5 degrees Celsius or take antipyretic measures and no improvement, please seek medical advice in time.
  Q: Is the paid ACYW135 meningococcal vaccine to be vaccinated?
  Answer: The ACYW135 meningococcal vaccine is now a second-class vaccine, and it is vaccinated in accordance with the principles of informed, voluntary, and self-financed vaccination. For children and adults over 2 years old. ACYW135 meningococcal polysaccharide vaccine contains 4 subtypes that are currently popular, and the scope of disease prevention is wider. It is recommended to travel to or live in epidemic areas, medical staff, laboratory personnel, military personnel, etc. for vaccination.