Leitura clínica
Comentário
Vacina de vírus vivo atenuado não indicada em menores de 6 meses. Considera-se segura durante a amamentação a partir dos 6-9 meses de idade. Em algumas amostras de leite foi detectado tanto o vírus selvagem quanto o da vacina. Há publicados vários casos de transmissão do vírus pelo leite após vacinar mães de crianças lactentes menores de 1 mês de idade que sofreram meningoencefalite por febre amarela. Deve-se vacinar mães lactantes de crianças maiores de 9 meses que viajam para zonas endêmicas. Não se recomenda viajar com menores de 9 meses a zonas endêmicas por não estar indicada a vacinação até essa idade (risco alto de meningoencefalite). Se a viagem não pode ser adiada, a mãe lactante de um menor de 9 meses deve ser vacinada e deve extrair leite e descartá-lo os 14 dias que dura a eliminação do vírus após a vacina. Para mães residentes em zonas endêmicas é recomendável adiar a vacina até que a criança complete 6 meses de idade. Lista OMS/UNICEF de medicamentos essenciais (11º modelo 2002): Compatível com a amamentação.
Encontrabilidade
Outros nomes e marcas
Marcas comerciais na fonte 3
- Arilvax
- Stamaril
- YF-Vax
Rastreabilidade
Bibliografia
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