Vaccination is carried out once dermally or intradermally. Revaccination is carried out according to the indications after 5 years with the same dose.
In order to identify contraindications, the doctor (paramedic) on the day of vaccination conducts a survey and examination of the vaccine with mandatory thermometry. At a temperature above 37 ° C, the graft is delayed. If necessary, conduct a laboratory examination.
Before each vaccination, the vaccinee is required to determine the presence of specific immunity with the help of one of the serological or skin-allergic reactions. Inoculations are subject to negative reaction.
The vaccine is recorded in the prescribed registration forms with the name of the drug, the date of vaccination, the dose, the name of the manufacturer, the serial number, the reaction to the vaccination.
Skin Vaccination:
Dry vaccine is diluted with water for injection, which is drug, at a rate of 0.1 ml per dose. The ampoule is shaken for 3 minutes until a homogeneous suspension is formed.
The inoculation is carried out on the outer surface of the middle third of the shoulder. The skin before inoculation is treated with alcohol or a mixture of alcohol with ether, the use of other disinfectants is not allowed. After evaporation of the alcohol with ether, one drop of the diluted vaccine is applied to the treated area of the skin with a sterile eyedropper in two places at a distance of 30-40 mm from each other. The skin of the shoulder is slightly stretched and a pair of parallel incisions of 10 mm in length are made through each drop of the vaccine, using a sterile scarifier (ospothrivial pen).
The serrations should not bleed, the blood should act only in the form of small dewdrops. The flat side of the ospothrivial pen, the vaccine is rubbed into the notches for 30 seconds and allowed to dry for 5-10 minutes.
Intradermal vaccination:
For intradermal needle-free administration, the vaccine is diluted in the same way as for cutaneous scarification application. Then, with a sterile syringe, 1 ml is transferred to a sterile injection bottle, to which 19 ml of sodium chloride solution for injection is added 0.9%. 20 ml of the obtained suspension contains 200 dosesvaccines for intradermal administration. The injection site of the vaccine is pretreated with alcohol or a mixture of alcohol and ether. The vaccine is injected intradermally in a volume of 0.1 ml into the outer surface of the middle third of the arm according to the instructions for the use of the BI-3M injector with the anti-infectious protector PPI-2 under the regime intended for intradermal administration.
Precautions for use
It is strictly prohibited to inject the vaccine diluted for cutaneous scarifying application intradermally!
It is not possible to use a vaccine whose package integrity is damaged, with changed physical properties (foreign impurities, insoluble flakes), expired, if storage conditions are violated.
Opening of ampoules and the procedure for administering the drug are carried out with strict adherence to aseptic and antiseptic rules. A diluted vaccine, preserved with aseptic rules, can be used for 2 hours.
Given the possibility of developing an anaphylactic shock, in some highly sensitive individuals, the vaccinated should be under medical supervision for at least 30 minutes.Vaccination sites should be provided with anti-shock therapy.