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Pediatrics/Regarding DPT Booster Vaccination


Dear Doctor,

My baby is completed 21 months and as per her immunization schedule, she is supposed to have DTP(B1)+IPV4+HIB(B) and Hepatitis A(2nd) between 18-24 months. She has been given Pentaxim for DTP combination and Havrix 720 for Hep A (1st) earlier.

I would like to know that if these both vaccinations can give together on same day. Also wanna know that same vaccination (Pentaxim and Havrix 720) will be given or some other is required.

Please advice accordingly. Thank you for your reply.


Hi Anshul,

Yes, both of them can be given on the same day.

However, I would like to inform you the recent changes in the guidelines. Pentaxim is a combination of DTaP (so called "gentle" or "painless' DTP), HIb and IPV. Earlier, both DTwP ("normal" DTP) and DTaP were considered to be equally effective. Since DTaP caused little or no fever, most parents opted for DTaP. It has been recently found that in the long run, DTwP is more effective than DTaP. Hence, in recent guidelines issued in November 2013, it has been stated that DTaP should preferably not be used.

Hence, I would recommend that you should go for DTwP/ Hib and IPV booster. There are many brands of DTwP/ Hib: You can go for any brand. However, there is no brand with DTwP/ Hib and IPV. Thus, IPV needs to be given separately. Thus, your child will have to be given 3 injections: DTP/ Hib, IPV and Hepatitis A. All the three can be given on the same day. Preferably go for vaccination on a weekend, as the child may be a bit cranky or have fever for 1-2 days because of DTwP.

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  


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Dr. Puneet Kumar


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.


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.

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 (

(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. (f) Regular column, “How do I treat” in Pediascene ( (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 ( ) (j) Case-report on Osteopetrosis. Jharkhand Journal of Pediatrics, Dec-2002.

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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