DIFTET
DT VACCINE
DIPHTHERIA AND TETANUS VACCINE (ADSORBED)
VACCINUM DIPHTHERIAE ET TETANI ADSORBATUM
 
COMPOSITION

Human vaccinating dose 0.5 ml contains:
Purified Diphtheria Òîxoid not less than 30 IU
Purified Òåtanus Òîxoid
not less than 40 IU
Àluminium hydroxide (Al+++)
not more than 1.25 mg
Òhiomersal not more than 0.05 mg
Sodium chloride not more than 5.00 mg
Water for injection q. s. 0.5 ml

The vaccine meets the requirement of WHO for DT vaccine (Requirements for Diphtheria, Tetanus, Pertussis and combined vaccines; WHO Technical Report Series No. 800, 1990).


ADMINISTRATION

DT vaccine is recommended for reimmunization against diphtheria and tetanus in children below 7 years of age.
DT vaccine is used for primary immunization and reimmunization against diphtheria and tetanus of children above six weeks, if there are contraindications for administration of DTP vaccine.
For persons 7 years and older, a special adsorbed vaccine for adults, Td, is recommended.
The vaccine vial should be shaken before use to homogenize the suspension. The vaccine should be injected intramuscularly or deep subcutaneously. A sterile syringe and a sterile needle should be used for each person.
Do not injected I.D.!

Once opened, multi-dose vials should be kept between +2°C and +8°C. Multi-dose vials of DT from which one or more doses of vaccine have been removed during an immunization session may be used in subsequent immunization sessions for up to a maximum of 4 weeks, provided that all of the following conditions are met (as described in WHO policy statement: The use of opened multi dose vials in subsequent immunization sessions. WHO/V&B/00.09):
  • The expiry date has not passed;
  • The vaccines are stored under appropriate cold chain conditions;
  • The vaccine vial septum has been submerged in water;
  • Aseptic technique has been used to withdraw all doses

IMMUNIZATION SCHEDULE

Single immunization dose: 0.5 ml
DT vaccine is used for reimmunization of children below 7 years of age with single dose 0.5 ml. Vaccine should be injected intramuscularly.
Primary immunization – when there are contraindications to pertussis component, DT vaccine is applied by the immunization schedule of DIFTETKOK (DPT). Three intramuscular injection of 0.5 ml given in an interval not less than 4 weeks.

DT may be given at the same time as BCG, Measles, Rubella, Mumps, Polio vaccines (OPV and IPV), Hepatitis B, Hib, Yellow Fever vaccine and Vitamin A supplementation.

SIDE EFFECTS
Some transitional tenderness and redness at the site of the injection and occasional fever, but they disappear in 1 – 2 days.

CONTRAINDICATIONS
Strongly expressed reactions to the first dose with DT.
Manifestation of adverse reactions, related with some of constituents of preparation.

IMMUNE DEFICIENCY
 
Individuals infected with human immunodeficiency virus (HIV), both asymptotic and symptomatic, should be immunized with DT vaccine according to standard schedule.

STORAGE
 

DT vaccine should be stored and transported between +2°C and +8°C, in dark.
IT MUST NOT BE FROZEN.
Freeze vaccine is unfit for application!
Keep out the reach of children.


PRESENTATION
The vaccine comes in ampoules 0.5 ml – 1 dose and vials of 5.0 ml – 10 doses and vials of 10.0 ml - 20 doses.

NAME AND ADDRESS OF MANUFACTURER

BB-NCIPD Ltd. BULGARIA
1504 Sofia, 26 Yanko Sakazov Blvd.
Tel.:**359 2 944 69 99 / 243
Fax: **359 2 943 30 75
E-mail: bulbio@bulbio.com

Last Revision: May 2004


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