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close this bookImmunization in Practice - Modules 1-11 (WHO; 2001; 242 pages) [FR]
View the documentIntroduction to the course
open this folder and view contentsModule 1: EPI target diseases
open this folder and view contentsModule 2: EPI vaccines
open this folder and view contentsModule 3: The cold chain
open this folder and view contentsModule 4: Ensuring safe injections
open this folder and view contentsModule 5: Organizing immunization sessions
open this folder and view contentsModule 6: During a session: registering and assessing clients
open this folder and view contentsModule 7: During a session: preparing vaccines
close this folderModule 8: During a session: giving immunizations
View the documentAbout this module
View the document1. How to give a BCG immunization
View the document2. How to give an OPV immunization
View the document3. How to give a DPT immunization
View the document4. How to give a hepatitis B immunization
View the document5. How to give a measles immunization
View the document6. How to give a yellow fever immunization
View the document7. Giving a tetanus toxoid immunization
open this folder and view contentsModule 9: After a session
open this folder and view contentsModule 10: Communicating with parents and involving communities
open this folder and view contentsModule 11: Monitoring immunization coverage
View the documentBack Cover
 

3. How to give a DPT immunization

The combination diphtheria-pertussis-tetanus (DPT) vaccine is usually given at the same time as OPV.

3.1 Prepare the DPT vaccine

1) Shake the vial so that the sediment at the bottom mixes completely with the liquid. If the toxoid is not well mixed the correct dose cannot be given.

2) If you suspect that the toxoid has been frozen and thawed, check for damage by using the shake test (see Module 3).

3) Remove the centre of the metal cap on the vial with a metal file.

3.2 Position the child

Ask the parent to remove any clothing from the child's right or left leg so that the thigh is bare.

The child should sit on the parent's lap as indicated below:

• The parent's left arm should be around the child, supporting her or his head and holding the outside arm.

• The child's inside arm should be tucked around the parent's body.

• The parent's right hand should hold the child's legs firmly.

Inject DPT vaccine into the thigh, NEVER into the buttock.


Figure 8-G: Holding child for DPT immunization

Injections into the buttock the buttock should not be used as an immunization site for children or women because there is a risk of injury to the sciatic nerve which can cause paralysis.

3.3 Inject the DPT vaccine

You need a sterile 1.0 ml syringe and a sterile 25 mm, 22 gauge reusable needle or a 25 mm, 23 gauge single-use needle.

1) Put your finger and thumb on the OUTER part of the middle of the child's thigh.

2) Stretch the skin flat between your finger and thumb.

3) Quickly push the needle straight down through the skin between your fingers. Go deep into the muscle.


Figure 8-H: Needle position for DPT

4) Press the plunger with your thumb to inject the vaccine.

5) Withdraw the needle and press the site with cotton wool.

Remember about DPT injections:

Give 0.5 ml on three occasions:

at 6 weeks;
at 10 weeks;
at 14 weeks.

Inject DPT into the child's thigh.
Do not inject DPT (or any other vaccine) into the buttock.
Do not freeze DPT.
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