Are You Eligible for the Covid-19 Vaccine or Not? Check the Latest Recommendations from PAPDI

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Kamu Layak Vaksin Covid-19 atau Tidak? Cek Rekomendasi Terbaru dari PAPDI


The Indonesian Association of Internal Medicine Experts (PAPDI) on August 20, 2021 then issued a revision for recommendations for the administration of the Covid-19 vaccine. In general, this guide contains who deserves and does not deserve to be vaccinated, and special rules for the elderly who will be vaccinated against Covid-19.

According to PAPDI, the revision was carried out considering the need to achieve herd immunity (herd immunity) in the shortest possible time by severing the transmission of COVID-19 so that a wide vaccination coverage is required.

PAPDI itself has issued 7 recommendations regarding the Covid-19 vaccine, because it is always adjusted to existing scientific developments. If the Healthy Gang followed, at the beginning of the vaccination of comorbid and autoimmune patients, they could not get the vaccine, but now they can as long as the disease is well controlled.

Also read: Is the Covid-19 Vaccine Safe During Pregnancy?

Latest Recommendations for Covid-19 Vaccination from PAPDI

Here are some additions and revisions to PAPDI’s COVID-19 vaccination recommendations:

Individuals aged 18 – 59 years who NOT FEASIBLE to be vaccinated against COVID-19, namely:

  • Individuals who experience allergic reactions in the form of anaphylaxis and severe allergic reactions due to the first dose of the COVID-19 vaccine or due to the same components as those contained in the COVID-19 vaccine.
  • Individuals who are experiencing acute infection. If the infection has been resolved, then the COVID-19 vaccination can be carried out. In TB infection, OAT treatment needs at least 2 weeks to be eligible for vaccination.
  • Individuals with primary immunodeficiency disease.

Individuals with certain diseases however WORTHY vaccinated:

Allergic Immunology

– Autoimmune Disease. Individuals with autoimmune diseases are eligible to get vaccinated if the disease has been declared stable according to the recommendations of the treating doctor.

– Anaphylactic reaction (not due to COVID-19 vaccination). If there is no evidence of an anaphylactic reaction to the COVID-19 vaccine or a component of a previous COVID-19 vaccine, the individual may be vaccinated against COVID-19. Vaccination is carried out under close observation and preparations for handling severe allergic reactions. It is better to do it in a health service that has complete facilities.

– Medicine Allergy. It should be noted in patients who have a history of allergies to antibiotics neomicin, polymyxin, streptomycin, and gentamicin to pay attention, especially to vaccines containing these components. However, the COVID-19 vaccine does not contain these components so that the COVID-19 vaccination can be given.

– Food Allergies. Food allergies are not a contraindication to the COVID-19 vaccination.

– Asthma. Controlled asthma can be vaccinated against COVID-19

– Urticaria. If there is no evidence of urticaria due to COVID-19 vaccination, the vaccine is appropriate. If there is evidence of urticaria, it is the clinical doctor’s decision to administer the COVID-19 vaccination. Antihistamines are recommended before vaccination.

– Atopic dermatitis. Atopic dermatitis is not a contraindication for COVID-19 vaccination.

– HIV. HIV patients with good clinical condition and taking ARV drugs regularly can be given the COVID-19 vaccine.

Also read: Moderna Vaccine Service Opened for Autoimmune Patients, Here’s How to Register!

Lung Disease

– Chronic Obstructive Pulmonary Disease (COPD). Controlled COPD can be vaccinated against COVID-19.

– Interstitial lung disease (ILD). ILD patients are eligible for COVID-19 vaccination if they are in good condition and not in an acute condition.

Liver Disease

  • Vaccinations lose their effectiveness as liver disease progresses. Therefore, the assessment of the need for vaccination in patients with chronic liver disease should be assessed early on, when vaccination is most effective/the response to vaccination is optimal.

  • If possible, vaccination is given before liver transplantation.

  • Inactivated vaccine (such as Coronavac) is preferred in patients with liver cirrhosis

  • Individuals who have had a liver transplant can be vaccinated against COVID-19 at least 3 months after the procedure and are already using minimal doses of immunosuppressant drugs.

Hypertension and Diabetes

Hypertension. As long as the blood pressure is <180/110 mmHg and or there is no acute condition such as a hypertensive crisis.

Type 2 Diabetes. May be vaccinated except in acute metabolic conditions.

Obesity. Patients with obesity without comorbidities who are in an acute condition.

Also read: Covid-19 Vaccine is Safe for Diabetics

Kidney illness

Non-dialysis Chronic Kidney Disease (CKD). Non-dialysis chronic kidney disease who is clinically stable deserves the COVID-19 vaccine because of the high risk of infection and the very high risk of mortality and morbidity in this population if infected with COVID-19.

Chronic Kidney Disease (CKD) dialysis (hemodialysis and peritoneal dialysis Stable ones can be vaccinated against Covid-19. Stable criteria include that the patient is not experiencing acute complications related to chronic kidney disease, or is not in any other clinical condition which in the judgment of the treating physician is unfit for vaccination.

Kidney transplant. Kidney transplant recipient patients receiving high-dose immunosuppressants maintenance and in a clinically stable condition appropriate for the COVID-19 vaccine given the high risk of infection and the very high risk of mortality and morbidity in this population if infected with COVID-19.

Note: Kidney transplant recipient patients who are in rejection condition or are still taking induction doses of immunosuppressants are considered unfit to undergo COVID-19 vaccination.

Heart disease

Heart failure. Heart failure that is in a stable condition and not in an acute condition can be vaccinated

Coronary heart disease. Coronary heart disease those who are in a stable condition and not in an acute condition can be vaccinated

arrhythmia. Arrhythmias that are in a stable condition and are not in an acute/malignant state can be vaccinated

Digestive Disease/Gastrointestinal:

  • – Gastrointestinal diseases other than Inflammatory Bowel Disease (IBD) is eligible for COVID-19 vaccination.

  • – In acute IBD conditions such as bloody stools, weight loss, fever, decreased appetite, vaccination should be postponed.

  • – Data collection and screening of patients with autoimmune diseases in the gastrointestinal tract, such as IBD (Ulcerative Colitis and Crohn’s Disease) in screening there are questions related to gastrointestinal symptoms such as chronic diarrhea (changes in bowel patterns), blood stools, significant unwanted weight loss.

Thyroid Disease

Hyperthyroidism and Hypothyroidism (either autoimmune or non-autoimmune). In treatment, if clinically stable, the COVID-19 vaccine may be given.

Thyroid nodules. It is permissible to give the COVID-19 vaccine if there are no clinical complaints.

Also read: Be careful, thyroid disorders can cause mental disorders!

Cancer

Blood cancer, solid tumor cancer, blood disorders such as thalassemia, immunohematology, hemophilia, coagulation disorders and other conditions. The eligibility of individuals with this condition is determined by an expert doctor in the relevant field, consult before administering the COVID-19 vaccine.

Psychosomatic Disorders

  • It is highly recommended to communicate, provide information and education that is quite straightforward for vaccine recipients.

  • Identification of patients with psychosomatic disorders, especially anxiety and depression disorders, requires adequate education and medical management.

  • People who are experiencing severe stress (anxiety/depression), it is recommended to improve their clinical condition before receiving vaccination.

  • Special attention to the occurrence Immunization Stress-Related Response (ISRR) that can occur before, during and after immunization in people at risk: age 10-19 years, history of vaso-vagal syncope, previous negative experience with injections, or previous anxiety.

Elderly and Covid survivors

PAPDI also recommends that COVID-19 survivors if they have recovered for at least 3 months, then they deserve to be given the COVID-19 vaccine. Meanwhile, the elderly aged 60 years and over were divided into eligible, not eligible, and special criteria. Healthy gang can check at link the following: https://papdi.or.id/berita/info-papdi/1077-rekomendasi-papdi-about-berian-vaccination-covid-19 for more complete criteria for elderly vaccines!

Also read: POGI Recommendations Regarding Covid-19 Vaccines for Pregnant Women

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