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MINISTRY OF
HEALTH
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SOCIALIST REPUBLIC
OF VIETNAM
Independence – Freedom – Happiness
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No.: 2301/QD-BYT
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Hanoi, June 12,
2015
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DECISION
PROMULGATING
GUIDANCE FOR PRE-VACCINATION SCREENING EXAMINATION FOR CHILDREN
MINISTER OF HEALTH
Pursuant to the Government’s Decree No.
63/2012/ND-CP dated August 31, 2012 defining the functions, tasks, powers and
organizational structure of Minister of Health;
At the request of the Director General of the
Administration of Medical Examination & Treatment - the Ministry of Health.
DECIDES:
Article 1. To promulgate under this Decision the Guidance for
pre-vaccination screening examination for children.
Article 2. This decision takes effect from the date of signing. The
Decision No. 04/QD-BYT dated January 02, 2014 of the Minister of Health
promulgating guidance for pre-vaccination screening examination for children
shall be abrogated.
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PP. MINISTER
DEPUTY MINISTER
Nguyen Thanh Long
GUIDANCE
FOR
PRE-VACCINATION SCREENING EXAMINATION FOR CHILDREN
(Promulgated under the Decision No. 2301/QD-BYT dated June 12, 2015)
I. Purpose of screening
examination:
The purpose of screening examination is to discover
any abnormal cases requiring attention to decide whether the child should be
vaccinated.
II. Contraindications and
suspension of vaccination
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a) Children have medical history as shock or severe
reaction after the previous vaccination (of same vaccine ingredients) with the
following symptoms: have a high fever of 39°C or more with recurrent
convulsions or brain/meningeal signs, cyanosis and dyspnea.
b) Children have organ failure (such as respiratory
failure, circulatory failure, heart failure, renal failure, liver failure,
etc.)
c) Attenuated vaccine is contraindicated for children
having immunodeficiency (having primary immunodeficiency, clinical stage 4
HIV-infected children or having severe symptoms of immunodeficiency).
d) BCG vaccine is not used for children of
HIV-infected mothers who were not under preventive treatment and HIV can be
passed from such mothers to their children.
dd) Other contraindications as instructed by
manufacturer on each type of vaccine.
2. Suspension of vaccination:
a) Children have acute diseases, especially
infectious diseases.
b) Children have body temperature ≥ 37.5°C or ≤
35.5 °C (temperature at armpit).
c) Children have just used immunoglobulin for 3
months, except for cases that are using immunoglobulin for treatment of
hepatitis B virus.
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dd) Children have weight of under 2000 grams.
e) Other cases of suspension of vaccination as
instructed by manufacturer on each type of vaccine.
III. Organization of screening
examination:
1. Personnel conducting screening examination:
- Doctors, physicians: directly take physical
examination for the child and record information of that child, and directly
take and record body temperature in cases of absence of nurses/midwives.
- Nurses, midwives: Record the child’s information,
directly take and record body temperature of the child.
2. Facilities:
- Thermometer
- Stethoscope
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- Pre-vaccination checklist for newborn babies
(Annex II)
3. Steps for pre-vaccination screening
examination
Steps for conducting and filling in pre-vaccination
screening checklist include:
- Ask about medical history and relevant
information
- Evaluate health status at present
- Come to conclusion
4. Take notes of screening examination and keep
checklist
a) Pre-vaccination screening examination conducted
in hospitals:
- If the hospital uses separate medical record for
newborn baby, all information of screening examination (as stated in checklist)
and physician order for vaccination must be stated in medical record.
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Period for keeping shall comply with regulations on
keeping medical record files.
b) Pre-vaccination screening examination conducted
in other vaccination facilities (other than hospitals): all information of
screening examination shall be recorded according to the checklist which is
kept in vaccination facilities.
Period for keeping: 15 days.
ANNEX I
(Promulgated
under the Decision No. …………./QD-BYT dated ……………….)
BV/TTYTDP/TYT/PK
……………………
SOCIALIST REPUBLIC
OF VIETNAM
Independence – Freedom – Happiness
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PRE-VACCINATION CHECKLIST FOR CHILDREN
Full name of the child:
Male
□
Female
□
Age:
Born on: day…..
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year….
Address
Full name of parent:
Tel.:
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No
□
Yes
□
2. Have acute diseases or progressive chronic
diseases:
No
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Yes
□
3. Undergo or have just finished corticoid
therapy/ gamma globulin:
No
□
Yes
□
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4. Fever/hypothermia (Fever: temperature ≥ 37.5oC;
Hypothermia: temperature ≤ 35.5oC)
No
□
Yes
□
5. Abnormal heart beat
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□
Yes
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6. Abnormal breathing rates and lung sounds
No
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Yes
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7. Abnormal perception (lethargy or irritability)
No
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Yes
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8. Other contraindications
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No
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Yes
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Conclusion:
- Be qualified for vaccination (There is NO
abnormality)
□
Vaccine of this vaccination: ...........................................
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- Vaccine is contraindicated for this child (If
having any abnormality in items 1,8)
□
- Vaccination is suspended (If having any
abnormality in items 2, 3, 4, 5, 6, 7)
□
Made at ……hour(s)……minute(s),
on day………month…..year…..
Screening examination is conducted by
(signature and full name)
ANNEX II
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BV/TTYTDP/TYT/PK/NHS
……………………
SOCIALIST REPUBLIC
OF VIETNAM
Independence – Freedom – Happiness
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PRE-VACCINATION CHECKLIST FOR NEWBORN BABIES
Full name of the newborn baby:
Male
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□
Born at………hour(s)……..on day……month……..year………
Address
Full name of parent:
Type of vaccine to be injected in this vaccination:
1. Fever/hypothermia (Fever: temperature ≥ 37.5oC;
Hypothermia: temperature ≤ 35.5oC)
No
□
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□
2. Abnormal heart beat
No
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Yes
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No
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Yes
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4. Abnormal perception (lethargy or
irritability……poor feeding…..)
No
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Yes
□
5. Weight at birth is below 2000 grams:
No
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Yes
□
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6. Other contraindications
No
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Yes
□
Conclusion:
- Be qualified for vaccination (There is NO
abnormality)
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Vaccine of this vaccination:
...........................................
- Vaccination is suspended (If having any
abnormality)
□
Made at
……hour(s)……minute(s), on day………month…..year…..
Screening examination is conducted by
(signature and full name)
ANNEX III
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Normal resting respiratory rates by age
Age (years)
Breaths
(minute-based respiratory rates)
Newborn
40 - 50
< 1
30 - 40
1 - 2
25 - 35
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25 - 30
5 - 12
20 - 25
>12
15 - 20
(Medical treatment
guidelines – Volume III – Paediatric emergency response)
ANNEX IV
(Promulgated
under the Decision No. …………./QD-BYT dated ……………….)
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Age (year)
Beats (heart
beats/minute)
Newborn
140 - 160
< 1
110 - 160
1 - 2
100 - 150
2 - 5
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5 - 12
80 - 120
> 12
60 - 100
(Medical treatment
guidelines – Volume III – Paediatric emergency response)