537/2006 Sb.
The DECREE
of 29 April 2004. November 2006
vaccination against infectious diseases
Change: 65/2009 Sb.
Change: 443/2009 Sb.
Change: 299/2010 Sb.
The Ministry of health provides under section 108, paragraph. 1 of law No.
258/2000 Coll., on the protection of public health and amendment to certain
related laws, as amended by Act No. 392/2005 Coll. and Act No.
222/2006 Coll. (hereinafter the "Act") for the implementation of section 45, paragraph. 2, § 46 paragraph.
1, 2, 6 and § 47 odst. 3 of the Act:
§ 1
The subject of the edit
This Decree regulates the
and vaccination) Division of the conditions for the implementation of the vaccination and passive immunization,
methods of investigation of immunity, the workplace with a higher risk of developing
infectious diseases and conditions under which they may be in the context of the
a special vaccination of a natural person included in the workplace,
(b)) when it is before the regular and special vaccination
a natural person shall be obliged to submit to the examination of the State of immunity and when is
required to submit to a specified kind of vaccination, and
(c) write about) the extent of vaccination to the vaccine or
health and vaccination certificate of the child and the young person and the medical
documentation of the vaccinated.
§ 2
The breakdown of the vaccination
(1) vaccination against infectious diseases is divided into
and) regular vaccination against tuberculosis, against diphtheria, tetanus,
pertussis, invasive disease due to Haemophilus originator
influenzae b, portable polio and viral hepatitis B, against
measles, rubella and mumps, against pneumococcal diseases and against
viral hepatitis B,
(b)) special vaccination against viral hepatitis and viral hepatitis B and
against rabies,
(c) emergency vaccination), which means the vaccination of individuals to
Prevention of infections in emergency situations,
(d)), when vaccination accidents, injuries, setbacks and nehojících before
some therapeutic feats, and against tetanus and rabies, and
e) vaccination, made at the request of the natural person wishing to be
vaccination protects against infections, against which the vaccine is available
the substance.
(2) in the cases provided for in this Decree, the regular vaccination
be carried out as
and the primary vaccination,) which is served by one or more of the benefits
the vaccine needed to achieve specific resistance against the
infection, and
(b)) a booster, which is usually served in a single dose of vaccine
the substance, which again induces the State of resistance against the
the infection.
§ 3
Regular vaccination against tuberculosis
(1) vaccination shall be carried out in children with the indications set out in annex No. 3 to
This Decree. Indication for vaccination according to the annex No. 3 to this notice
the doctor will assess neonatal Department, in particular, on the basis of legal
the representative of the child completed the questionnaire on the definition of the risk
tuberculosis, referred to in annex 2 to this Decree. Doctor
neonatal Department fills in (II). part of the questionnaire and the questionnaire,
as part of the layoff news, passes the registrujícímu practical
doctors for children and adolescents. In the event that the child has an indication for vaccination
According to the annex 3 to this Decree, at the same time inform the workplace
patch test. Registered general practitioner for children and adolescents, generally
within one month after taking custody, sends a child that meets the
the indication referred to in annex 3 to this Decree, and that it was not against the
TB has not yet been vaccinated, the workplace of the patch test.
(2) in the case of children, which cannot meet the indication referred to in annex 3 to this
the decree to assess physician centers, examines these
indications for the first contact with the legal representative of the child enrolls
general practitioner for children and adolescents. For the next procedure, paragraph 1 sentence
last apply mutatis mutandis.
§ 4
Regular vaccinations against diphtheria, tetanus, pertussis, invasive
diseases due to the originator of the Haemophilus influenzae b, portable
polio and viral hepatitis B
(1) the basic vaccination shall be carried out at the time of the ninth week after additional
the birth of a child with three doses of hexavalentní vaccine
diphtheria, tetanus, acellular, component pertusi with invasive disease
due to the originator of the Haemophilus influenzae b, viral hepatitis B and
an inactivated vaccine against polio, portable (hereinafter referred to as
"hexavalentní vaccine") during the first year of life of the child,
by at least one month in the intervals between doses, and the fourth
dose have been filed at least six months after the submission of the third dose. The fourth dose
hexavalentní of the vaccine shall be submitted at the latest before the age
the eighteenth month of the child's age. In children vaccinated against tuberculosis,
the basic vaccination hexavalentní vaccine performs from the additional
the 13th week after the birth of a child, but after healing
postvakcinační response after vaccination against tuberculosis.
(2) Vaccination against diphtheria, tetanus and pertussis is carried out
a vaccine against these infections with acellular pertusovou folder in the
the time from the completion of the fifth to the sixth year of the completion of the age of the child.
(3) the vaccination against diphtheria, tetanus and acellular pertussis with
pertusovou folder along with the application of the fifth dose of inactivated vaccine
the substance against communicable polio is carried out from the completion of the tenth to
the completion of the eleventh year of age of the child. For complete vaccination against communicable
polio is considered to be the application of five doses of the vaccine.
(4) in the case of persons vaccinated in accordance with section 4, paragraph 4. 3 with a booster against tetanus
25 years from completion performs to complete six years of age.
(5) a booster against tetanus is performed in children vaccinated against tetanus
According to the existing legislation at the time of the completion of the fourteenth to
the completion of the fifteenth year of age of the child.
(6) additional booster against tetanus is carried out by natural persons
have been vaccinated in accordance with paragraphs 1, 2 and 4 after every 10 to 15 years.
(7) the basic vaccination against tetanus for adult individuals with
performs the three portions of the following intervals: the second dose for 6
weeks after the first dose, and the third dose 6 months after the second dose.
(8) the basic vaccination of newborns HBsAg positive mothers shall be
one dose of vaccine against viral hepatitis B within 24
hours after the birth of a child. In the vaccination of these children continues from
the sixth week following the birth of a child, according to the summary of the product characteristics of ^ 1)
hexavalentní vaccine.
(9) in the case of children against viral hepatitis (B) have not been vaccinated
referred to in paragraph 1, the vaccination shall be carried out at the time from the completion of the
Twelfth thirteenth year in the completion of the age of the child.
(10) in the case of contraindications some of the folders hexavalentní
vaccine vaccination is carried out an alternative vaccine.
§ 5
Regular vaccination against measles, rubella and mumps
(1) the basic vaccination performs a live vaccine, and it first
the first day of the 15th of the month after the birth of the child.
(2) a booster will take a 6 to 10 months after the basic
vaccination, in justified cases, and later with the fact that the upper age
the boundaries for Administration of the vaccine is not limited.
§ 6
Regular vaccination against pneumococcal diseases
(1) vaccination against pneumococcal disease vaccine polysacharidovou
a substance shall be carried out for individuals located in hospitals for
long-term patients and in homes for the elderly. In addition, vaccination against
pneumococcal diseases performs for individuals residing in nursing homes
for persons with disabilities or in homes with special
mode, if these individuals suffer from chronic nespecifickým
diseases of the respiratory tract, chronic diseases of the heart, blood vessels, or
the kidneys or diabetes léčeným insulin. In the next vaccination against
pneumococcal diseases are treated in accordance with the summary of the product characteristics of ^ 1).
(2) in the case of children who have health indications set out in annex 1 to this
the Decree, to the completion of five years of age performs the vaccination
stained pneumococcal vaccine at intervals according to the summary of
preparation of ^ 1). From the second year of the period of the child's age can be in these
Alternatively, cases may submit polysacharidovou vaccine
pneumococcal disease.
section 7 of the
Regular vaccination against viral hepatitis B
(1) vaccination shall be carried out by the application of three doses of vaccine for the physical
persons
and the risk exposure) when the biological material,
(b)) to be included in the regular dialysis programs, or
(c)) of the newly adopted to homes for the disabled or to
homes with special regime.
(2) vaccination in accordance with paragraph 1 shall not apply, if a natural person has been
vaccinated in scope according to § 4, 9, or 10, or if the level of antiHBs
the antibodies will after verification of the State of immunity more than 10 IU/litre.
§ 8
cancelled
§ 9
Special vaccination against viral hepatitis B
(1) vaccination shall be carried out by natural persons working in the workplace
referred to in section 16. 1 if you are active in the investigation and treatment of
natural persons, on which they have to take care when handling the specific
waste from medical facilities and for persons in low-threshold
programmes for drug users. It further takes for medical students
faculties and medical schools, with students being prepared on the other
high schools than medical school, for the activities in the
medical facilities in the investigation and treatment of the sick,
learners at the intermediate and higher vocational schools, social
prepared for activities in the facilities of the social services in
investigation and treatment of individuals taken to these devices, for
physical persons providing off road or outpatient social services and
for the newly accepted members of the prison service and judicial guard and persons
included in the retraining courses, providing care and treatment
persons in social service facilities or in establishments handling
social services, hazardous waste, and in health care
devices.
(2) vaccination in accordance with paragraph 1 shall not apply in the case of a natural person with
arguably the island disease viral hepatitis B and for the physical
people showing antibodies against HBsAg exceeding 10 IU/litre.
§ 10
Special vaccination against viral hepatitis and viral hepatitis B
Vaccination shall be carried out by the staff and members of the basic ingredients
the integrated rescue system provided by law for the integrated
rescue system ^ 2) newly admitted to a work or service
the ratio.
§ 11
Special vaccination against rabies
Vaccination shall be carried out by natural persons working in the workplace
referred to in section 16. 2.
§ 12
cancelled
section 13
Vaccination against rabies or tetanus in accidents, injuries,
nehojících is a terrific and before some therapeutic performances
(1) vaccination against tetanus is performed when the accidents, injuries or
nehojících is a terrific, for which there is a risk the disease tetanus, and
in indicated cases, preoperative preparation, in particular before the operations of the
the rectum or colon. Vaccination shall be carried out with a vaccine
intended for active immunization, according to the summary of the product characteristics of ^ 1) this
the vaccine
(2) vaccination against rabies shall be carried out in case of a bite or
injury to the animal suspected of being infected with rabies.
§ 14
The implementation of the vaccination
(1) the Parenteral vaccine application is performed always at each
natural persons under aseptic conditions, a separate sterile injectable
a separate sterile syringe and hypodermic needle, or
a separate sterile syringe předplněným kompletem, sterile
the injection needle.
(2) at the same time can be vaccinated in different places of the body living and non-living vaccine
the substance. If this is not done the submission of various vaccines at the same time,
After the submission of the live vaccine interval of 1 month and after
the submission of non-living vaccines an interval of 14 days; after vaccination against
tuberculosis can be vaccinated as soon as possible for 2 months, but always after healing
the initial response. In exceptional cases, if it requires
the health status of individuals or the need to induce the desired status
resistance, can be referred to shorten the intervals.
§ 15
The conditions for the implementation of passive immunization
(1) in the case of persons vaccinated in accordance with section 13 (3). 1 in cases where it
It is recommended that a summary of the vaccine against tetanus, shall also
hyperimunní antitetanický globulin.
(2) in the case of natural persons vaccinated in accordance with section 13 (3). 2 in cases where the
It recommends that the summary of the product characteristics of ^ 1) to vaccine against
rabies, also shall hyperimunní antirabický globulin.
(3) in newborns of mothers HBsAg positive vaccinated according to the section 4, paragraph 4. 8
will also hyperimunní globulin against viral hepatitis B.
section 16 of the
Workplaces with higher risk of infectious diseases
(1) a workplace with a higher risk of viral hepatitis (B)
Department of surgery, Department of hemodialysis and infectious,
inpatient internal Department including hospitals for long-term patients and internal
the workplace performing invasive procedures, the Department
Department of Anaesthesiology and reanimation, intensive care unit, laboratory
working with the human biological material, equipment, blood transfusion service,
workplace dental, pathological-anatomical, medical,
psychiatric and medical rescue services and departments on homes
for the elderly, homes for the disabled, homes,
Special arrangements and asylum houses.
(2) the workplace with higher risk of rabies are laboratories where
It works with virulentními strains of rabies.
§ 17
The conditions under which a natural person may be entered on the workplace with
higher risk of infectious diseases
To the workplace as referred to in section 16. 1 and 2 may be a natural person of the newly
classified as soon as possible after the submission of the second vaccine dose, provided
that further vaccination will be completed within the prescribed deadline.
section 18
The range of writing about vaccination
The vaccination certificate or health and vaccination certificate of the child and
the young person of vaccination shall be carried out by the following information: the type and name of the
the vaccine, the date of its submission, the lot number, signature and stamp
očkujícího doctor and an indication of the inoculation procedure carried out under section 47
paragraph. 1 (a). (b)) of the Act any other vaccine, than to ensure that the competent
authority to protect public health. The range of the medical record
documentation of specific legislation regulates the vaccinated ^ 3).
Transitional provisions
§ 19
(1) the basic vaccination according to the section 4, paragraph 4. 1 will be carried out in children
born after 31 December 1997. December 2006 hexavalentní vaccine.
(2) Children, for which vaccination hexavalentní vaccine
initiated the procedure according to § 47 odst. 1 (a). (b)) of the Act, in 2007
shall submit to the fourth dose of this vaccine according to the section 4, paragraph 4. 1 the last sentence,
not later than 18 months of age of the child.
(3) the basic vaccinations against diphtheria, tetanus, pertussis,
invasive disease due to Hemophilia influenzae b and viral
hepatitis B in children born before 1 January 2006. January 1, 2007 shall be carried out and
According to the existing legislation completes.
(4) the Regular vaccination against viral hepatitis B in children born
before 1 January 2006. in January 2007, which have not been vaccinated against this disease by
the existing provisions, that the first dose of vaccine
shall the children in the first few months after the birth of a child, the third dose of vaccine
substances shall be submitted not later than the completion of the third year of age of the child.
section 20
(1) the vaccination against polio for portable children
born in the year 2005 shall be carried out in 2007, two doses of the live vaccine
substances by separately in two stages in the months of March and may
According to the existing legislation.
(2) the basic vaccination against polio for portable children
born in 2006, performs in 2007 two doses of live vaccine
substances by separately in two stages in the months of March and may
According to the existing legislation.
(3) the vaccination against polio for portable children
born in 2006, performs in 2008 two doses of live vaccine
substances by separately in two stages in the months of March and may.
section 21
(1) in 2007, with children born from 1. May 1993 to 30. April
1994 performs a booster against children's portable with inactivated polio
a vaccine against this disease the filing of the fifth dose.
(2) in 2008, with children born from 1. May 1994 to 30. April
1995 performs a booster against children's portable with inactivated polio
a vaccine against this disease the filing of the fifth dose.
(3) in 2009 for children born from 1. May 1995 to 30. April
1996 performs a booster against children's portable with inactivated polio
a vaccine against this disease the filing of the fifth dose.
section 22
The basic vaccination against viral hepatitis B opened for individuals
which have been vaccinated in accordance with the existing law, according to
the existing legal regulation and completes.
section 23
Special vaccination against viral hepatitis B and rabies, initiated by the
natural persons which have been vaccinated in accordance with the existing legal
Regulation, in accordance with the existing legislation and completes.
section 24
Cancellation provisions
Shall be repealed:
1. Decree No. 439/2000 Coll., on inoculation against infectious diseases.
2. Decree No. 478/2002 Coll., amending Decree No 439/2000 Coll., on the
vaccination against infectious diseases.
3. Decree No. 30/2004 Coll., amending Decree No 439/2000 Coll., on the
vaccination against infectious diseases, as amended by Decree No. 478/2002 Sb.
§ 25
The effectiveness of the
This Decree shall take effect on 1 January 2005. January 1, 2007.
Minister:
Mudr. Julínek in r.
Annex 1
Indication of the inoculation stained pneumococcal vaccine for children
1. The primary defects of immunity with the clinical manifestation of creation:
immunoglobulin, T cells, phagocytosis and complement.
2. Serious secondary immunodeficiencies, particularly hematological-oncological and
oncological diseases after CHT, organ transplantation, HIV.
3. Asplenie functional and anatomical in children before the age of the second year
age.
4. The transplantation of stem cells hematopoiteic.
5. Chronic lung disease, in particular, birth defects and disorders
the respiratory tract, bronchopulmonary dysplasia.
6. Recurrent otitidy in the range of 4 attacks and more per year.
7. Patients with cochlear implants and likvoreou.
8. Patients suffered bacterial meningitidách and septikémiích.
9. Children with a birth weight below 1500 g.
Annex 2
Questionnaire to the definition of the risk of tuberculosis
Name and surname of the child..............................
The date of birth of the child............... the insured's Number (if assigned)...............
Name/code for health insurance:.......................................................
Part I-to be completed by the legal representative of the child
One or both of the parents of the child or a sibling of the child or a member of the household,
in which the child lives, had/has active tuberculosis. Select:
Yes No/not known
A child, one or both of the parents of the child or a sibling of the child or a member of the household,
in which the child was born or lived continuously for more than 3 months staying outside stayed/
The Czech Republic. Select:
Yes If Yes, in what state (Please list all States) no/not known
..........................................................................................
The child was in contact with the sick with tuberculosis. Select:
Yes No/not known
It was carried out the investigation on TB in persons with whom the child has been in contact. Select:
Yes No/not known
Name and surname of the legal representative of the child................................
Date............... Signature of the legal representative of the child...............
Part II-to be completed by the doctor
The child has an indication for vaccination against tuberculosis, according to the annex No. 3 to Decree No. 537/2006 Coll.
vaccination against infectious diseases, in the wording of later regulations. Select:
Yes No
Name and surname of the doctor ..............................
Date............... The signature of the physician ..............................
The stamp of medical equipment
Annex 3
Indications for vaccination against tuberculosis
1. One or both of the parents of the child or a sibling of the child or a member of the
the home in which the child lives, had/has active tuberculosis.
2. A child, one or both of the parents of the child or a sibling of the child or
Member of the household in which the child lives, was born or continuously for more than 3
the month is staying in State/higher incidence of tuberculosis than 40
cases per 100 000 inhabitants. The Department of health each year
the Commission shall publish the list of the States with a higher incidence of tuberculosis within 30 days from the
updates made to the World Health Organization.
3. The child was in contact with the sick with tuberculosis.
4. Indications for vaccination results from the anamnestic data provided by
doctors centers or registrujícímu practitioner
for children and adolescents the legal representatives of the child. ".
1) § 3 (3). 1 of law No 378/2007 Coll., on pharmaceuticals and on amendments to certain
related laws (law on medicinal products).
§ 4 paragraph 2). 1 Act No. 239/2000 Coll., on the integrated rescue
the system amending certain laws, as amended by Act No. 320/2002 Coll.
3) Decree No 385/2006 Coll., on the medical documentation, as amended by
Decree No. 479/2006 Sb.
