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Jumat, 21 Desember 2012

Kandungan Vaksin

Sumber: di sini

Tulisan dibawah adalah tulisan Ummu Hamzah, seorang muslimah yang berprofesi sebagai dokter yang tinggal di Damam, Saudi Arabia. Semoga dapat bermanfaat.


Tulisan ini memuat bahan-bahan pembuatan vaksin. Terdiri dari nama vaksin, nama dagang (dalam tanda kurung) dan bahan-bahan yang digunakan. (saya)
Mencakup bahan-bahan vaksin (termasuk ajuvan dan pengawet) dan bahan-bahan yg digunakan dalam proses pembuatan, media produksi vaksin yang dihilangkan dari produk akhir dan bahan yang ditemukan dalam jumlah sangat kecil. Sebagai tambahan, sebagian besar vaksin mengandung Sodium Chloride (garam dapur)
Anthrax (BioThrax) : Aluminum Hydroxide, Amino Acids, Benzethonium Chloride, Formaldehyde or Formalin, Inorganic Salts and Sugars, Vitamins.
BCG (Tice) : Asparagine, Citric Acid, Lactose, Glycerin, Iron Ammonium Citrate, Magnesium Sulfate, Potassium Phosphate
DTaP (Daptacel) : Aluminum Phosphate, Ammonium Sulfate, Casamino Acid, Dimethyl-beta-cyclodextrin, Formaldehyde or Formalin, Glutaraldehyde, 2-Phenoxyethanol
DTaP (Infanrix) : Aluminum Hydroxide, Bovine Extract, Formaldehyde or Formalin, Glutaraldhyde, 2-Phenoxyethanol, Polysorbate 80
DTaP (Tripedia) : Aluminum Potassium Sulfate, Ammonium Sulfate, Bovine Extract, Formaldehyde or Formalin, Gelatin, Polysorbate 80, Sodium Phosphate, Thimerosal*
DTaP/Hib (TriHIBit) : Aluminum Potassium Sulfate, Ammonium Sulfate, Bovine Extract, Formaldehyde or Formalin, Gelatin, Polysorbate 80, Sucrose, Thimerosal*
DTaP-IPV (Kinrix) : Aluminum Hydroxide, Bovine Extract, Formaldehyde, Lactalbumin Hydrolysate, Monkey Kidney Tissue, Neomycin Sulfate, Polymyxin B, Polysorbate 80
DTaP-HepB-IPV (Pediarix) : Aluminum Hydroxide, Aluminum Phosphate, Bovine Protein, Lactalbumin Hydrolysate, Formaldehyde or Formalin, Glutaraldhyde, Monkey Kidney Tissue, Neomycin, 2-Phenoxyethanol, Polymyxin B, Polysorbate 80, Yeast Protein
DtaP-IPV/Hib (Pentacel) : Aluminum Phosphate, Bovine Serum Albumin, Formaldehyde, Glutaraldhyde, MRC-5 DNA and Cellular Protein, Neomycin, Polymyxin B Sulfate, Polysorbate 80, 2-Phenoxyethanol,
DT (sanofi) : Aluminum Potassium Sulfate, Bovine Extract, Formaldehyde or Formalin, Thimerosal (multi-dose) or Thimerosal* (single-dose)
DT (Massachusetts) : Aluminum Hydroxide, Formaldehyde or Formalin
Hib (ACTHib) : Ammonium Sulfate, Formaldehyde or Formalin, Sucrose
Hib (Hiberix) : Formaldehyde or Formalin, Lactose
Hib (PedvaxHib) : Aluminum Hydroxyphosphate Sulfate
Hib/Hep B (Comvax) : Amino Acids, Aluminum Hydroxyphosphate Sulfate, Dextrose, Formaldehyde or Formalin, Mineral Salts, Sodium Borate, Soy Peptone, Yeast Protein
Hep A (Havrix) : Aluminum Hydroxide, Amino Acids, Formaldehyde or Formalin, MRC-5 Cellular Protein, Neomycin Sulfate, 2-Phenoxyethanol, Phosphate Buffers, Polysorbate
Hep A (Vaqta) : Aluminum Hydroxyphosphate Sulfate, Bovine Albumin or Serum, DNA, Formaldehyde or Formalin, MRC-5 Cellular Protein, Sodium Borate
Hep B (Engerix-B) : Aluminum Hydroxide, Phosphate Buffers, Thimerosal*, Yeast Protein
Hep B (Recombivax) : Aluminum Hydroxyphosphate Sulfate, Amino Acids, Dextrose, Formaldehyde or Formalin, Mineral Salts, Potassium Aluminum Sulfate, Soy Peptone, Yeast Protein
HepA/HepB (Twinrix) : Aluminum Hydroxide, Aluminum Phosphate, Amino Acids, Dextrose, Formaldehyde or Formalin, Inorganic Salts, MRC-5 Cellular Protein, Neomycin Sulfate, 2-Phenoxyethanol, Phosphate Buffers, Polysorbate 20, Thimerosal*, Vitamins, Yeast Protein
Human Papillomavirus (HPV) (Cerverix) : 3-O-desacyl-4’-monophosphoryl lipid A (MPL), Aluminum Hydroxide, Amino Acids, Insect Cell Protein, Mineral Salts, Sodium Dihydrogen Phosphate Dihydrate, Vitamins
Human Papillomavirus (HPV) (Gardasil) : Amino Acids, Amorphous Aluminum Hydroxyphosphate Sulfate, Carbohydrates, L-histidine, Mineral Salts, Polysorbate 80, Sodium Borate, Vitamins
Influenza (Afluria) : Beta-Propiolactone, Calcium Chloride, Neomycin, Ovalbumin, Polymyxin B, Potassium Chloride, Potassium Phosphate, Sodium Phosphate, Sodium Taurodeoxychoalate
Influenza (Agriflu) : Cetyltrimethylammonium Bromide (CTAB), Egg Protein, Formaldehyde or Formalin, Kanamycin, Neomycin Sulfate, Polysorbate 80
Influenza (Fluarix) : Egg Albumin (Ovalbumin), Egg Protein, Formaldehyde or Formalin, Gentamicin, Hydrocortisone, Octoxynol-10, α-Tocopheryl Hydrogen Succinate, Polysorbate 80, Sodium Deoxycholate, Sodium Phosphate, Thimerosal*
Influenza (Flulaval) : Egg Albumin (Ovalbumin), Egg Protein, Formaldehyde or Formalin, Sodium Deoxycholate, Phosphate Buffers, Thimerosal
Influenza (Fluvirin) : Beta-Propiolactone , Egg Protein, Neomycin, Polymyxin B, Polyoxyethylene 9-10 Nonyl Phenol (Triton N-101, Octoxynol 9), Thimerosal (multidose containers), Thimerosal* (single-dose syringes)
Influenza (Fluzone) : Egg Protein, Formaldehyde or Formalin, Gelatin, Octoxinol-9 (Triton X-100), Thimerosal (multidose containers)
Influenza (FluMist) : Chick Kidney Cells, Egg Protein, Gentamicin Sulfate, Monosodium Glutamate, Sucrose Phosphate Glutamate Buffer
IPV (Ipol) : Calf Serum Protein, Formaldehyde or Formalin, Monkey Kidney Tissue, Neomycin, 2-Phenoxyethanol, Polymyxin B, Streptomycin,
Japanese Encephalitis (JE-Vax) : Formaldehyde or Formalin, Gelatin, Mouse Serum Protein, Polysorbate 80, Thimerosal
Japanese Encephalitis (Ixiaro) : Aluminum Hydroxide, Bovine Serum Albumin, Formaldehyde, Protamine Sulfate, Sodium Metabisulphite
Meningococcal (Menactra) : Formaldehyde or Formalin, Phosphate Buffers
Meningococcal (Menomune) : Lactose, Thimerosal (10-dose vials only)
Meningococcal (Menveo) : Amino Acid, Formaldehyde or Formalin, Yeast
MMR (MMR-II) : Amino Acid, Bovine Albumin or Serum, Chick Embryo Fibroblasts, Human Serum Albumin, Gelatin, Glutamate, Neomycin, Phosphate Buffers, Sorbitol, Sucrose, Vitamins
MMRV (ProQuad) : Bovine Albumin or Serum, Gelatin, Human Serum Albumin, Monosodium L-glutamate, MRC-5 Cellular Protein, Neomycin, Sodium Phosphate Dibasic, Sodium Bicarbonate, Sorbitol, Sucrose, Potassium Phosphate Monobasic, Potassium Chloride, Potassium Phosphate Dibasic
Pneumococcal (Pneumovax) : Bovine Protein, Phenol
Pneumococcal (Prevnar) : Aluminum Phosphate, Amino Acid, Soy Peptone, Yeast Extract
Pneumococcal (Prevnar 13) : Aluminum Phosphate, Amino Acid, Polysorbate 80, Soy Peptone, Succinate Buffer, Yeast Extract
Rabies (Imovax) : Human Serum Albumin, Beta-Propiolactone, MRC-5 Cellular Protein, Neomycin, Phenol Red (Phenolsulfonphthalein), Vitamins
Rabies (RabAvert) : Amphotericin B, Beta-Propiolactone, Bovine Albumin or Serum, Chicken Protein, Chlortetracycline, Egg Albumin (Ovalbumin), Ethylenediamine-Tetraacetic Acid Sodium (EDTA), Neomycin, Potassium Glutamate
Rotavirus (RotaTeq) : Cell Culture Media, Fetal Bovine Serum, Sodium Citrate, Sodium Phosphate Monobasic Monohydrate, Sodium Hydroxide Sucrose, Polysorbate 80
Rotavirus (Rotarix) : Amino Acids, Calcium Carbonate, Calcium Chloride, D-glucose, Dextran, Ferric (III) Nitrate, L-cystine, L-tyrosine, Magnesium Sulfate, Phenol Red, Potassium Chloride, Sodium Hydrogenocarbonate, Sodium Phosphate, Sodium L-glutamine, Sodium Pyruvate, Sorbitol, Sucrose, Vitamins, Xanthan
Td (Decavac) : Aluminum Potassium Sulfate, Bovine Extract, Formaldehyde or Formalin, 2-Phenoxyethanol, Peptone, Thimerosal*
Td (Massachusetts) : Aluminum Hydroxide, Aluminum Phosphate, Formaldehyde or Formalin, Thimerosal (some multidose containers)
Tdap (Adacel) : Aluminum Phosphate, Formaldehyde or Formalin, Glutaraldehyde, 2-Phenoxyethanol
Tdap (Boostrix) : Aluminum Hydroxide, Bovine Extract, Formaldehyde or Formalin, Glutaraldehyde, Polysorbate 80
Typhoid (inactivated – Typhim Vi) : Disodium Phosphate, Monosodium Phosphate, Phenol, Polydimethylsilozone, Hexadecyltrimethylammonium Bromide
Typhoid (oral – Ty21a) : Amino Acids, Ascorbic Acid, Bovine Protein, Casein, Dextrose, Galactose, Gelatin, Lactose, Magnesium Stearate, Sucrose, Yeast Extract
Vaccinia (ACAM2000) : Glycerin, Human Serum Albumin, Mannitol, Monkey Kidney Cells, Neomycin, Phenol, Polymyxin B
Varicella (Varivax) : Bovine Albumin or Serum, Ethylenediamine-Tetraacetic Acid Sodium (EDTA), Gelatin, Monosodium L-Glutamate, MRC-5 DNA and Cellular Protein, Neomycin, Potassium Chloride, Potassium Phosphate Monobasic, Sodium Phosphate Monobasic, Sucrose
Yellow Fever (YF-Vax) : Egg Protein, Gelatin, Sorbitol
Zoster (Zostavax) : Bovine Calf Serum, Hydrolyzed Porcine Gelatin, Monosodium L-glutamate, MRC-5 DNA and Cellular Protein, Neomycin, Potassium Phosphate Monobasic, Potassium Chloride, Sodium Phosphate Dibasic, Sucrose
Daftar dimana dicantumkan “thimerosal” yang diberi tanda bintang menunjukkan bahwa produk tersebut bisa disamakan dengan produk bebas thimerosal. Di dalam vaksin-vaksin tersebut masih terlacak < 0.3 mcg merkuri setelah dihilangkannya thimerosal pasca-produksi tetapi jumlah ini TIDAK MEMILIKI EFEK BIOLOGIS. JAMA 1999;282(18) and JAMA 2000;283(16)
Diadaptasi dari Grabenstein JD. ImmunoFacts: Vaccines & Immunologic Drugs. St. Louis, MO: Wolters Kluwer Health Inc.; 2009 dan informasi produk.
Nama vaksin yang ditebalkan adalah vaksin-vaksin yang lazim diberikan dan yang optional. Vaksin-vaksin optional antara lain : vaksin Varicella, vaksin Human Papilloma Virus, dan Hepatitis A. Vaksin Hepatitis B mulai rutin diberikan (artinya diberikan kepada sebagian besar anak terutama di kota-kota besar mengingat risiko penularan masih sangat tinggi dan penderita hepatitis B berisiko menderita kanker hati dalam jangka panjang) tetapi masih belum dilakukan merata di seluruh Indonesia terutama di daerah-daerah terpencil.
Sebagaimana tampak dalam daftar di atas, vaksin MMR yang diisukan mengandung thimerosal (merkuri) sudah tidak lagi menggunakan thimerosal dan vaksin MMR tidak termasuk dalam imunisasi dasar yang artinya juga bersifat optional.
Indonesia sudah memiliki produsen vaksin sendiri, yaitu PT. Biofarma.
Sumber: Umm Hamzah

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