193
o67163308060
Acute8515960128101163233273336
infectious1221596012868138185247309348386457526581
or1837596012899146
non-infectious2018596012898169239288325396442505567605644714785839
diseases2892596012899137192255316371433487
or3415596012899146
exacerbation3596596012892161224286347394464526565604673744
of4375596012899145
chronic4555596012892162210279348388450
diseases5040596012898138192255317370433487
(vaccination851839012847117180242305343412475514552622693
2-41578839012870118187
weeks18018390128101162225294349
after2185839012863110147210257
recovery/remission).24778390128471071702403103734194895275746367467838388939321002107111181154
o671111608060
Pregnancy8511080012878125187257327390459522592
(first14761080012861108147194249288
and18001080012876145214
second20501080012869131194263333403
trimesters).24881080012853101138248308363402465512565612648
In31711080012860130
the33371080012853123185
third35571080012854123163210279
trimester,38711080012853101138248308363402465512547
it4452108001285292
may459310800128110170241
be48681080012885147
possible50501080012885155209264303372412474
based8511321012870133188249320
on12051321012889159
a13991321012880
physician's15141321012888159229282322384422485554579633
decision21851321012888150213251306344415484
to27051321012857126
protect28671321012887135205243306368406
the33081321012858127190
newborn.35331321012888151252322391439508543
Recommendation:41111321012811217523630641552458465472578882786693610051045
Get519013210128120182221
a54461321012881
booster8511563012870141210265304367412
vaccination12981563012871133195257296366428466506575645
during19791563012870139186225295365
the23791563012839108171
pregnancy25851563012870116179248318381450513583
planning32021563012870109172242312350421490
stage.3728156301285593155224287322
Side8511805012878117188249
Effects:11361805012885131178240303342396434
Usually85120460128101155226289327366437
mild132220460128109146185256
and16132046012863131202
short-lived:18512046012853123193239278327366405475537606646
671231609146
Local:8512287012886155218281320358
Redness,12452287012893156225294357412466501
induration,17812287012839108178249296357396436505575610
soreness24262287012855124171234303365420474
at29362287012862100
the30712287012839108171
injection32772287012838109148210272310349419489
site3801228701285593132194
(in4030228701284786155
15-25%).42212287012870139190259329446492527
671255709146
General:85125290128101163233296343405443483
Malaise,136925290128125186225288326380443478
low-grade18822529012838108209256326373435504567
fever24852529012846109178240287
(37-37.5°C),28072529012847116186234303373409477534628674709
headache.35502529012870133195264327389458521556
671279909146
Rare:8512771012894156203265304
Allergic119127710128101139178241287356395458
reactions16842771012847109171232271310380450505
(urticaria,22252771012846115162200240302364410449511546
angioedema).28062771012862132202241311374443505615675722757
Vaccination85130120128101163225288327397459498537607677
Schedule15643012012878140209271341410450512
for21103012012847117164
Adults230930120128102171241280319374
671328209146
If851325401284794
the9803254012866136199
adult12143254012890159230268307
was155632540128129190245
vaccinated18373254012897160222283322393455494556626
in24983254012866136
childhood:26693254012890160198237308377447517587626
Single33333254012878117187257296359
booster37273254012897167236291330393439
dose42013254012897167221284
with451932540128129167207277
the48323254012866135198
ADS-m506532540128129230307357466
vaccine8513495012870133195258296365428
every13143495012863133194241311
1016593495012870140
years18353495012870130193239294
(without21653495012846148186225295365435474
age26743495012863131194
limit).2903349501283977187224263310345
671376509146
If851373701284794
the9803737012839109171
adult11863737012862132202240280
was150137370128102163218
NOT175537370128101202287
vaccinated20763737012870133196258296366429468529600
previously27103737012870117179249288358427482521591
or33363737012870117
records34883737012847109171241288357412
are39353737012863110170
lost:41413737012839108163201241
1.6713978012870106
First8513978012878117164219257
vaccination11423978012871133196258296367428467506577646
(ADS-m).18243978012846148248325372482526562
2.6714220012870106
After85142200128101148187249296
30-4511824220012870140187256327
days15434220012870133203256
–18354220012870
second19414220012854116177248317388
vaccination23634220012870133195258296365428467505575646
(ADS-m).30444220012847148248325373483528563
3.6714461012870106
6-98514461012870118188
months107444610128110177248287357411
after15204461012863109148210257
the18124461012839108171
second20184461012853115177248317388
–24424461012869
third25474461012839109147194264
vaccination28454461012871133196257296366428466506575646
(ADS-m).35274461012846148248326374483528563
4.6714702012870106
Subsequently8514702012878148219273336405474537607646684755
–16404702012870
routine17464702012846116187225265335397
booster21784702012871140210265303366413
vaccinations26244702012871133196258296366428467506576645700
every33604702012862131194240311
1037044702012870140
years.38804702012870131193240294330
Conclusion:85149470126101171249312351429483521592670716
Diphtheria160249450128101140210280319389452498537599
remains22364945012855116225285324395450
a27224945012868
serious28254945012860123169207278348403
threat32624945012845115163224286325
for36224945012853122170
unvaccinated38274945012875146216278340402441511573611673743
adults46064945012869138208247286340
and49814945012869138208
those52254945012845115185240301
who85151860128101171242
have11285186012896158228291
lost14545186012864135189227
their17175186012865134197236283
immunity.20365186012863173281349419459498569602
The267351860128113183245
only29535186012897167206276
reliable32635186012872135174213276345384446
method374551860128135195234304375445
of42255186012896143
prevention44045186012895142204273336405444483554623
is50635186012865119
strict52175186012881119167206267306
adherence8515427012862133202265312374443506568
to14545427012861130
the16205427012860130193
booster18485427012891161230285324387433
vaccination23165427012892154216278316387450488526597666
schedule30185427012876139208269340409449511
every35655427012883152215262332
1039305427012892162
years41285427012891152214261315
using44795427012891147186256325
the48405427012860131192
ADS-m506754270128123224301353464
vaccine.8515668012870133195258296365428463
A134956680128101
consultation14855668012862132202257326366404467505544614684
with220556680128101140178248
a24885668012863
physician25855668012870140211263303366403466536
is3157566801284095
mandatory328756680128109169240310373412482529599
before39205668012870132179249296358
vaccination.43135668012870133194256295365428467505575646681