Adult Immunizations

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Post exposure Immunization

Tetanus Immunization Schedule.

History of Dirty, tetanus-prone wound Clean, non-Tetanus prone tetanus wound immunization TD TIG TD TIG.

Unknown or Yes Yes Yes No.

3 doses.

3 or more No No No No

doses

TD = Toxoid TIG = Immunoglobulin

Rabies Post-Exposure Immunization Schedule (Unvaccinated persons).

Immunizing product Regimen.

HRIG 20IU/kg, if feasible infiltrate 1/2 dose around wound(s), the rest IM in gluteal area. Not in same syringe as vaccine.

Vaccine: HDCV or RVA 1.0ml IM in deltoid area (only acceptable site in adults and older children; younger children outer aspect of thigh - never in gluteal area). Days 0, 3, 7, 14, 28.

HRIG =Human Rabies Immuno Globulin HDCV = Human Diploid Cell Vaccine RVA = Rabies Vaccine.

Hepatitis B Post-Exposure Prophylaxis for adults
(percutaneous, permucosal, sexual).

Exposed Exposure source.

person HbsAg + HbsAg - Unknown.

Unvaccinated HBIG 5.0ml IM HB vaccine Do HbsAg test.

+ HB vaccine on source of exposure.

Vaccinated Test exposed for No Rx Test exposed for Anti-HBs, if <10 (antibody res- anti-HBs, if >/=10 U/ml, give one dose HB vaccine; if

ponse unkno U/ml, no Rx; if < 10 >/= 10 U/ml no treatment

wn) U/ml: HBIG + 1 dose HB vaccine.

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