Zabegaeva I.G.

I would like to express my gratitude to the doctor Ekaterina Borisovna Simonova for her sensitivity, responsiveness to patients, as well as for competent treatment over several years.

Vladimir

I would like to express my gratitude to you for your impeccable work, moral support, accuracy and respect!

Inna Konstantinovna is a wonderful pediatrician. Favorite doctor of my children. He will never appoint too much. Thanks a lot to her!

Getmantseva Lyudmila Ivanovna

Olga Yurievna, a doctor who inspires confidence and you can feel her kind attitude towards a person. I felt it myself. Thank you for your help with treatment. I feel good now.

Olga Yurievna is a DOCTOR not just with a capital letter, but with capital letters. It is very difficult to meet such a knowledgeable, attentive and caring doctor. Thanks to Olga Yurievna, I was able to keep my profession and work. She helped our family cope with a frequently ill child. At a time when all the pediatricians insisted that it was necessary to leave the garden and sit at home with her son, Olga Yuryevna was able to understand what was happening with the child, about “to clarify this to me, to convince me that the problem can be solved and to solve it :) Olga Yuryevna, great to you human thanks from our whole family!

Zalata M.N.

Many thanks to Dr. N. I. Kornievskaya. for a quick and correct diagnosis. The doctor is a professional. There are clear, professional recommendations. I think that the administration and the patients were very lucky with the doctor.

23 Mar 2018 Nov.

A. A. Lazarenko

Many thanks to the doctors Belikova O.S., Simonova E.B., Zhukov E.V. for patience and conscientious attitude towards the patient.

Great professional! Girlfriend normalized high blood pressure! She helped me a lot as a therapist! A doctor with the richest experience, I always come with the confidence that I will be provided with qualified assistance !!! Thank you!!!

Pavlova M.V.

I would like to say thanks to Konstantin Valentinovich Kartashov. He is not only an excellent gastroenterologist, whom I have been seeing for about a year, but also a very attentive therapist who answers all questions of interest and examines the body as a whole, giving a variety of recommendations.

Viktor Leonidovich Panasyuk is a competent, serious doctor. My son, as luck would have it, got sick in the summer and coughed (18 years old), and we had to go on vacation. It was necessary to make a decision - to go or not. The doctor inquired in detail about his son's sores, listened carefully to his lungs, and offered to do an express blood test. The results were ready very quickly (while we were measuring the temperature). The doctor gave recommendations and allowed us to go, but after a couple of days he called to find out if everything was all right (!). Fortunately, we recovered almost as soon as we left Moscow ... The vacation, which I had been waiting for a year, was saved.

Akhvlediani E.L.

On insurance, I have been going to the clinic in Maryino for a long time, for various reasons, myself and with the child. It is always pleasant to communicate with the staff of the reception, reception. I especially want to mention therapists E.B. Simonova, E.V. Ustinova. Doctors are all of the highest qualifications and culture.

Malysheva A.T.

I would like to express my deepest sincere gratitude to Ekaterina Borisovna Simonova. She is not only an attentive doctor therapist, but also an excellent psychologist, she can bring her to her senses even when she wants to howl like a wolf. Thank you for such wonderful doctors.

Thanks to the doctor for support and attitude in porof. examination before vaccination. I am always anxious with new manipulations, but the doctor answered all my questions, was attentive and tactful in relation to my anxiety. The procedure went well. Thanks!

A.Yu. Karnadolya

Therapist G.V. Lazareva - an excellent doctor. Thanks! ...

Kuzmina Ksenia

I express my gratitude to doctors Simonova E.B. and Ryabinin V.The. on behalf of her grandmother Bazyut Lilia Sergeevna. She came with a serious problem - abdominal pain and weight loss for a total of 17 kg. For a year, doctors even from a respected institute could not help her. However, thanks to the joint work of the doctors at the IMMA clinic, my grandmother recovered. In the literal sense of the word, she has already gained 7.5 kg, she eats well and does not suffer from pain. Many thanks for the high professionalism and attentive attitude!

Ignoring measles vaccinations for adults can lead to serious complications after being ill! Measles - infection having viral pathogen... She has high degree infectiousness. Accompanied by inflammatory process covering the mucous membranes of the mouth, upper respiratory tract, high temperature. The skin is covered with characteristic raw materials.

Not only children, but also adults are susceptible to infection. In the latter category, the disease has many consequences. Against this background, measles vaccinations for adults are of particular importance.

Measles vaccination schedule

Medical practice shows that among the adult population of the country, cases of measles infection make up a small percentage. But if this happens, the course of the disease is extremely difficult. This is especially true for pregnant women, as well as people with chronic diseases... Death is not excluded in these patients.

The Russian National Vaccination Schedule sets the deadline for primary and secondary measles vaccinations. Provided that the person has not been previously vaccinated (or information has been lost) and has not suffered an infection, the procedure is carried out until the age of 35.

An unscheduled vaccination, regardless of age, is carried out in cases where the patient has had contact with infected measles. Immunization is carried out in two stages with a difference of three months.

In general, there is no definite answer to the question of up to what age adults are vaccinated against measles. When to carry out the procedure, the person decides on his own. But it is important to understand that after passing the age threshold established by the current legislation, you will have to vaccinate at your own expense. The exception is cases of epidemics.

Have you been vaccinated against measles?
To vote

When vaccination is required

To fully understand the issue, you should know when adults are vaccinated against measles in the recommended order.

Namely:

• preparation for pregnancy;
• planned trips to regions with a dangerous epidemiological situation - it is recommended to vaccinate no later than a month before the planned departure;
• persons born in 1957 and later, subject to a reduced immunity confirmed by analyzes;
• citizens aged 15 to 35 who have not previously received a vaccine, have not been infected and are at risk - medical workers, teachers, educators, students of universities, vocational schools;
• in contact with people who are infected with measles.

In the past few years, there has been a steady increase in the number of measles cases among the adult population. Taking this into account, Rospotrebnadzor is considering the possibility of increasing the vaccination threshold up to the age of 55 years. But it is not yet known whether changes will be made to the documents defining up to what age free vaccination is provided.

The duration of the vaccine

It is known that after vaccination, a person develops immunity against the disease. But its validity period is short. It is known that no matter what age adults are vaccinated against measles, the validity period is 12-13 years. This is the time after which the re-vaccination is done.

It is also important to understand that post-vaccination immunity is individual in nature. This means that after a measles vaccination it may take less than 12 years for the vaccine to last.

Measles - spicy viral disease, the index of contagiousness of which is close to 100%. Before the development of the vaccine, the disease had killed more than 2.5 million people. In the middle of the twentieth century, the American virologist J. Enders and colleagues developed a vaccine. Implementation into the plan compulsory vaccinations allowed to significantly reduce the number of cases and deaths.

No special preparation for injection is required by standards. However, the measles, rubella and mumps vaccine should be rescheduled if the child is sick colds 2 weeks before and during the proposed vaccination procedure.

The risk of development is not excluded allergic reactions immediate type of vaccination, therefore, children with allergies are recommended to start taking antihistamines 3 days in advance. With known chronic pathologies, it is necessary to undergo a course of therapy to prevent the development of exacerbations in 2 weeks.

To reduce the risk of fever, an hour after vaccination, an antipyretic suppository may be recommended.

Where to get vaccinated against measles

The injection is carried out in 2 ways: subcutaneously or intramuscularly. The injection is made in the following areas:

• outer side of the shoulder;
• hip;
• under the shoulder blade.

Children are vaccinated against measles at the age of 1 year in the shoulder or thigh area, and from 6 years old - under the shoulder blade or shoulder. When choosing a place for an injection, the degree of development of muscle tissue is taken into account, with insufficient development of which preference is given to the thigh area.

Important: when injecting, it is unacceptable for the vaccine solution to get on the surface of the skin.

This will provoke the formation of a seal, and the vaccine will not enter the bloodstream. The manipulation will be pointless and revaccination will be necessary.

It should be noted that the injection is not done in the area of ​​the buttocks due to the thickened fat layer (the development of an abscess is possible).

When you get vaccinated against measles

Initially, an injection is given to a child at 12 months, when the antibodies received from the mother become inactive, then a second revaccination is carried out at 6 years old, then in the interval between 15 and 17 years, and the last one is 30 years old.

In the absence of persistent immunity in the mother, the introduction of the first vaccination should be given to the child at 9 months, after which in the period from 15 to 18 months, then similar to the previous schedule.

If the injection at 1 year has not been carried out, then it is necessary to vaccinate after establishing this fact soon. Further, vaccination is carried out according to the standard schedule.

In the situation of the need for primary vaccination of an adult patient, the drug is administered twice with an interval of 1 month to six months.

The standard adult measles vaccination schedule is limited to 35 years of age. Such a restriction is introduced exclusively with the cessation of state funding for patients over a given age. Exception: adult patients who were not vaccinated in childhood and in contact with a carrier of the virus.

Types of measles-mumps-rubella vaccines

3 main types of vaccinations have been developed:

• monovaccine against measles, the disadvantage is the need for multiple injections, since it is strictly forbidden to mix individual drugs for three infections in one injection;
• two-component measles-mumps or measles-rubella, it is necessary to additionally introduce the third missing vaccine;
• a polyvaccine against measles, mumps, and rubella is the preferred option as it takes 1 shot.

It has been established that mono- and polyvaccines have the same efficacy and safety. The choice of the type is carried out individually for each patient, taking into account the age, past diseases and the presence of contraindications (individual intolerance).

Choice between producer countries

On the territory of the Russian Federation, a drug is produced for two infections - rubella and mumps, and an injection for measles has to be carried out separately. The advantages of the Russian vaccine are availability and low cost.

Imported measles, rubella and mumps vaccinations are not always available to public hospitals, so patients often have to purchase them themselves. It was found that the frequency of manifestation adverse reactions for injection is identical to Russian vaccines. Types of foreign vaccines:

• Measles Mumps-Rubella ® (USA)- a three-component drug that is most often used in Russia. According to statistics, after injection, there is a persistent production of antibodies to measles - in 98%, to mumps - in more than 95%, and to rubella - in 100% of vaccinated people. An important limitation to use: the presence of individual intolerance to neomycin ®, as well as at the stage of recurrence of chronic pathologies and during pregnancy;
• Priorix ® (Belgium)- a preparation characterized by the total purification of antibodies from impurities. Contraindications are similar to the previous vaccine.

It should be noted that both types of vaccines are interchangeable. In other words, if at the first injection they pricked domestic drug, then revaccination against measles, rubella and mumps at the age of 6 years is allowed to be performed, for example, with Priorix ®.

Can a vaccinated child get measles

Subject to the necessary standards and terms of vaccination, the child develops a strong immunity to the virus. It is important to observe the condition of the vaccinated person for 2 weeks after the injection. There should be a mild reaction to the injection of the drug.

The complete absence of an immune response to the introduction of a weakened pathogen indicates that immunity will not be formed and the child will be able to get measles.

The body's response to the measles-rubella-mumps vaccine

The composition of the preparation includes live viruses, the virulence (ability to cause disease) of which is minimized. However, after injection, a person may experience clinical picture measles:

• temperature rise to 37-38 ° С. It is allowed to bring down the temperature with antipyretic drugs;
• the formation of a small seal at the injection site;

• pain on palpation of the injection site;
• extremely rarely (2% of cases), there are reddish rashes all over the body or in the face, neck and behind the ears. Does not require drug treatment, passes on its own;

• cough and nasal congestion;
• short-term enlargement of the parotid and submandibular lymph nodes;
• general state of weakness and drowsiness.

The first onset of symptoms occurs between 5 and 15 days after vaccination.

Important: the symptoms caused by the administration of the vaccine are mild and are a normal response of the body.

Complications after vaccination

Scroll possible complications after injection:

• manifestation of an allergic reaction of an immediate and delayed type in the form of red rashes, anaphylaxis and exacerbation of individual intolerance to other substances. The vaccine contains antibiotics and chicken proteins, therefore, in order to prevent the risk of developing this group of complications, antihistamines should be taken before injection;
• convulsive states against the background of temperature fever;
• the development of diseases from the encephalitis group (1 case per 1 million vaccinated patients);
• community-acquired form of pneumonia as a consequence of the penetration of infectious agents of their upper respiratory tract into the lower sections;
• a change in the quantitative composition of blood cells: a decrease in the level of platelets and leukocytes is a harmless condition, it stops on its own;
• pain in the abdominal region, which may be a sign of exacerbation of chronic pathologies;
• development of glomerular nephritis;
• manifestation of symptoms of myocarditis;
• the reaction of an infectious-toxic shock with the introduction of an insufficiently purified drug with an admixture of bacteria of the Staphylococcaceae family.

Side effects of measles, rubella and mumps vaccination

The side symptoms in response to the injection include symptoms that are not characteristic of the classic clinical picture of measles:

• joint pain syndrome, which is characterized by a certain correlation between age and the frequency of manifestation: the older the patient, the more pronounced the likelihood of manifestation. According to statistics, joint pain occurs in 25% of vaccinated people over 25 years old. It should be noted that the manifestation of this feature does not lead to a limitation of a person's ability to work. The maximum duration is from 1 day to 3 weeks;
• increase lymph nodes, catarrhal symptoms;
• temperature increase.

Important: a moderate manifestation of side reactions of the body is the response of immunity to the receipt of a weakened infectious agent and is considered the norm.

As a rule, it is stopped on its own and does not require a course of therapy.

Contraindications to measles immunization

A list of conditions in which injections should be postponed to a later time:

• flow acute infection or recurrence of chronic pathologies;
• pregnancy. The mother is allowed to receive the vaccine immediately after the birth of the child;
• lactation period;
• pulmonary tuberculosis;
• taking immunoglobulins or hemostatic drugs. The minimum interval after cancellation and vaccination is 1 month.

Vaccination is strictly prohibited at any time if you have:

• individual intolerance to antibiotics from the aminoglycoside group;
• oncological diseases;
• severe reactions to previous injections;
• a reliably established manifestation of severe allergic reactions to egg white(manifestation of anaphylaxis and angioedema).

In 2015. at the Institute of Cellular and Intracellular Symbiosis of the Ural Branch of the Russian Academy of Sciences, she underwent advanced training under the additional professional program "Bacteriology".

Laureate of the All-Russian competition for the best scientific work in the nomination "Biological Sciences" in 2017.

Measles - the most dangerous infection... Babies up to 5 years old most often suffer from it. It is possible to get infected with "childhood disease" at any age. Measles is especially dangerous for pregnant women and people with chronic pathologies... And the probability of infection upon contact with a patient is 100%. In our country, there is an annual increase in the incidence. Therefore, doctors advise doing vaccinations against measles for adults.

Mechanism of action and names of the opposite measles vaccines

The measles virus is highly mobile and can easily travel long distances. It is transmitted by air or directly through contact with a sick person. First, the nasopharynx becomes infected, and then the entire body. Only vaccination can prevent infection. Measles immunization has been around the world for over 50 years. How does the vaccine work?

Once inside, the measles virus induces a cellular immune response: the body immediately begins an "attack" on the hostile protein material, producing specific antibodies that eventually neutralize the virus, remaining in the blood for many years. Distinguish between monovalent (contain one type of antigen) or combination drugs(from several infections).

Measles immunization is carried out with live vaccines. This means that the virus in their composition is weakened in a special way (but not killed). So he cannot infect the body, but is able to induce the amount of antibodies necessary for stable immunity in it.

When, how many times, and up to what age are adults vaccinated against measles?

It is noticed that adults less often than children get measles, but if this happens, then the pathology is very difficult for them. According to the national immunization schedule, adults are prescribed the same injections as small patients. The difference in the period of revaccination. For adults, it is several years.

In our country, every citizen up to 35 years old inclusive (according to the schedule) is entitled to free measles immunization, provided that the person has not been previously vaccinated and did not have this infection in childhood.

In addition, regardless of age, free vaccination is carried out even if the patient has had contact with infected measles, but also has not previously been sick or vaccinated. Immunization will consist of 2 consecutive injections 3 months apart.

The received protection will last for 12 years. There is no age limit for measles vaccines. But if the procedure is free before the age of 35, then you will have to get vaccinated for money.

A person vaccinated against measles is not dangerous to others!

Vaccination of the adult population is calculated up to 35 years. You can choose any time for the procedure, the main thing is to be healthy at the time of vaccination. With an epidemic threat for citizens over 35, immunization will also be free. Revaccination is indicated every 10 years.

The total number of cases is more than 4 thousand people, and the largest number of cases was registered in Romania and Italy. The list of countries also includes France, Germany and Switzerland.

Measles is considered an infectious disease in children. At the same time, adults can also become infected with it. This is especially true for those who were not vaccinated against this infection in childhood, as well as for people with weakened immunity. It should be borne in mind that measles in adulthood is much more difficult to tolerate. According to statistics, this disease claims 165,000 lives in the world every year. In Russia, the number of cases of this infection has recently become more frequent due to the fact that people are losing their immunity received during vaccination.

Lifetime immunity?

Life-long immunity to measles is developed in a person only in one case: if he gets sick with it. In this case, the body remembers the pathogen and forms the necessary protection against it. Vaccinations, which are included in the national vaccination calendar, do not have such a long-term effect and protect the human body for 10-15 years. Therefore, doctors advise to be puzzled by the issue of updating the vaccine about once every 10 years.

How is revaccination going?

Measles vaccine in childhood placed twice: in the period from 12 to 15 months of life and at 6 years. The timing may be shifted depending on the child's health and individual indications. After this, revaccinations are not carried out. If an adult wants to update the measles vaccine, then this will be completely new vaccine, which does not require confirmation in the form of revaccination: it itself will work to create immunity from the disease for 10-15 years. After this period, you can get the measles vaccine again if desired.

Paid or free

Due to the measles outbreak that began in Russia several years ago, it was decided to provide free vaccinations for adults under the age of 35. It is especially important to carry out immunization for adults who have had contact with a sick person, as well as for unvaccinated adults from areas where the measles epidemic broke out.

Anyone who is older can also get the measles vaccine. To do this, it is enough to come to the clinic where the person is served, pay for the vaccine and get vaccinated.

Where do they put it?

The vaccine is placed in the upper third of the shoulder. The vaccine can be administered both subcutaneously and intramuscularly. But the setting of a vaccination in the buttock is not recommended due to the abundance of subcutaneous fat. You can not put the vaccine and intravenously.

What are the contraindications?

Doctors have compiled a whole list of contraindications for immunization. It includes:

• Previous complications or severe reactions to the vaccine
• Allergy to substances from the category of antibiotics
• The presence of symptoms of influenza, SARS and many pulmonary pathologies, rotavirus infection etc.
• The presence of a runny nose
• Elevated temperature body
• Oncology
• Pregnancy and lactation
• Weakened immunity

Before the vaccination, a doctor's examination is required to avoid the development of post-vaccination complications.