You are here:

Pediatrics/pediatric problem

Advertisement


Question
QUESTION: "hi sir i am ramesh my daughter is now 6 months old now and she has got all the vaccines for polio(3 doses pentaxim) my doubt is she was vaccinated with pentaxim as well with OPV for the first dose and for the remaining two doses i got it done from diffrent doc he said no need of OPV with IPV so he didnt give now on sunday there is a pulse polio programme in my place can i give that to my baby?"

ANSWER: Hi Santosh,

Pulse polio drops are over and above routine vaccination and MUST be given during every round even if baby has received all routing vaccinations. Pulse polio drops must be taken from polio booth rather than private doctors as in many rounds of pulse polio, they use "special" (Monovalent/ bivalent) polio drops that are not available privately.

As far as routine vaccination is concerned, the recommendations have been updated in July 2012. Earlier (before July 2012), OPV used to be given along with IPV. Now it has been recommended that IPV only should be given at 6, 10 and 14 weeks followed by OPV at 6 and 9 months of age and then IPV booster at 16-18 months of age and OPV booster at 5 years of age. In addition, Pulse polio drops must be administered at all rounds, irrespective of previous/ concurrent routine vaccination. (Hence, both of your pediatricians were right!)

Hence, in addition to pulse polio, your daughter must be given "routine" OPV at 6 and 9 months of age, followed by boosters as recommended.

You can see the latest immunization schedule, as recommended by Indian Academy of Pediatrics (IAP) at: http://iapcoi.com/hp/pdf/IAP%20Immunization%20Timetable%202012.pdf


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

www.KumarChildClinic.com

+91-9818356846

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

QUESTION: k sir tahnk you, then i will go for both pulse polio (1st dose) on this sunday and by the end of her 6th month i will go for OPV too(my baby has jus eneterd into 6 month on  jan 9th 2013) i hope that will be fine. is there any particular no. of doses for pulse polio?

ANSWER: Hi Santosh,

No, number of pulse polio is not defined. The child should get the drops at all pulse polio rounds till 5 years of age.

Since we would most likely be declared "polio free country" by January next year, it is likely that these pulse polio rounds will be discontinued after January 2014. Let's hope!!

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

www.KumarChildClinic.com

+91-9818356846

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

QUESTION: so, definitely,i can go for both the pulse polio and regular OPV( to be given during 6th month) is there any time gap to be maintained between these two sir

Answer
Hi Santosh,

No, there is no time gap recommended between the two. Go for the routine polio drops along with 3rd dose of Hepatitis B vaccine that is given at 6 months of age (5 months after the 2nd dose) and pulse polio tomorrow (20/1/2013) and subsequently as and when declared.

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

www.KumarChildClinic.com

+91-9818356846

Pediatrics

All Answers


Answers by Expert:


Ask Experts

Volunteer


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.

©2016 About.com. All rights reserved.