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Question
Dear Doctor,

My baby is now 3.5 months old. She has been given following vaccination till now:
Birth : OPV & Hep B (BCG vaccination)
1 month: Hep B 2nd dose
40 days: Polio drop on govt booth
2 month 10 days: DTP+IPV+HIB(Pentaxim) & Rotavirus

Now, her Pediatric recommends to give vaccination on completion of 3 months 10 days for DTP, Hib, IPV, and Rotavirus 2nd dose. He has also given an option to choose either same pentaxim or easy 4. I would like to know which vaccination I should prefer. What would be the cost approximately for easy 4. Does easy 4 cures for all diseases as pentaxim.

Please advice accordingly. Thanks

Answer
Hi Ansh,

I am so sorry for replying late. I was busy elsewhere.

Pentaxim, as you know, has DTP (acellular: DTaP), IPV and HiB.

Easy Four is a combination of DTP (whole cell) and Hib.

As you will notice, there are 2 differences: One, Easy Four does not have IPV. Hence, IPV needs to be given separately. Two brands of IPV are available: Imovax Polio and Poliovac PFS. Both are equivalent. Secondly, DTP in Pentaxim is "acellular", thus it does not cause fever in most cases (Hence, it is also called "gentle" DTP); "Whole cell" DTP has high chances of fever, but it usually does not last fr more than 2-3 days.

Cost of Easy four is about Rs.550; IPV costs about Rs. 400; Total cost: Rs. 950.
Pentaxim costs Rs. 1893. In both cases, the doctor would also charge his consultation fee and injection fee, as applicable.

The choice is yours.

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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