VACCINE THAT CAN BE GIVEN AFTER DISCUSSION WITH PARENTS
The IAP endorses the continued use of whole cell pertussis vaccine because of its proven efficacy and safety. A cellular pertussis may undoubtedly have fewer side-effect (like fever, local reaction at injection site and irritability), but this minor advantage does not justify the inordinate cost involved in the routine use of this vaccine.
If the mother is known to be HBsAG negative, HB vaccine can be given along with DTP at 6,10,14 weeks / months. If the mother’s HBsAG status is not known, it is advisable to start vaccination soon after the birth to prevent perinatal transmission of the disease. If the mother is HBsAG positive ( and especially HBeAG positive), the baby should be given Hepatitis B immune Globulin (HBIG) within 24 hours of birth, along with the HB vaccine.
Varicella, Hepatitis A and pneumococcal conjugate vaccine should be offered only after one to one discussion with parents. Also refer to the individual vaccines notes for recommendations.
Combination vaccines can be used to decrease the number of pricks being given to the baby and to decrease the number of clinics visit. The manufacturer’s instruction should be followed strictly whenever “mixing” vaccines in the same syringe prior to injection.
At present the only, typhoid vaccine available is the vi polysaccharide vaccine. Re vaccination may be carried out every 3-4 years.
I wish to take this opportunity of sharing with you my vision of providing world-class health services to the people of south Gujarat.