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Question
My child was given Pentaxim,HepB-2,PCV-1 and rotavirus at his 6th week.. On his 10th week, he was given Quadrovax, PCV-2, rotavirus and polio drops. Is tat fine? Shud we get him any other vaccination?
At 14th week should we get pentaxim or quadrovax?
I request you to clarify and educate me on above queries..

Answer
Hi Anita,

Pentaxim is a combination of DTaP ("acellular DTP"" "gentle or painless DTP"), IPV and Hib.

Quadrovax is a combination of DTwP ("whole cell" DTP: "normal" DTP) and Hib.

First, I must inform you that as per current guidelines (updated in November 2013), any vaccine containing DTaP is NOT RECOMMENDED as it has recently been found that DTaP is possibly not as efective as DTwP IN THE LONG RUN. Hence it is good that you switched to DTwP at 10 weeks. I would recemmend that you must go for DTwP containing vaccine only for all future doses (14 weeks and also at 1.5 years and 5 years).

Second, at 10 weeks, you have missed IPV and given OPV instead. Currently, IPV (Inactivated/ injectable Polio vaccine) is recommended as it offers better prtection against polio. Hence, I would recommend that IPV (IPV-2) must be given to your baby as soon as possible.

Third, there are 2 brands of Rotavirus vaccine: If Rotarix is used, only 2 doses are enough, If Rotateq is used then 3 doses are recommended at 6, 10 and 14 weeks.

Hence, your baby should be given IPV as soon as possible and then after a month: Quadrovax, IPV-3, PCV-2 and Rotavirus-3, if Rotateq has been used.


Please feel free to ask for any further clarification.


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

+91-9818356846, +91-11-45535647

www.KumarChildClinic.com

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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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