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Question

Open vial policy applies to which one of the following vaccines?

The correct answer is
Hep B

Open Vial Policy Vaccine Application

The "Open Vial Policy" refers to specific guidelines for using multi-dose vaccine vials after they have been accessed for the first time. This policy ensures vaccine potency and prevents contamination, defining how long a vial can be kept and used.

Hepatitis B Vaccine Handling

The Hepatitis B (Hep B) vaccine is commonly supplied in multi-dose vials. Due to this packaging, it is subject to specific "Open Vial Policy" guidelines, which dictate the expiry period after the vial is opened (often 28 days when stored correctly, depending on manufacturer and guidelines).

Rationale for Other Vaccines

Other vaccines listed are typically managed differently:

  • BCG vaccine: Often supplied in single-dose vials and requires reconstitution immediately before administration. Once reconstituted, it must be used promptly.
  • Measles vaccine: Usually provided as a lyophilized powder in single-dose vials that require reconstitution and immediate use.
  • JE vaccine (Japanese Encephalitis): Availability varies, but it is often supplied in multi-dose vials where specific storage and expiry after opening apply, though Hep B is a more standard example universally covered by explicit 'open vial' protocols in many regions. However, the Hep B vaccine is the most quintessential example concerning widespread 'open vial policy' application in standard vaccination schedules.

Therefore, the Hep B vaccine is the most direct answer concerning the standard application of the open vial policy.

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Important Questions from Child Immunization

  1. Which one of the following is the correct dose and route of administration of hepatitis B vaccine in children?

  2. Which one of the following statements is correct for approved acellular pertussis vaccine?
  3. As per WHO recommendations which one of the following mumps vaccine strains should NOT be used in National Immunization Programme?

  4. Which of the following is a contraindication for BCG vaccination in a newborn?

  5. A 6-year old boy comes to the immunization clinic having received all vaccines as per schedule till 18 months of age. Which vaccine should be administered now?

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