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Question 38 · LEK · Introduction

Parents present to the GP a 6-week-old infant, born in February 2017, for vaccinations. Indicate the correct management concerning the immunisation against invasive pneumococcal disease (IPD) taking into consideration that the child was born at 36th week of gestation and the birth weight was 2100 g:

  1. A. the child is not a subject to the mandatory vaccinations against IPD but can be vaccinated within the frame of the elective vaccinations covered financially by parents.
  2. B. the child can be vaccinated against IPD within the frame of mandatory vaccinations (free of charge) using the schedule: two doses of primary immunisations and one booster dose.
  3. C. the child can be vaccinated against IPD within the frame of mandatory vaccinations (free of charge) using the schedule: three doses of primary immunisations and one booster dose.
  4. D. vaccination against IPD is contraindicated in children with a birthweight below 2500 g.
  5. E. vaccination against IPD in children with a birthweight below 2500 g can be performed in the second half of the first year of life at the earliest.
Hint

Under the Polish immunisation programme, preterm or low-birth-weight infants receive a more intensive pneumococcal primary series.

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