Infection Control Team
Hyogo Prefectural Kobe Children's Hospital

Vaccinations Before Hospital Admission and Surgery
At Hyogo Prefectural Kobe Children's Hospital, the health and safety of our young patients are our toppriorities. To ensure a secure environment for everyone, we request that your child receive vaccinations
before hospital admission. Vaccinations play a crucial role in preventing the spread of infectious
diseases such as chickenpox, measles, whooping cough, mumps, etc. Administering the right vaccinesat the right time helps shield your child and other children from these illnesses.

Why do vaccinations matter?:① Prevent the cancellation of your child’s surgery and/or examinations: If your childdevelops an infectious disease during their hospital stay, elective surgery and/or
examinations will be postponed. Vaccinations helps ensure that your child can undergo theseprocedures as planned.
② Protect other children: Infectious diseases can be transmitted to other children in thehospital. We treat children with weakened immune systems who cannot receive vaccinations.
If these children are exposed to such infectious disease, they may be put at risk of severe
illness or even death.

Is your child eligible to receive vaccines?:
If your child has a regular immune system, yes.
However, the following children MAY NOT BE eligible for vaccinations (please consult with yourdoctor):- Those with immunodeficiency or potential immunodeficiency.
- Those taking immunosuppressive drugs or corticosteroids.
- Those undergoing treatment with biological agents.
- Those receiving treatment for a malignant tumor.

Recommended Timing of Vaccinations:

Types of Vaccines
Measles-rubella combination (MR), Varicella(chickenpox), Mumps
Rotavirus, BCG, Covid-19
All inactivated vaccines
Haemophilus influenza type b(Hib), Pediatric pneumococcal, Hepatitis B,
Quadruple combination (DPT-IPV)(diphtheria, tetanus, pertussis (whooping cough), polio)
Triple combination (DPT), Double combination (DT),Japanese encephalitis, Influenza,
Human papillomavirus, etc.
For vaccines not listed above, please consult with your doctor.

Recommended Interval
Between Vaccinationsand Hospital Admission
3 weeks

2 weeks(Ver.2023.12.1)

Why is it important to receive vaccinations several weeks before hospital admission?:
There are several important reasons:- It takes several weeks for vaccines to become fully effective.
- Fever and fatigue are normal physical reactions after vaccinations. However, surgery and/or
examinations may need to be postponed, because fever and fatigue may also be signs of coldor infection. To prevent this from happening, please have your child vaccinated several weeks
before.
- Vaccinations can become less effective if surgery or general anesthesia is given immediately
after vaccinations. These medical procedures may suppress the immune system.

Deadline for Vaccinations Before Scheduled Hospital Admission:
Although we recommend your child receive their vaccines several weeks before admission, the official
deadline is to have them completed at least 3 days before the scheduled hospital admission.
For example, if your child’s admission is scheduled for Monday, please ensure vaccinations arecompleted by Friday, any time that day.

Emergency Hospital Admission and/or Surgery:In the case of emergency hospital admission and/or surgery, the procedure(s) will not be postponed,
even if your child is vaccinated immediately before.

Post-Discharge and Post-Surgery Vaccinations:
Vaccinations after discharge or surgery are possible at any time once the child is well and has fully
recovered from the procedure. However, if your child has received a blood transfusion or
immunoglobulin, more time might be needed before receiving vaccinations. Please consult with yourdoctor for personalized advice.
If you have any questions or need further clarification, please do not hesitate to reach out to ourhealthcare team. Thank you for your cooperation in prioritizing the health and well-being of your childand other children.

Infection Control Team
Hyogo Prefectural Kobe Children's Hospital(Ver.2023.12.1)