Diphtheria, tetanus toxoids, acellular pertussis vaccine, inactivated poliovirus vaccine, Haemophilus influenzae type b PRP-OMP conjugate vaccine, and hepatitis B vaccine (DTaP-IPV-Hib-HepB), for intramuscular use
CPT4 code
Name of the Procedure:
Diphtheria, tetanus toxoids, acellular pertussis vaccine, inactivated poliovirus vaccine, Haemophilus influenzae type b PRP-OMP conjugate vaccine, and hepatitis B vaccine (DTaP-IPV-Hib-HepB), for intramuscular use.
Summary
The DTaP-IPV-Hib-HepB vaccine is a combination immunization that protects against six serious diseases: diphtheria, tetanus, pertussis (whooping cough), polio, Haemophilus influenzae type b (Hib), and hepatitis B. It is administered as a single intramuscular injection.
Purpose
The DTaP-IPV-Hib-HepB vaccine is designed to prevent infections caused by the bacteria and viruses responsible for diphtheria, tetanus, pertussis, polio, Hib disease, and hepatitis B. Vaccination aims to provide immunity and prevent the complications associated with these diseases, including severe illness and death.
Indications
- Routine immunization for infants and young children.
- Individuals who are at risk of exposure to the diseases covered by the vaccine.
- Patients without contraindications to the vaccine components.
Preparation
- No specific fasting or dietary restrictions are usually required.
- Review the patient's medical history for allergies or previous adverse reactions to vaccines.
- Informed consent should be obtained.
Procedure Description
- The healthcare provider will clean the injection site, usually the thigh or upper arm, with an antiseptic.
- The vaccine dose is drawn into a syringe.
- The vaccine is injected into the muscle using a sterile needle.
- The site is cleaned and managed for any immediate reactions.
Duration
The injection process usually takes less than 5 minutes.
Setting
The vaccine is typically administered in a pediatrician's office, outpatient clinic, or healthcare provider's office.
Personnel
The procedure is carried out by a licensed healthcare provider, such as a nurse, pediatrician, or general practitioner.
Risks and Complications
- Common: Pain at the injection site, mild fever, and fatigue.
- Rare: Severe allergic reactions, high fever, or seizures.
- Managing complications typically involves symptomatic treatment and emergency care for severe reactions.
Benefits
- Provides immunity against six serious diseases.
- Reduces the risk of severe illness, hospitalization, and death.
- Immunity develops within weeks and is long-lasting with the complete vaccination series.
Recovery
- Monitor for immediate reactions for about 15-30 minutes post-injection.
- Mild side effects like swelling and fever may occur and typically resolve within a few days.
- Normal activities can usually be resumed shortly after the injection.
Alternatives
- Individual vaccines for each disease.
- Pros: Individual vaccines may be used if there are contraindications to combination vaccines.
- Cons: Requires multiple injections and more office visits.
Patient Experience
- The injection may cause brief discomfort or pain.
- Post-procedure, the patient might experience minor soreness at the injection site.
- Pain can be managed with over-the-counter pain relievers and cold compresses if needed.