Canterbury DHB
We recommend routine vaccinations for all patients. These must be administered subcutaneously.
Children should be routinely vaccinated by their general practitioner for standard public health vaccinations. No specific prophylaxis is required. Prolonged local pressure for a minimum of 10 minutes is recommended at the injection site. If tetanus vaccination is being given, prophylactic cover is preferred because of the local irritant effect associated with this vaccine. Vaccination that may be required for travel abroad can be given in the normal manner but gammaglobulin should not be given by intramuscular injection.
All patients who are sero-negative for hepatitis B and who may require blood products at any stage should be vaccinated against hepatitis B. Such patients require regular follow-up of their hepatitis B immune status and re-vaccination when appropriate.
Vaccination should be considered in patients who are Hep A IgG negative and receiving plasma products. Patients who are hepatitis C positive, but Hepatitis A IgG negative, should be given the Hepatitis A vaccine.
Topic Code: 5235