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QUESTION: hello dr.puneet

my daughter is presently 35days
want to get her vaccinated for all vaccine

my ped told me as per new recommendations at 6weeks need pentaxim prevenar and hepatitis B and rotarix drops d..
so wanted to knw is it advisable to give three shots at a time.
or can v wait fr 2weeks fr prevenar do tht she get only 2shots at a time

but then again at 10 weeks she has to get 2shots..
is it ok she gets in this way as only 2weeks gap between vaccines but she maintain 4weeks gap with each vaccine .or can u plz suggest a better schedule
her date of birth is 10 October 2013

ANSWER: Hi Shaheena,

It is OK to take 3 shots on same visit. And remember, it is only at 6 weeks that 3 shots would be given. At 10 weeks and 14 weeks, only Pentaxim and Prevenar 13 would be given. First dose of hepatitis vaccine must have been given soon after birth (along with BCG and OPV). Third dose is given 5 months after 2nd dose of Hepatitis B, i.e., around 6-6.5 months of age.

If still you don't wish three shots on a day: the alternative is to go for Hepatitis B vaccine today/ tomorrow (it can be given even at 4 weeks of age) and Pentaxim and Prevenar at 1.5 months of age as scheduled. There is no problem even this way.

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

www.KumarChildClinic.com

+91-9818356846

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

QUESTION: thanx a lot doctor for prompt reply

I guess if its on one visit then it's fine..n I guess there will b no fever..n pain in next few days.
but usually they giv in thigh so two vaccine will b given at the same thigh ??or different site in same thigh??or mixed n given ..

Answer
Hi Shaheena,

No, the vaccines CANNOT be mixed together.

Two vaccines can be given on the same thigh, while maintaining a distance of 5 cm between the two injections.

PLEASE NOTE: As per latest recommendations (came in only TODAY: 20th Nov 2013): gap of one inch (2.5 cm) between 2 injections on the thigh is OK.

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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