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Pediatrics/Vaccination - 10-week old infant

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Question
Hi,

My son is two months old. He had his sixth week vaccination for DTwP, Hib, Hepatitis B, OPV and IPV. He was administered Pentavac for DTwP, Hib and Hepatitis and Imovax for IPV -  two separate injections.
For his tenth week vaccination, is it safe to switch to DTap vaccine as I understand is less painful and has lesser side effects like swelling and fever. He had swelling for almost a week post the 6th-week vaccination. Also, by switching to DTap there would be only one injection as Pentaxim contains IPV also. Is this switching safe?

Answer
Hi Bharati,

Yes, it can be safely switched.

There are two more points you should note:

1. As per the latest immunization schedule as recommended by Indian Academy of Pediatrics (last updated in July 2012), at 6, 10 and 14 weeks IPV only should be used, followed by IPV booster at 16-18 months. OPV should be given at birth, 6 months, 9 months and 5 years of age. In addition, OPV should also be given at all rounds of Pulse polio. (Prior to July 2012, OPV and IPV BOTH used to be given at 6, 10 and 14 weeks]

2. Your child has not been given Rotavirus and PCV vaccines at 6 weeks: these are also recommended.

You can see the latest immunization schedule at:
http://iapcoi.com/hp/pdf/IAP%20Immunization%20Timetable%202012.pdf

Please feel free to ask for any further clarification

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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