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QUESTION: My baby is given oral polio drop for 0 n 1st dose, for second dose of poli dr has given injectable polio vaccine (IPV).What is different between oral polio and injectable polio vaccine? Is it necessary to give  IPV in 2nd and subsequent doses instead of OPV? Thank you so much. Tenzy

ANSWER: Hi Tenzy,

IPV is much better then OPV. Current recommendations of Indian Academy of Pediatrics (IAP) clearly state that IPV should be given at 6, 10, 14 weeks followed by booster at 16-18 months, OPV is to be given at birth, 6 months, 9 months and 5 years. In addition, OPV should be given at all Pulse Polio rounds: This is over and above routine vaccination.

As per the standard IAP guidelines, if IPV is started after 8 weeks, then only 2 doses at 2 monhs interval followed by booster at 16-18 months are sufficient (rather than 3 doses plus booster). hence, in your baby's case, IPV can be given at 10 and 18 weeks and booster at 16-18 months. OPV should be given at 6 months, 9 months and 5 years... plus Pulse Polio.

You can see the latest immunzation chart on the last page of following link: http://www.iapindia.org/IMM%20Schedule.pdf

Please feel free to ask any further clarification. I would be happy to help :-)

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

www.KumarChildClinic.com

+91-9818356846

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

QUESTION: Hellow sir,
1. My baby is born on 3.12.13., she got at birth vaccination on day 10 of her life i.e on 12.12.13,,in immunization schedule IAP it is written it should be given within 1 week. So, the vaccination which my baby got  will be effective?
2. In the immunization schedule vaccinations are given at birth, 6wks,10wks 14wks etc.., since my baby is given her at birth dose on 12.12.13 and not on her birth day, should i count 6wks from day of 1st vaccination?
3.she got her 6wk vaccination on 18.1.14  i.e ( her age 6wks 5 day), easy 5 and poliovac. Actualy her dr is looking for iimovac bt since it is not available in her clnic she gave poliovac . I would like to know that is it fine to give imovac in next vaccinatn day or shoulf i get poliovac for next doses.?
4.my baby is scheduled to get her 10wk vaccination on 17.2.14 i.e (her age 11wks). Her dr sugest rotarix also, since rotarx is gien on 10 n 14 wks,, is it safe to get rotarix on that day along with dtp hib ipv? Or i should get on 10ek age of y baby? Is there ay side effect of rotarix ?
It is quiet long list of doubt. Hope you dont mind guiding me. Thank uou so much dr.puneet.. i appreciate your help.

Answer
Hi Tenzy,

Here are the answers:

1. It is preferable to take these vaccines as soon as possible after birth. However, vaccine won't be less effective if given at 10 days of age (There is only one exception: If mother is suffering from Hepatitis B (She is HBsAg positive), then it is MUST to take hepatitis B vaccine within 12 hours of birth (along with something called HBIG) to prevent transmission of infection from mother to baby)

2. No, the vaccines can be taken as scheduled. Minimum gap between 1st dose of hepatitis B vaccine (given at birth) and 2nd dose (given at 6 weeks) should be 1 month.

3. Both Poliovac and Imovax are brands of IPV. Ideally, same brand should be given to complete the course (i.e., Poliovac in your case). However, not a big issue if brand is changed

4. Yes, Rotarix can be taken along with DTP/HiB/IPV: no problem.



Also please note: Your baby should also be vaccinated against Pneumococcus (PCV vaccine)

Please feel free to ask any further clarification. I would be happy to help :-)

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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