Our policies:

Besides, the American Academy of Pediatrics insists on bacterination of all teenagers that can make to 70 % of all bacterinations at school. Recommended schedules of bacterination Vaccine against a hepatitis In vysokoimmunogenna at teenagers and young men. It is necessary to consider as the positive moment the mobile schedule of bacterination.
If the teenager of 11-12 years has not been vaccinated earlier, it is necessary to enter 3 doses of a vaccine (tab. 30). After 12-year-old age bacterinations of the person from groups of the raised risk are subject. Immunoprofilaktika a measles, a parotitis, rubellas (MMR-vaccine). 2nd dose Within 80th years of flash of measles took place in the USA among schoolboys with level protivokorevoj bacterinations less than 98 %. Since 1989 bacterination against measles for teenagers that provided protection more than 98 % has begun 2-dozovaja. On the basis of this experience it has been established that introduction of the second dose is necessary, but the question on introduction terms is not up to the end dealt with yet: or to children of 4-6 years of years, or teenagers of 11-12 years. When the teenager has no second dose it should be vaccinated.
Introduction of 2nd dose make to the teenagers who have not received the second dose after 12-month's age. It is necessary to remember that this vaccine should not be entered to pregnant teenagers or those who within the next 3 months is going to become pregnant. To Russia the revaccination against the specified infections is entered into a calendar for children of 6-year-old age. Immunoprofilaktika a diphtheria and a tetanus (ADS-VACCINE) Domestic references differ as on introduction terms, and a choice of preparations for a revaccination a little. So, on the Russian calendar a revaccination spend to 6 and 16-17 years ADS TH anatoxin, and to 11 years of a BP TH an anatoxin. As well as all over the world, - each next 10 years it is necessary for adult to enter ADS TH or a BP TH an anatoxin. Busternye doses of the ADS-VACCINE are recommended to be entered into the USA as with 10-year-old intervals. Despite it, the percent of seropositive persons at the age of 18-39 years makes no more than 62 %. As a result within 1991-94 from 201 cases of a tetanus in the USA in 191 (95 %) disease took place at persons is more senior 20 years, and in 9 cases of a diphtheria from 20 (45 %) this disease also has developed at patients is more senior 20 years. Recommended introduction busternoj doses ADS summer age assumes at 11-12 that at this age risk of serious system effects in comparison with 14-16-������� teenagers there is less.
busternoj doses ADS to teenagers in 11-12 years or 14-16 years make introduction, if they have received the first series of bacterination and were not revaktsinirovany the last 5 years. After introduction busternoj in 11-12 years all the subsequent busternye doses ADS and a BP it is necessary to enter doses ADS each 10 years. Immunoprofilaktika a poliomyelitis Since 1979, in the USA the paralytic poliomyelitis is not registered. Vaccines-assotsiirovannyj the paralytic poliomyelitis (VAP) however continues to take place. In this connection for routine immunization of children since 1997 there is begun consecutive bacterination inaktivirovannoj and a live vaccine under the scheme: 2 doses IPV, then 2 doses OPV (MMWR Morb Mortal Weekly Rep., 1997). In Russia last introduction OPV is recommended at 6-year-old age, and the reference on introduction inaktivirovannoj vaccines have not entered into a new vaccinating calendar. Immunoprofilaktika a flu Bacterination against a flu is spent to teenagers at whom under medical indications the risk of complications of a flu is high. Besides, it is necessary to vaccinate the teenagers having close contacts to persons with high risk of complications of a flu. The basic indications for introduction protivogrippoznoj vaccines to teenagers the following: - Presence of chronic disturbances from outside respiratory organs, including a bronchial asthma;
- To the patients demanding regular hospitalisation within year, and also persons, with metabolic disturbances (including, a diabetes), illnesses of kidneys, hemoglobinopathies, immunodefitsitnym to persons (including treated cytostatics); - Receiving long time aspirin;