Bubo®-M vaccine is injected intramuscularly into the deltoid muscle in a single dose of 0.5 ml.
Before vaccination, the ampoule must be shaken thoroughly until a homogeneous suspension is obtained.
Subcutaneous administration of the drug and the introduction of the gluteus muscle is not recommended due to a decrease in the effectiveness of the hepatitis component and the possibility of enhancing local reactions.
Primary vaccination children older than 6 years and adolescents who were not previously vaccinated against diphtheria, tetanus and hepatitis B are given three times according to the scheme: the first dose on the selected day, the second dose after 1 month, the third dose 6 months after first dose.
If it is necessary to increase the intervals, the vaccination should be carried out as soon as possible, determined by the state of health of the vaccinated person. With an increase in the interval between the first and second vaccinations for 5 months. and a third vaccination is given no earlier than 1 month later. after the second. Subsequent revaccinations of ADS-M toxoid are carried out in accordance with the vaccination calendar.
Revaccination of persons, previously vaccinated against diphtheria and tetanus, but not vaccinated against hepatitis B, is carried out once, followed by vaccination with hepatitis B vaccine with the missing vaccinations against hepatitis B at age dosage.
The preparation is not suitable for use in ampoules with broken integrity, lack of marking, with changing physical properties (discoloration, presence of unbreakable flakes), expired shelf life, improper storage.
For injection, only a disposable syringe is used.
Opening of ampoules and the vaccination procedure are carried out with strict adherence to aseptic and antiseptic rules. The drug in the opened ampoule is not subject to storage. The preparation of the drug is registered in the established registration forms with the serial number, control number, expiration date, manufacturer, date of introduction.