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QUESTION: hi recently for the second dose of pentaxim vaccine i thought it will not be avaialble at my place and i got from vizag my place is 40km it has come with a gel ice pack but cooling is k and it is been administered also .this is fine na? what happens if we miss a dose

ANSWER: Hi Ramesh,

It should be fine if transported with frozen gel pack.

If a dose is missed, it should be taken as soon as possible.

Best wishes,
Dr. Puneet Kumar,
Kumar Child Clinic, Dwarka,
New Delhi, India.

www.KumarChildClinic.com

+91-9818356846

---------- FOLLOW-UP ----------

QUESTION: hi how long we can keep any vaccine and this vaccine without a ice pack

ANSWER: Hi Ramesh,

"Cold chain" is to be maintained through out (from manufacturing to the time of vaccination) to maintain optimum potency. Thus, the vaccine has to be transported with gel pack only and then stored in refrigerator (at 4-8 deg Celsius). It should not be kept at room temperature at any point of time.

There is no simple way to determine whether the vaccine has the desired potency. Only for OPV (Polio drops), which is the most temperature sensitive vaccine, there is "vaccine Vial monitor" (VVM) placed on each bottle  that can easily show if the vaccine has been exposed to high temperature at any point of time.

In my opinion, if it is so difficult to procure Pentaxim at your place, it would be better that you go for whole cell DPT/ Hib and IPV vaccine that is available at your place from next dose.


Best wishes,
Dr. Puneet Kumar,
Kumar Child Clinic, Dwarka,
New Delhi, India.

www.KumarChildClinic.com

+91-9818356846



---------- FOLLOW-UP ----------

QUESTION: thank you for your answer i just want to know the details my last question can IPV and OPv BE ADMINISTERED SIMULTANEOUSLY
Regards
Ramesh

Answer
Hi Ramesh,

Yes, OPV and IPV can be safely given simultaneously. However as per the latest recommendations of Indian Academy of Pediatrics (IAP) (updated July 2012), it is better (and now a standard recommendation) that IPV should be given at 6, 10, 14 weeks followed by OPV at 6 and 9 months. IPV booster is given at 18 months and OPV at 5 years of age. OPV must also be given, in addition, at all rounds of Pulse Polio.



Best wishes,
Dr. Puneet Kumar,
Kumar Child Clinic, Dwarka,
New Delhi, India.

www.KumarChildClinic.com

+91-9818356846

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Dr. Puneet Kumar

Expertise

I would be happy to answer general queries on prevention and treatment of ailments in newborn, infant, toddler, child or an adolescent. Needless to say, it will not be possible to answer any query requiring specific diagnosis of a particular subject.

Experience

I have worked in various capacities (medical officer, resident, senior resident, consultant) in public as well as private sector in Pediatrics and Neonatology. Today, I have over 15 years of experience in the field.

Organizations
Currently, I am running my own clinic (Kumar Child Clinic) in Dwarka, New Delhi and am attached to Lifeline Hospital, Dwarka as consultant pediatrics and neonatology. I am also developing my clinic website into a comprehensive child health/ parenting website (http://www.kumarchildclinic.com)

Publications
(a) Chapter "National Immunization Schedule" in Frontiers of Social Pediatrics, Jaypee Publishers: 2nd edition, 2016. (b) Article, "All about Pertussis vaccines" in special issue of Indian Journal of Practical Pediatrics, July-Sept 2015 (c) Three chapters (DTP vaccines, Pneumococcal vaccines and Poliovirus vaccines) in "Textbook of Pediatrics for Post-graduates" First edition: 2015. (c) Chapter: "Alternative delivery methods of vaccines" in IAP textbook of Vaccines, First edition, 2014 (published by IAP/ Jaypee Brothers) (d) Special Article: "50 years of Immunization in India: Progress and Future" in January 2013 issue of Indian Pediatrics (e) Four chapters in "FAQ: Book on Vaccines and Immunization Practices" First edition, 2011 AND 2nd edition, 2015 published by Jaypee Brothers. (f) Three articles in special issue of Journal of Pediatric Sciences on “Controversies and Challenges in Pediatric Vaccination Today" in Sept, 2010. Co-edited the series also. http://www.pediatricsciences.com/issue/view/1050000010 (f) Regular column, “How do I treat” in Pediascene (www.pediascene.com) (g) Review article, “Role of Anti-Poliovirus Agents in Polio eradication and beyond” in Polio Pulse, April, 2008. (h) Chapter on “Acute Infectious Diarrhea” in Textbook of Infectious Diseases in Children. (An IAP Publication), 2007. 2nd edition in 2011. (i) Book-Review (IAP Pediatric Drug Formulary, 2004) in Pediascene, March 2005 (http://www.pediascene.com/page.php?cid=6&catid=9&id=132 ) (j) Case-report on Osteopetrosis. Jharkhand Journal of Pediatrics, Dec-2002.

Education/Credentials
After MBBS, I have done DNB residency in Pediatrics.

Awards and Honors
Winner of IAP practising pediatrician's quiz in 2001.

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