Bloc AFPA \u2014 Enfant voyageur 2026<\/title>\n<\/head>\n<body style=\"margin:0;background:#e9e6dd;padding:16px;\">\n\n\n\n\n<style>\n\/* ---- AFPA \u00b7 Enfant voyageur 2026 \u2014 styles scop\u00e9s sous .afpa-ev ---- *\/\n.afpa-ev{\n --ev-paper:#ffffff;\n --ev-ink:#17282e;\n --ev-muted:#5b6b70;\n --ev-line:#dbe1e0;\n --ev-teal:#0e6e6e;\n --ev-teal-deep:#0a4f4f;\n --ev-teal-wash:#eaf2f1;\n --ev-amber:#9a5b0e;\n --ev-amber-wash:#f6eedf;\n --ev-band-nourr:#edf4f3;\n --ev-band-petit:#f5f1e8;\n box-sizing:border-box;\n max-width:900px;margin:0 auto;\n background:var(--ev-paper);\n color:var(--ev-ink);\n font-family:\"Segoe UI\",system-ui,-apple-system,Roboto,Helvetica,Arial,sans-serif;\n font-size:15px;line-height:1.45;\n border:1px solid var(--ev-line);border-radius:8px;\n padding:22px 24px 18px;\n -webkit-print-color-adjust:exact;print-color-adjust:exact;\n}\n.afpa-ev *{box-sizing:border-box;}\n\n.afpa-ev .ev-head{\n border-bottom:3px solid var(--ev-teal);\n 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\u00e2ge minimal \u00b7 \u00e9dition 2026<\/span>\n <\/h2>\n <p class=\"ev-src\"><b>Source :<\/b> Recommandations sanitaires aux voyageurs 2026 \u2014 HCSP \/ DGS (<em>BEH<\/em>, version du 01\/07\/2026). Chap. 1 (Vaccinations), 3.3 (CPAP), 10.2 (Enfants).<\/p>\n <\/div>\n\n <p class=\"ev-prereq\"><b>Pr\u00e9alable indispensable :<\/b> mettre \u00e0 jour \u2014 et souvent <b>anticiper \/ avancer<\/b> (dans le respect des AMM) \u2014 le <b>calendrier vaccinal fran\u00e7ais<\/b> avant le d\u00e9part (DTCaP-Hib-HepB, pneumocoque, ROR, m\u00e9ningocoque B et ACWY) : les valences des 6 premiers mois ne sont g\u00e9n\u00e9ralement pas r\u00e9alisables pendant le s\u00e9jour.<\/p>\n\n <h3 class=\"ev-h2\"><span class=\"ev-n\">1<\/span>Vaccins du voyage \u2014 \u00e2ge minimal \u00d7 sch\u00e9ma <span class=\"ev-hint\">tri par \u00e2ge croissant<\/span><\/h3>\n <table class=\"ev-vax\">\n <thead>\n <tr><th>\u00c2ge minimal<\/th><th>Vaccin<\/th><th>Sch\u00e9ma & sp\u00e9cificit\u00e9 p\u00e9diatrique<\/th><\/tr>\n <\/thead>\n <tbody>\n <tr class=\"ev-band\"><td class=\"ev-bandcell\" colspan=\"3\">Nourrisson (< 1 an)<\/td><\/tr>\n\n <tr class=\"ev-nourr\">\n <td class=\"ev-age\" data-label=\"\u00c2ge minimal\">6 semaines<\/td>\n <td class=\"ev-vac\" data-label=\"Vaccin\">M\u00e9ningocoque ACWY<small>t\u00e9travalent conjugu\u00e9<\/small><\/td>\n <td data-label=\"Sch\u00e9ma\">Administrable d\u00e8s 6 semaines de vie \u2014 utile pour tout nourrisson devant partir en zone \u00e0 risque (ceinture de la m\u00e9ningite, Hajj\u2026).<\/td>\n <\/tr>\n <tr class=\"ev-nourr\">\n <td class=\"ev-age\" data-label=\"\u00c2ge minimal\">1 mois<\/td>\n <td class=\"ev-vac\" data-label=\"Vaccin\">BCG<small>AJ Vaccines\u00ae<\/small><\/td>\n <td data-label=\"Sch\u00e9ma\">S\u00e9jours fr\u00e9quents ou > 1 mois en pays \u00e0 forte incidence tuberculeuse ; priorit\u00e9 < 5 ans. <b>D\u00e8s la naissance<\/b> si d\u00e9part pr\u00e9coce (< 2 mois). CI si immunod\u00e9pression \/ VIH.<\/td>\n <\/tr>\n <tr class=\"ev-nourr\">\n <td class=\"ev-age\" data-label=\"\u00c2ge minimal\">2 mois<\/td>\n <td class=\"ev-vac\" data-label=\"Vaccin\">Enc\u00e9phalite japonaise<small>Ixiaro\u00ae<\/small><\/td>\n <td data-label=\"Sch\u00e9ma\">2 doses J0\u2013J28. <b>\u00bd dose (0,25 ml) de 2 mois \u00e0 < 3 ans.<\/b> Rappel \u2265 12 mois si r\u00e9exposition. 2\u1d49 dose \u2265 7 j avant le s\u00e9jour.<\/td>\n <\/tr>\n <tr class=\"ev-nourr\">\n <td class=\"ev-age\" data-label=\"\u00c2ge minimal\">6 mois<\/td>\n <td class=\"ev-vac\" data-label=\"Vaccin\">ROR \u2014 dose avanc\u00e9e<small>M-M-RVaxPro\u00ae \/ Priorix\u00ae<\/small><\/td>\n <td data-label=\"Sch\u00e9ma\">1 dose de 6 \u00e0 11 mois (compassionnel 6\u20138 mois) si zone de forte end\u00e9micit\u00e9, <b>puis sch\u00e9ma normal<\/b> (12 mois + 16\u201318 mois). 2\u1d49 dose acc\u00e9l\u00e9rable, intervalle \u2265 1 mois.<\/td>\n <\/tr>\n <tr class=\"ev-nourr\">\n <td class=\"ev-age\" data-label=\"\u00c2ge minimal\">9 mois <small>(6 mois d\u00e9rog.)<\/small><\/td>\n <td class=\"ev-vac\" data-label=\"Vaccin\">Fi\u00e8vre jaune<small>Stamaril\u00ae \u2014 vivant att\u00e9nu\u00e9<\/small><\/td>\n <td data-label=\"Sch\u00e9ma\">Recommand\u00e9 d\u00e8s 9 mois. <b>D\u00e8s 6 mois<\/b> \u00e0 titre exceptionnel (milieu rural\/for\u00eat, \u00e9pid\u00e9mie). Report du voyage \u00e0 discuter. Allaitement : CI si nourrisson < 6 mois.<\/td>\n <\/tr>\n\n <tr class=\"ev-band\"><td class=\"ev-bandcell\" colspan=\"3\">Petit enfant (1\u20132 ans)<\/td><\/tr>\n\n <tr class=\"ev-petit\">\n <td class=\"ev-age\" data-label=\"\u00c2ge minimal\">1 an<\/td>\n <td class=\"ev-vac\" data-label=\"Vaccin\">H\u00e9patite A<small>Avaxim 80\u00ae \/ Havrix 720\u00ae<\/small><\/td>\n <td data-label=\"Sch\u00e9ma\">1 dose 15 j avant d\u00e9part, rappel 6\u201312 mois plus tard. Formulation enfant de 1 \u00e0 15 ans.<\/td>\n <\/tr>\n <tr class=\"ev-petit\">\n <td class=\"ev-age\" data-label=\"\u00c2ge minimal\">1 an<\/td>\n <td class=\"ev-vac\" data-label=\"Vaccin\">Enc\u00e9phalite \u00e0 tiques<small>Ticovac\u00ae enfant 0,25 ml<\/small><\/td>\n <td data-label=\"Sch\u00e9ma\">Enfant de 1 \u00e0 15 ans r\u00e9volus. Zones rurales\/foresti\u00e8res d’Europe centrale & orientale, Asie temp\u00e9r\u00e9e.<\/td>\n <\/tr>\n <tr class=\"ev-petit\">\n <td class=\"ev-age\" data-label=\"\u00c2ge minimal\">d\u00e8s la marche<\/td>\n <td class=\"ev-vac\" data-label=\"Vaccin\">Rage \u2014 pr\u00e9-exposition<small>Vaccin rabique Pasteur\u00ae \/ Rabipur\u00ae<\/small><\/td>\n <td data-label=\"Sch\u00e9ma\">Recommand\u00e9e chez le jeune enfant <b>d\u00e8s qu’il marche<\/b> en zone \u00e0 risque (contact mineur inaper\u00e7u : l\u00e9chage, griffure). Simplifie la PPE et dispense des Ig antirabiques.<\/td>\n <\/tr>\n\n <tr class=\"ev-band\"><td class=\"ev-bandcell\" colspan=\"3\">Grand enfant (\u2265 2 ans)<\/td><\/tr>\n\n <tr>\n <td class=\"ev-age\" data-label=\"\u00c2ge minimal\">2 ans<\/td>\n <td class=\"ev-vac\" data-label=\"Vaccin\">Typho\u00efde \u2014 injectable<small>Typhim Vi\u00ae<\/small><\/td>\n <td data-label=\"Sch\u00e9ma\">1 injection 15 j avant d\u00e9part. Revaccination tous les 2\u20133 ans si exposition maintenue.<\/td>\n <\/tr>\n <tr>\n <td class=\"ev-age\" data-label=\"\u00c2ge minimal\">2 ans<\/td>\n <td class=\"ev-vac\" data-label=\"Vaccin\">Chol\u00e9ra \u2014 oral<small>Dukoral\u00ae \/ Vaxchora\u00ae<\/small><\/td>\n <td data-label=\"Sch\u00e9ma\">Dukoral : <b>3 doses (J0-J7-J14) de 2 \u00e0 6 ans<\/b>, 2 doses \u2265 6 ans. Vaxchora : 1 dose \u2265 2 ans (\u2265 10 j avant). Vaxchora CI si immunod\u00e9pression \/ grossesse.<\/td>\n <\/tr>\n <tr>\n <td class=\"ev-age\" data-label=\"\u00c2ge minimal\">5 ans<\/td>\n <td class=\"ev-vac\" data-label=\"Vaccin\">Typho\u00efde \u2014 orale<small>Vivotif\u00ae \u2014 vivant att\u00e9nu\u00e9 Ty21a<\/small><\/td>\n <td data-label=\"Sch\u00e9ma\">3 g\u00e9lules J1-J3-J5 d\u00e8s 5 ans. Espacer \u2265 3 j de tout antipaludique \/ antibiotique (sulfamides).<\/td>\n <\/tr>\n <\/tbody>\n <\/table>\n\n <div class=\"ev-duo\">\n <div>\n <h3 class=\"ev-h2\"><span class=\"ev-n\">2<\/span>R\u00e9pulsifs cutan\u00e9s<\/h3>\n <table>\n <thead><tr><th>\u00c2ge<\/th><th>Conduite<\/th><\/tr><\/thead>\n <tbody>\n <tr><td class=\"ev-k\">< 6 mois<\/td><td><b>Aucun r\u00e9pulsif<\/b> \u2192 moustiquaire impr\u00e9gn\u00e9e +++ (mesure essentielle).<\/td><\/tr>\n <tr><td class=\"ev-k\">6\u201324 mois<\/td><td>IR3535 \u2264 10 % <em>ou<\/em> icaridine 10\u201320 %.<\/td><\/tr>\n <tr><td class=\"ev-k\">\u2265 24 mois<\/td><td>IR3535 \u2264 20 %, icaridine.<\/td><\/tr>\n <tr><td class=\"ev-k\">\u2265 12 ans<\/td><td>DEET 30\u201350 % possible.<\/td><\/tr>\n <tr><td class=\"ev-k\">DEET < 12 ans<\/td><td>Concentrations faibles seulement ; <b>non reco. chez la femme enceinte<\/b>.<\/td><\/tr>\n <\/tbody>\n <\/table>\n <\/div>\n <div>\n <h3 class=\"ev-h2\"><span class=\"ev-n\">3<\/span>Chimioprophylaxie palu (poids)<\/h3>\n <table>\n <thead class=\"ev-amberhead\"><tr><th>Poids<\/th><th>Mol\u00e9cule<\/th><\/tr><\/thead>\n <tbody>\n <tr><td class=\"ev-k\">< 5 kg<\/td><td>Aucune AMM \u2192 moustiquaire impr\u00e9gn\u00e9e +++.<\/td><\/tr>\n <tr><td class=\"ev-k\">5\u2013< 11 kg<\/td><td>Atovaquone-proguanil (cp enfant) <b>hors AMM<\/b> ; m\u00e9floquine d\u00e8s 5 kg (hors AMM < 15 kg).<\/td><\/tr>\n <tr><td class=\"ev-k\">11\u201340 kg<\/td><td>Atovaquone-proguanil cp enfant (62,5\/25) selon poids ; m\u00e9floquine selon poids.<\/td><\/tr>\n <tr><td class=\"ev-k\">> 40 kg<\/td><td>Comprim\u00e9s adultes.<\/td><\/tr>\n <tr><td class=\"ev-k\">Doxycycline<\/td><td><b>> 8 ans uniquement<\/b> : 50 mg (< 40 kg) \/ 100 mg (\u2265 40 kg).<\/td><\/tr>\n <\/tbody>\n <\/table>\n <\/div>\n <\/div>\n\n <div class=\"ev-keys\">\n <b>\u00c0 ne pas oublier<\/b>\n <ul>\n <li><b>Moustiquaire impr\u00e9gn\u00e9e<\/b> = pilier de la pr\u00e9vention arbovirose\/palu chez le nourrisson (r\u00e9pulsifs d\u00e9conseill\u00e9s < 6 mois).<\/li>\n <li><b>Toute fi\u00e8vre au retour<\/b> (surtout les 3 premiers mois) \u2192 \u00e9voquer le <b>paludisme<\/b> ; une diarrh\u00e9e f\u00e9brile peut \u00eatre un acc\u00e8s palustre.<\/li>\n <li><b>Diarrh\u00e9e<\/b> : SRO en priorit\u00e9 chez le nourrisson ; consultation si < 2 ans avec forme persistante ; pas de lop\u00e9ramide si selles glairo-sanglantes\/f\u00e9briles.<\/li>\n <li><b>Vaccins vivants<\/b> (FJ, ROR, BCG, Vivotif, Vaxchora) contre-indiqu\u00e9s chez l’enfant immunod\u00e9prim\u00e9 \u2014 vacciner l’entourage.<\/li>\n <li><b>Nouveau-n\u00e9 \/ ex-pr\u00e9matur\u00e9<\/b> : voyage d\u00e9conseill\u00e9 ; vol a\u00e9rien diff\u00e9r\u00e9 jusqu’\u00e0 41 SA d’\u00e2ge corrig\u00e9.<\/li>\n <li>Selon le pays : cf. <b>Tableau 16 (annexe 4)<\/b> pour le paludisme, cartographie fi\u00e8vre jaune (chap. 1), liste OMS tuberculose (annexe 3).<\/li>\n <\/ul>\n <\/div>\n\n <div class=\"ev-foot\">\n <span>AFPA \u00b7 aide-m\u00e9moire de consultation \u2014 ne se substitue pas au texte officiel 2026.<\/span>\n <span>\u00c2ges minimaux \/ AMM \u00e0 v\u00e9rifier au RCP \u00b7 maj 07\/2026<\/span>\n <\/div>\n<\/div>\n\n\n\n\n<\/body>\n<\/html>\n","protected":false},"excerpt":{"rendered":"<p>Bloc AFPA \u2014 Enfant voyageur 2026 Consultation du voyage \u00b7 P\u00e9diatrie ambulatoire Enfant voyageur \u2014 vaccins & pr\u00e9vention R\u00e9capitulatif ordonn\u00e9 par \u00e2ge minimal \u00b7 \u00e9dition 2026 Source :\u2026<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-208","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/pediatrix.fr\/index.php\/wp-json\/wp\/v2\/pages\/208","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pediatrix.fr\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/pediatrix.fr\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/pediatrix.fr\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/pediatrix.fr\/index.php\/wp-json\/wp\/v2\/comments?post=208"}],"version-history":[{"count":1,"href":"https:\/\/pediatrix.fr\/index.php\/wp-json\/wp\/v2\/pages\/208\/revisions"}],"predecessor-version":[{"id":210,"href":"https:\/\/pediatrix.fr\/index.php\/wp-json\/wp\/v2\/pages\/208\/revisions\/210"}],"wp:attachment":[{"href":"https:\/\/pediatrix.fr\/index.php\/wp-json\/wp\/v2\/media?parent=208"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}

{"id":208,"date":"2026-07-07T14:35:20","date_gmt":"2026-07-07T14:35:20","guid":{"rendered":"https:\/\/pediatrix.fr\/?page_id=208"},"modified":"2026-07-07T14:35:21","modified_gmt":"2026-07-07T14:35:21","slug":"enfant-voyageur-vaccination-et-prevention","status":"publish","type":"page","link":"https:\/\/pediatrix.fr\/index.php\/enfant-voyageur-vaccination-et-prevention\/","title":{"rendered":"Enfant voyageur Vaccination et pr\u00e9vention"},"content":{"rendered":"\n\n\n\n\n\nBloc AFPA \u2014 Enfant voyageur 2026<\/title>\n<\/head>\n<body style=\"margin:0;background:#e9e6dd;padding:16px;\">\n\n\n\n\n<style>\n\/* ---- AFPA \u00b7 Enfant voyageur 2026 \u2014 styles scop\u00e9s sous .afpa-ev ---- *\/\n.afpa-ev{\n --ev-paper:#ffffff;\n --ev-ink:#17282e;\n --ev-muted:#5b6b70;\n --ev-line:#dbe1e0;\n --ev-teal:#0e6e6e;\n --ev-teal-deep:#0a4f4f;\n --ev-teal-wash:#eaf2f1;\n --ev-amber:#9a5b0e;\n --ev-amber-wash:#f6eedf;\n --ev-band-nourr:#edf4f3;\n --ev-band-petit:#f5f1e8;\n 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tr.ev-petit td:not(.ev-bandcell){background:var(--ev-band-petit);}\n\n.afpa-ev .ev-duo{display:grid;grid-template-columns:1fr 1fr;gap:18px;}\n.afpa-ev .ev-duo td.ev-k{font-weight:700;white-space:nowrap;color:var(--ev-teal-deep);width:110px;}\n.afpa-ev .ev-duo .ev-amberhead th{background:var(--ev-amber);}\n\n.afpa-ev .ev-keys{\n margin-top:20px;background:var(--ev-amber-wash);border:1px solid #e4d3b4;\n border-radius:4px;padding:12px 16px;font-size:13.5px;\n}\n.afpa-ev .ev-keys b{color:var(--ev-amber);}\n.afpa-ev .ev-keys ul{margin:6px 0 0;padding-left:20px;}\n.afpa-ev .ev-keys li{margin:4px 0;}\n.afpa-ev .ev-foot{\n margin-top:14px;display:flex;flex-wrap:wrap;gap:6px;justify-content:space-between;\n font-size:11.5px;color:var(--ev-muted);border-top:1px solid var(--ev-line);padding-top:8px;\n}\n\n\/* ---- responsive : cartes empil\u00e9es \u2264 640px ---- *\/\n@media (max-width:640px){\n .afpa-ev{padding:16px 14px;}\n .afpa-ev .ev-h1{font-size:20px;}\n .afpa-ev .ev-duo{grid-template-columns:1fr;}\n\n .afpa-ev .ev-vax thead{position:absolute;width:1px;height:1px;overflow:hidden;clip:rect(0 0 0 0);}\n .afpa-ev .ev-vax,\n .afpa-ev .ev-vax tbody,\n .afpa-ev .ev-vax tr,\n .afpa-ev .ev-vax td{display:block;width:auto;}\n .afpa-ev .ev-vax tr:not(.ev-band){\n border:1px solid var(--ev-line);border-radius:6px;margin-bottom:10px;overflow:hidden;\n }\n .afpa-ev .ev-vax tr.ev-nourr td:not(.ev-bandcell),\n .afpa-ev .ev-vax tr.ev-petit td:not(.ev-bandcell),\n .afpa-ev .ev-vax tr td{background:#fff;}\n .afpa-ev .ev-vax td{border-bottom:1px solid var(--ev-line);}\n .afpa-ev .ev-vax td:last-child{border-bottom:none;}\n .afpa-ev .ev-vax td::before{\n content:attr(data-label);display:block;font-size:10px;letter-spacing:.1em;\n text-transform:uppercase;color:var(--ev-teal);font-weight:700;margin-bottom:2px;\n }\n .afpa-ev .ev-vax td.ev-age,\n .afpa-ev .ev-vax td.ev-vac{width:auto;}\n .afpa-ev .ev-vax tr.ev-band{margin:14px 0 6px;}\n .afpa-ev .ev-vax tr.ev-band td::before{content:none;}\n}\n<\/style>\n\n<div class=\"afpa-ev\">\n <div class=\"ev-head\">\n <p class=\"ev-eyebrow\">Consultation du voyage \u00b7 P\u00e9diatrie ambulatoire<\/p>\n <h2 class=\"ev-h1\">Enfant voyageur \u2014 vaccins & pr\u00e9vention\n <span class=\"ev-sub\">R\u00e9capitulatif ordonn\u00e9 par \u00e2ge minimal \u00b7 \u00e9dition 2026<\/span>\n <\/h2>\n <p class=\"ev-src\"><b>Source :<\/b> Recommandations sanitaires aux voyageurs 2026 \u2014 HCSP \/ DGS (<em>BEH<\/em>, version du 01\/07\/2026). Chap. 1 (Vaccinations), 3.3 (CPAP), 10.2 (Enfants).<\/p>\n <\/div>\n\n <p class=\"ev-prereq\"><b>Pr\u00e9alable indispensable :<\/b> mettre \u00e0 jour \u2014 et souvent <b>anticiper \/ avancer<\/b> (dans le respect des AMM) \u2014 le <b>calendrier vaccinal fran\u00e7ais<\/b> avant le d\u00e9part (DTCaP-Hib-HepB, pneumocoque, ROR, m\u00e9ningocoque B et ACWY) : les valences des 6 premiers mois ne sont g\u00e9n\u00e9ralement pas r\u00e9alisables pendant le s\u00e9jour.<\/p>\n\n <h3 class=\"ev-h2\"><span class=\"ev-n\">1<\/span>Vaccins du voyage \u2014 \u00e2ge minimal \u00d7 sch\u00e9ma <span class=\"ev-hint\">tri par \u00e2ge croissant<\/span><\/h3>\n <table class=\"ev-vax\">\n <thead>\n <tr><th>\u00c2ge minimal<\/th><th>Vaccin<\/th><th>Sch\u00e9ma & sp\u00e9cificit\u00e9 p\u00e9diatrique<\/th><\/tr>\n <\/thead>\n <tbody>\n <tr class=\"ev-band\"><td class=\"ev-bandcell\" colspan=\"3\">Nourrisson (< 1 an)<\/td><\/tr>\n\n <tr class=\"ev-nourr\">\n <td class=\"ev-age\" data-label=\"\u00c2ge minimal\">6 semaines<\/td>\n <td class=\"ev-vac\" data-label=\"Vaccin\">M\u00e9ningocoque ACWY<small>t\u00e9travalent conjugu\u00e9<\/small><\/td>\n <td data-label=\"Sch\u00e9ma\">Administrable d\u00e8s 6 semaines de vie \u2014 utile pour tout nourrisson devant partir en zone \u00e0 risque (ceinture de la m\u00e9ningite, Hajj\u2026).<\/td>\n <\/tr>\n <tr class=\"ev-nourr\">\n <td class=\"ev-age\" data-label=\"\u00c2ge minimal\">1 mois<\/td>\n <td class=\"ev-vac\" data-label=\"Vaccin\">BCG<small>AJ Vaccines\u00ae<\/small><\/td>\n <td data-label=\"Sch\u00e9ma\">S\u00e9jours fr\u00e9quents ou > 1 mois en pays \u00e0 forte incidence tuberculeuse ; priorit\u00e9 < 5 ans. <b>D\u00e8s la naissance<\/b> si d\u00e9part pr\u00e9coce (< 2 mois). CI si immunod\u00e9pression \/ VIH.<\/td>\n <\/tr>\n <tr class=\"ev-nourr\">\n <td class=\"ev-age\" data-label=\"\u00c2ge minimal\">2 mois<\/td>\n <td class=\"ev-vac\" data-label=\"Vaccin\">Enc\u00e9phalite japonaise<small>Ixiaro\u00ae<\/small><\/td>\n <td data-label=\"Sch\u00e9ma\">2 doses J0\u2013J28. <b>\u00bd dose (0,25 ml) de 2 mois \u00e0 < 3 ans.<\/b> Rappel \u2265 12 mois si r\u00e9exposition. 2\u1d49 dose \u2265 7 j avant le s\u00e9jour.<\/td>\n <\/tr>\n <tr class=\"ev-nourr\">\n <td class=\"ev-age\" data-label=\"\u00c2ge minimal\">6 mois<\/td>\n <td class=\"ev-vac\" data-label=\"Vaccin\">ROR \u2014 dose avanc\u00e9e<small>M-M-RVaxPro\u00ae \/ Priorix\u00ae<\/small><\/td>\n <td data-label=\"Sch\u00e9ma\">1 dose de 6 \u00e0 11 mois (compassionnel 6\u20138 mois) si zone de forte end\u00e9micit\u00e9, <b>puis sch\u00e9ma normal<\/b> (12 mois + 16\u201318 mois). 2\u1d49 dose acc\u00e9l\u00e9rable, intervalle \u2265 1 mois.<\/td>\n <\/tr>\n <tr class=\"ev-nourr\">\n <td class=\"ev-age\" data-label=\"\u00c2ge minimal\">9 mois <small>(6 mois d\u00e9rog.)<\/small><\/td>\n <td class=\"ev-vac\" data-label=\"Vaccin\">Fi\u00e8vre jaune<small>Stamaril\u00ae \u2014 vivant att\u00e9nu\u00e9<\/small><\/td>\n <td data-label=\"Sch\u00e9ma\">Recommand\u00e9 d\u00e8s 9 mois. <b>D\u00e8s 6 mois<\/b> \u00e0 titre exceptionnel (milieu rural\/for\u00eat, \u00e9pid\u00e9mie). Report du voyage \u00e0 discuter. Allaitement : CI si nourrisson < 6 mois.<\/td>\n <\/tr>\n\n <tr class=\"ev-band\"><td class=\"ev-bandcell\" colspan=\"3\">Petit enfant (1\u20132 ans)<\/td><\/tr>\n\n <tr class=\"ev-petit\">\n <td class=\"ev-age\" data-label=\"\u00c2ge minimal\">1 an<\/td>\n <td class=\"ev-vac\" data-label=\"Vaccin\">H\u00e9patite A<small>Avaxim 80\u00ae \/ Havrix 720\u00ae<\/small><\/td>\n <td data-label=\"Sch\u00e9ma\">1 dose 15 j avant d\u00e9part, rappel 6\u201312 mois plus tard. Formulation enfant de 1 \u00e0 15 ans.<\/td>\n <\/tr>\n <tr class=\"ev-petit\">\n <td class=\"ev-age\" data-label=\"\u00c2ge minimal\">1 an<\/td>\n <td class=\"ev-vac\" data-label=\"Vaccin\">Enc\u00e9phalite \u00e0 tiques<small>Ticovac\u00ae enfant 0,25 ml<\/small><\/td>\n <td data-label=\"Sch\u00e9ma\">Enfant de 1 \u00e0 15 ans r\u00e9volus. Zones rurales\/foresti\u00e8res d’Europe centrale & orientale, Asie temp\u00e9r\u00e9e.<\/td>\n <\/tr>\n <tr class=\"ev-petit\">\n <td class=\"ev-age\" data-label=\"\u00c2ge minimal\">d\u00e8s la marche<\/td>\n <td class=\"ev-vac\" data-label=\"Vaccin\">Rage \u2014 pr\u00e9-exposition<small>Vaccin rabique Pasteur\u00ae \/ Rabipur\u00ae<\/small><\/td>\n <td data-label=\"Sch\u00e9ma\">Recommand\u00e9e chez le jeune enfant <b>d\u00e8s qu’il marche<\/b> en zone \u00e0 risque (contact mineur inaper\u00e7u : l\u00e9chage, griffure). Simplifie la PPE et dispense des Ig antirabiques.<\/td>\n <\/tr>\n\n <tr class=\"ev-band\"><td class=\"ev-bandcell\" colspan=\"3\">Grand enfant (\u2265 2 ans)<\/td><\/tr>\n\n <tr>\n <td class=\"ev-age\" data-label=\"\u00c2ge minimal\">2 ans<\/td>\n <td class=\"ev-vac\" data-label=\"Vaccin\">Typho\u00efde \u2014 injectable<small>Typhim Vi\u00ae<\/small><\/td>\n <td data-label=\"Sch\u00e9ma\">1 injection 15 j avant d\u00e9part. Revaccination tous les 2\u20133 ans si exposition maintenue.<\/td>\n <\/tr>\n <tr>\n <td class=\"ev-age\" data-label=\"\u00c2ge minimal\">2 ans<\/td>\n <td class=\"ev-vac\" data-label=\"Vaccin\">Chol\u00e9ra \u2014 oral<small>Dukoral\u00ae \/ Vaxchora\u00ae<\/small><\/td>\n <td data-label=\"Sch\u00e9ma\">Dukoral : <b>3 doses (J0-J7-J14) de 2 \u00e0 6 ans<\/b>, 2 doses \u2265 6 ans. Vaxchora : 1 dose \u2265 2 ans (\u2265 10 j avant). Vaxchora CI si immunod\u00e9pression \/ grossesse.<\/td>\n <\/tr>\n <tr>\n <td class=\"ev-age\" data-label=\"\u00c2ge minimal\">5 ans<\/td>\n <td class=\"ev-vac\" data-label=\"Vaccin\">Typho\u00efde \u2014 orale<small>Vivotif\u00ae \u2014 vivant att\u00e9nu\u00e9 Ty21a<\/small><\/td>\n <td data-label=\"Sch\u00e9ma\">3 g\u00e9lules J1-J3-J5 d\u00e8s 5 ans. Espacer \u2265 3 j de tout antipaludique \/ antibiotique (sulfamides).<\/td>\n <\/tr>\n <\/tbody>\n <\/table>\n\n <div class=\"ev-duo\">\n <div>\n <h3 class=\"ev-h2\"><span class=\"ev-n\">2<\/span>R\u00e9pulsifs cutan\u00e9s<\/h3>\n <table>\n <thead><tr><th>\u00c2ge<\/th><th>Conduite<\/th><\/tr><\/thead>\n <tbody>\n <tr><td class=\"ev-k\">< 6 mois<\/td><td><b>Aucun r\u00e9pulsif<\/b> \u2192 moustiquaire impr\u00e9gn\u00e9e +++ (mesure essentielle).<\/td><\/tr>\n <tr><td class=\"ev-k\">6\u201324 mois<\/td><td>IR3535 \u2264 10 % <em>ou<\/em> icaridine 10\u201320 %.<\/td><\/tr>\n <tr><td class=\"ev-k\">\u2265 24 mois<\/td><td>IR3535 \u2264 20 %, icaridine.<\/td><\/tr>\n <tr><td class=\"ev-k\">\u2265 12 ans<\/td><td>DEET 30\u201350 % possible.<\/td><\/tr>\n <tr><td class=\"ev-k\">DEET < 12 ans<\/td><td>Concentrations faibles seulement ; <b>non reco. chez la femme enceinte<\/b>.<\/td><\/tr>\n <\/tbody>\n <\/table>\n <\/div>\n <div>\n <h3 class=\"ev-h2\"><span class=\"ev-n\">3<\/span>Chimioprophylaxie palu (poids)<\/h3>\n <table>\n <thead class=\"ev-amberhead\"><tr><th>Poids<\/th><th>Mol\u00e9cule<\/th><\/tr><\/thead>\n <tbody>\n <tr><td class=\"ev-k\">< 5 kg<\/td><td>Aucune AMM \u2192 moustiquaire impr\u00e9gn\u00e9e +++.<\/td><\/tr>\n <tr><td class=\"ev-k\">5\u2013< 11 kg<\/td><td>Atovaquone-proguanil (cp enfant) <b>hors AMM<\/b> ; m\u00e9floquine d\u00e8s 5 kg (hors AMM < 15 kg).<\/td><\/tr>\n <tr><td class=\"ev-k\">11\u201340 kg<\/td><td>Atovaquone-proguanil cp enfant (62,5\/25) selon poids ; m\u00e9floquine selon poids.<\/td><\/tr>\n <tr><td class=\"ev-k\">> 40 kg<\/td><td>Comprim\u00e9s adultes.<\/td><\/tr>\n <tr><td class=\"ev-k\">Doxycycline<\/td><td><b>> 8 ans uniquement<\/b> : 50 mg (< 40 kg) \/ 100 mg (\u2265 40 kg).<\/td><\/tr>\n <\/tbody>\n <\/table>\n <\/div>\n <\/div>\n\n <div class=\"ev-keys\">\n <b>\u00c0 ne pas oublier<\/b>\n <ul>\n <li><b>Moustiquaire impr\u00e9gn\u00e9e<\/b> = pilier de la pr\u00e9vention arbovirose\/palu chez le nourrisson (r\u00e9pulsifs d\u00e9conseill\u00e9s < 6 mois).<\/li>\n <li><b>Toute fi\u00e8vre au retour<\/b> (surtout les 3 premiers mois) \u2192 \u00e9voquer le <b>paludisme<\/b> ; une diarrh\u00e9e f\u00e9brile peut \u00eatre un acc\u00e8s palustre.<\/li>\n <li><b>Diarrh\u00e9e<\/b> : SRO en priorit\u00e9 chez le nourrisson ; consultation si < 2 ans avec forme persistante ; pas de lop\u00e9ramide si selles glairo-sanglantes\/f\u00e9briles.<\/li>\n <li><b>Vaccins vivants<\/b> (FJ, ROR, BCG, Vivotif, Vaxchora) contre-indiqu\u00e9s chez l’enfant immunod\u00e9prim\u00e9 \u2014 vacciner l’entourage.<\/li>\n <li><b>Nouveau-n\u00e9 \/ ex-pr\u00e9matur\u00e9<\/b> : voyage d\u00e9conseill\u00e9 ; vol a\u00e9rien diff\u00e9r\u00e9 jusqu’\u00e0 41 SA d’\u00e2ge corrig\u00e9.<\/li>\n <li>Selon le pays : cf. <b>Tableau 16 (annexe 4)<\/b> pour le paludisme, cartographie fi\u00e8vre jaune (chap. 1), liste OMS tuberculose (annexe 3).<\/li>\n <\/ul>\n <\/div>\n\n <div class=\"ev-foot\">\n <span>AFPA \u00b7 aide-m\u00e9moire de consultation \u2014 ne se substitue pas au texte officiel 2026.<\/span>\n <span>\u00c2ges minimaux \/ AMM \u00e0 v\u00e9rifier au RCP \u00b7 maj 07\/2026<\/span>\n <\/div>\n<\/div>\n\n\n\n\n<\/body>\n<\/html>\n","protected":false},"excerpt":{"rendered":"<p>Bloc AFPA \u2014 Enfant voyageur 2026 Consultation du voyage \u00b7 P\u00e9diatrie ambulatoire Enfant voyageur \u2014 vaccins & pr\u00e9vention R\u00e9capitulatif ordonn\u00e9 par \u00e2ge minimal \u00b7 \u00e9dition 2026 Source :\u2026<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-208","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/pediatrix.fr\/index.php\/wp-json\/wp\/v2\/pages\/208","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pediatrix.fr\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/pediatrix.fr\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/pediatrix.fr\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/pediatrix.fr\/index.php\/wp-json\/wp\/v2\/comments?post=208"}],"version-history":[{"count":1,"href":"https:\/\/pediatrix.fr\/index.php\/wp-json\/wp\/v2\/pages\/208\/revisions"}],"predecessor-version":[{"id":210,"href":"https:\/\/pediatrix.fr\/index.php\/wp-json\/wp\/v2\/pages\/208\/revisions\/210"}],"wp:attachment":[{"href":"https:\/\/pediatrix.fr\/index.php\/wp-json\/wp\/v2\/media?parent=208"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}