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Inactivated Polio Vaccine
Aka: Inactivated Polio Vaccine, Polio Vaccine, OPV, IPV, EIPV
- Indications
- Primary Immunization series
- Travel to endemic area
- Asia
- Africa
- Pathophysiology
- Reasoning in switch from OPV to EIPV
- Rare risk of poliomyelitis
- See Oral Polio Vaccine complications below
- All EIPV would result in no cases of polio
- But decreased mucosal (GI, mucus membrane) Immunity
- Chance for exposure from cases from Endemic areas
- China
- India
- Contraindications to OPV
- Immunodeficiency disorders
- Household contacts of immunodeficient person
- Pregnancy
- Hypersensitivity to vaccine
- Anaphylactic reaction to neomycin or Streptomycin
- Dose
- Adults: EIPV 0.5 ml SC
- Schedule (New recommended schedule)
- Recent modification recommends EIPV for all 4 doses
- Dose 1: Age 2 months
- Dose 2: Age 4 months
- Dose 3: Age 6 to 18 months
- Dose 4: Age 4 to 6 years
- Precaution
- EIPV is Safe in HIV and Pregnancy
- Avoid OPV in HIV and Pregnancy
- Complications: Oral Polio Vaccine (OPV)
- Cases per year Poliomyelitis associated with OPV: 8
- One case per 2 million doses
- EIPV results in no cases of poliomyelitis
- References
- (1996) MMWR Morb Mortal Wkly Rep 45(RR-12):1-35
- (2000) MMWR Morb Mortal Wkly Rep 49(RR-5):1-22