The vaccine is administered intramuscularly: adults, adolescents and older children in the deltoid muscle, newborns and young children - in the antero-lateral region of the thigh. Introduction to another place is undesirable due to a decrease in the effectiveness of vaccination. Persons with diseases of the blood coagulation system may be administered a subcutaneous injection of the vaccine. DO NOT INSERT.
Before vaccination, the shampoo with Shanwak-B should be shaken well until a whitish uniform suspension is obtained without foreign inclusions. A drug with altered physical properties is not subject to application.
Single dose is:
- for children and persons up to 19 years of age - 0.5 ml (10 μg HBsAg )
- for persons older than 19 years - 1 ml (20 mcg HBsAg )
- for hemodialysis patients - 2 ml (40 μg HBsAg )
For injection use a disposable syringe.
Selection of the drug in a syringe and the vaccination procedure are carried out with strict adherence to the rules of aseptic and antiseptic.
Place of injection before and after injection is treated with 70% alcohol.
The drug in the opened multi-dose vial should be used during the working day.
Vaccination of children in the national calendar of preventive vaccinations.
Vaccinations are performed three times according to the scheme: 0 (on the day of birth of the child) - 1-6 months.
Children who are not vaccinated when they reach the age of 13 are vaccinated at this age according to the following scheme: 0-1-6 months.
Children born to mothers carriers of hepatitis B virus or patients with viral hepatitis B in the third trimester of pregnancy, vaccination is carried out under the scheme: 0 (the day of birth) - 12 - 12 months. Simultaneously with the first vaccination, the child should be injected intramuscularly into another thigh with the human immunoglobulin against hepatitis B at a dose of 100 ME.
Scheduled vaccinations at other ages.
Children, adolescents and adults who were not previously vaccinated against hepatitis B are vaccinated according to the scheme 0-1-6 months.
Inoculations of previously vaccinated individuals who had contact with the material with an infected hepatitis B virus are carried out according to the scheme 0-1-2-12 months. Simultaneously with the first inoculation, one should inject intramuscularly (elsewhere) a human immunoglobulin against hepatitis B at a dose of 100 ME (children under 10 years) or 6-8 IU / kg (other age).
Patients of the hemodialysis department the vaccine is administered four times at intervals of 1 month.
Scheduled vaccinations against hepatitis B can be carried out simultaneously (on the same day) with other vaccines of the national immunization schedule (forexclusion of BCG vaccine), as well as inactivated vaccines of the vaccination calendar for epidemiological indications, with the drugs being injected with different syringes into different parts of the body. In the case of an increase in the interval between the first and W with a second vaccination up to 5 months and more than one third of the vaccination is carried out 1 month after the second.
Shanwak-B can be used to complete the immunization course initiated by other recombinant hepatitis B vaccines.
Edit Warnings
Shanwak-B does not prevent diseases caused by hepatitis A, hepatitis C, hepatitis E viruses, as well as pathogens causing other liver diseases. Due to the long incubation period of hepatitis B, there may be a latent infection before or during immunization. In such cases, the use of the vaccine can not prevent hepatitis B.
The immune response to vaccination is related to the age of the vaccinated. The weaker immune response is for people over the age of 40, as well as those with impaired immunity or previous immunosuppressive therapy. These persons may need additional vaccination, the conclusion about the expediency of which can be made in the case,if the content of specific antibodies is less than 10 IU / l.