DTP vaccination. Komarovsky gives practical advice on childhood vaccinations.

DTP vaccination. Komarovsky photo DTP vaccination. Komarovsky E.O. is a well-known, very popular pediatrician who knows virtually everything about childhood diseases. He gives very useful advice that has already helped many young parents avoid early illnesses in their child. We devoted today's article to considering the advantages and disadvantages of DTP vaccination. Komarovsky also has his own opinion on this matter , and therefore at the end of the article you will see a video from this pediatrician.

Vaccine composition

DTP includes several types of biological material:

Diphtheria toxoid. This is a biological material obtained from a toxin, but does not have independent toxic properties. There are 30 units of it in a vaccine dose.
Tetanus toxoid. A drug obtained in the laboratory based on a toxin that affects the body during tetanus. It is non-toxic in itself. DTP contains 10 units.
Whooping cough germs. These are the real pathogens of whooping cough, only previously killed and inactive. 1 ml of DTP vaccine contains about 20 billion.

Diphtheria and tetanus toxoids are included in the drug because it is not so much the causative agents of these diseases that are scary for a child, but rather their toxins, which begin to be produced as soon as the microbes are activated in the child’s body. Dead pertussis bacilli are the most active component of the drug; it is to this that children often experience a reaction after vaccination.

Which DTP vaccine is better, imported or domestic Komarovsky?

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Question for experts: Why are imported vaccines better than domestic ones?

Sincerely, Ulyana Meshcheryakova

Best answers

Currently, in addition to domestic vaccines (DTP, ADS, ADS-M, OPV, Combiotex, ZhPV, ZhKV, etc.), imported vaccines against these infections are widely used.

Imported vaccines are no different from domestic ones in terms of effectiveness and tolerability, but they have some advantages - they are often combined, they have different stabilizers, they are produced in syringe doses, which makes them very attractive.

One of these combination vaccines is Priorix (Belgium), which provides simultaneous protection against rubella, measles and mumps, which reduces the number of injections and makes vaccination more “convenient” for children and their parents. The Belgian vaccine Twinrix is used for the simultaneous prevention of hepatitis A and B.

The Engerix B vaccine (Belgium) against hepatitis B is recognized by most experts as the safest vaccine in the world. This is the world's first recombinant vaccine made without blood components and containing no preservatives. The new generation vaccine Infanrix (Belgium) makes vaccination against whooping cough, diphtheria and tetanus safer.

The composition of the pertussis component, which previously often caused adverse reactions, Infanrix includes only its individual parts - antigens. That is why Infanrix is recommended for vaccination of infants with various neurological pathologies, who previously either received long-term exemptions from vaccination or were vaccinated with vaccines without a pertussis component.

Simultaneously with Infanrix (in one syringe), it is possible to administer the Hiberix vaccine (Belgium) against Haemophilus influenzae infection. Currently, it is recognized that it is advisable to carry out the first two vaccinations against polio not with live (oral polio vaccine), but with the inactivated polio vaccine Imovax-polio (France). In addition, some vaccines are not yet available in Russia (hepatitis A, rubella, Haemophilus influenzae and pneumococcal infections, meningococcal type C).

It should be noted that both domestic and imported vaccine preparations do not cause pathological reactions and complications in the vast majority of children if they are prescribed correctly and children are properly prepared for the vaccination procedure.

A rise in temperature, redness, swelling, and hardening of the injection site are a normal vaccine reaction and should not serve as a reason to refuse to continue vaccination. In each specific case, the issue is resolved individually, after consultation with a doctor. There are many alternative ways to vaccinate a child against various infections with different vaccines.

For this purpose, advisory centers have been created where children with serious health problems are vaccinated. I gave my DTP, polio, imported ones, because it doesn’t tolerate domestic ones well.

Not true. Only our polio is good. The immunologist in the city advised us to import everything else; it contains less poison.

There are fewer side effects from imported products. Children tolerate them more easily. But the likelihood of getting sick after imported vaccinations (with the infection against which they are vaccinated) is higher. Because the immune system is weaker. (personal experience and explanations from a pediatrician)

in DTP, the pertussis component (and it is the most poisonous) is split into smaller, lighter components, practically does not cause complications, there is no fever, etc. As for THESE tablets, this is the first I’ve heard of, they are usually prescribed by a neurologist if the child has problems with neurology, but they have nothing to do with the vaccine. Find out everything exactly from a neurologist, not from a pediatrician.

they are no better. If you want your baby to be healthy, don’t vaccinate at all.

You can buy them at the pharmacy... . Zyrtec is an antihistamine (good, by the way), but what are the other pills for?? ?

-answer

This video will help you figure it out

Answers from experts

Domestic, the temperature was rising, lethargy...

The first one was done on ours, by the evening the temperature was 38.4, but in the morning it was gone. The second one was done with Pentaxim, the temperature was 37.2. In my opinion the difference is obvious. The third one will also be injected with Pentaxim

the one that was in the clinic. no reaction. Everything is fine.

to be honest, I don’t even know, I didn’t think about it at the time, it passed without consequences for us, and now I’ll also be scratching my head... a friend’s son with a temperature of 40 was taken away after DPT, they barely pumped the boy out... there used to be neighbors, well, a very long time ago, it’s true, more than 20 years ago, the child became ill from DPT, they didn’t pump him out and the baby didn’t live to see a year

Source: https://dom-voprosov.ru/prochee/kakaya-vaktsina-akds-luchshe-importnaya-ili-otechestvennaya-komarovskij

When to do it?

DTP is included in the National Vaccination Calendar, which implies certain vaccination dates, which Dr. Komarovsky strongly advises against violating. Children do it three times. The first time is when the baby reaches three months of age. Then at 4.5 months and six months. If the first vaccination for some reason did not take place (the child was sick, a quarantine was declared for influenza or ARVI), then they begin to vaccinate him from now on, strictly observing the interval between vaccinations from 30 to 45 days).

Revaccination should take place one year after the third administration. If the baby goes according to schedule, then at one and a half years, but if he received the first vaccination later than the due date, then 12 months after the third vaccination.

The child will have to face DPT at the age of seven, and then at the age of 14, these will be one-time booster vaccinations necessary to ensure that the level of antibodies to tetanus and diphtheria is maintained at the proper level.

Children who are already 4 years old, as well as older children, if necessary, are given an ADS vaccine that is devoid of killed pertussis germs. Children who have already had whooping cough will be vaccinated with the same vaccine.

Pentaxim, DPT or Infanrix - which vaccine is better to vaccinate with, composition

Vaccination of the population has long been part of medical practice. While still in the maternity hospital, the newborn baby is given the first vaccinations in his life against tuberculosis and hepatitis B.

These measures are not unreasonable: it increases every year. The entire population is immunized against the most dangerous ones.

An example would be imported or domestic vaccines against diphtheria, whooping cough and clostridium tetanus.

In Russia, the provision for vaccinations for all citizens has been in effect since 1940, and mandatory ones are included in the National Calendar. The sequence of vaccinations is approved in regulatory documents and is completely legal.

In the process of development of pharmacology and pharmacy, an increasing selection of domestic or imported vaccines appears on the medical goods market.

How to understand so many drugs and which one to choose for your small and expensive creation? How to protect it from an unimaginable number of lurking dangers without causing harm to the body? Should I agree to the domestic DPT vaccine or should I buy imported ones? Let's figure it out together.

General properties of DTP vaccines, their composition and mechanism of action

The purpose of all vaccines is to create lasting immunity against various diseases. They contain antigens represented by cellular or acellular structures of pathogens. Accordingly, they are either alive or “dead”. Both stimulate the child’s body to produce antibodies, forming an immune response.

In the Russian Federation, a large role is given to vaccination against serious diseases: tetanus, respiratory damage as a result of diphtheria infection, and whooping cough.

The causative agent of tetanus affects the nervous system, causing convulsions and respiratory arrest.
Whooping cough is dangerous due to the occurrence of severe coughing attacks followed by vomiting, convulsions, and loss of consciousness.
Diphtheria is characterized by inflammation of the throat and upper respiratory tract with high fever and the formation of specific “films”. May also result in fatal asphyxia.

Any of these diseases can lead to serious consequences and even result in death. Therefore, immunization is justified and mandatory for everyone.

DTP vaccine from a domestic manufacturer

Every mother goes through a period when the baby reaches three months of age. The time has come - we need to vaccinate. If there are no questions or contradictions, the baby will be administered the Russian adsorbed pertussis-diphtheria-tetanus vaccine. It is publicly available and is free for parents.

What is it and why do you sometimes have to choose between a domestic drug and its imported analogues?

Created to build immunity in a child from the three listed above. In products from foreign manufacturers, the pertussis component is included separately; if necessary, it is administered in one syringe. It is this component that mainly causes a lot of trouble, causing a lot of side effects. The DPT vaccine contains live, weakened pertussis bacteria.

Plus, it’s multi-component. It requires the child’s organs and tissue structures to work hard, aimed at activating the immune system.

The DPT vaccine contains formalin and merthiolate as additional substances. All this, in combination with cellular components, can cause adverse reactions:

temperature;
hives and other forms of rash;
Quincke's edema;
general intolerance reactions.

How else is it different from foreign ones? Components against polio and Haemophilus influenzae are not included. Thus, the child will need to be vaccinated additionally. This means more injections and, therefore, additional stress for the baby.

Pentaxim from a French manufacturer

It is a five-component vaccine, which is also used in Russia. But, unfortunately, it is purchased at the expense of the child’s parents and is introduced after their consent.

Contains antigens of five pathogens:

diphtheria;
tetanus;
polio;
hemophilus influenzae infection;
whooping cough

The vaccine is very convenient to use: the kit includes a disposable syringe, which is already filled with liquid, and a bottle. The bottle contains only antigenic components from Hib-bacillus.

The syringe contains neutralized products of four other microorganisms.

The product is a “dead” vaccine that will not cause disease under any circumstances. It contains cell-free structures and inactivated pathogen products - toxoids.

Pentaxim is tolerated by the child relatively painlessly and negative effects are rarely observed after the injection. Additional components (acetic acid, aluminum hydroxide, etc.) contained in it are also less reactogenic. And it will protect against five dangerous diseases at once.

Belgian Infanrix and Infanrix Hexa

In terms of their effectiveness, they are in no way inferior to the previous French analogue. All components have been cleaned and rendered as harmless as possible.

The grafting material contains cell-free components that are not capable of reproducing similar microorganisms.

Includes antigenic structures from the following diseases: whooping cough, diphtheria and tetanus pathogens. The six-component Infanrix differs from it in that it also contains inactivated components of the polio and hepatitis B viruses and an toxoid against Hib infection (the causative agent is Haemophilus influenzae).

Both vaccines are non-cellular, that is, they are not capable of causing illness in weakened children.

Such injections cause local manifestations in the form of pain and swelling much less frequently than with our domestic injections.

Attention! Belgian products are not recommended for use in children intolerant to antibiotics, since the vaccines include neomycin and the antibacterial agent polymyxin.

Responsible choice between Russian and foreign drugs

What vaccination should you give your child? We are guided by the following criteria:

scheme and sequence of injections;
what components are contained in the vaccine and what they cause after the procedure;
what complications can cause, their severity.

Russian is available to every child. By coming to the children's clinic at the appointed time, the baby is guaranteed to receive free immunization. However, when deciding to take this step, parents need to weigh the pros and cons.

If your baby has previously had allergies after receiving vaccines, it is still better to give preference to imported vaccinations. The same applies if you have a history of allergies to foods, pollen agents, medications, etc.

Important! Children who have previously had a reaction to a vaccine should be examined by a pediatric allergist before vaccination.

Pentaxim and Infanrix have no fundamental differences in terms of their components and possible negative reactions. They, unlike the Russian DTP, do not have a cellular structure. However, they are 3-4 percent less effective in terms of forming immune defense than the analogue from Russia.

Complications after their administration are quite rare. However, parents should be aware that the more antigens are contained, the greater the likelihood of general or local reactions.

Here, too, the question looks ambiguous: by introducing the three-component Infanrix, you expose the baby to a greater number of injections, since it will be followed by immunizations against whooping cough and hepatitis.

Five- and six-component Belgian vaccines and Pentaxim require fewer injections.

The DTP vaccination is given to the child free of charge. Similar imported means will cost approximately 1,500 rubles. There are no difficulties in purchasing them: you can buy them in pharmacies or immunize your baby in a private clinic.

Foreign drugs are already contained in packages in finished form. The suspensions are in syringes, a few more doses - and all that remains is to give the injection. In this case, the likelihood of sterilization is minimal. The Russian vaccine still needs to be prepared. Here, technical errors are possible during the preparation and collection of solutions.

Attention! If the child was vaccinated with DTP for the first time and the child experienced severe consequences, then pediatricians recommend subsequent vaccinations be carried out using foreign analogues.

Is there a difference in the vaccination schedule for Pentaxim, Infanrix and DPT?

Everything regarding immunization against diphtheria, whooping cough and tetanus - the schemes are no different. The sequence is:

at 3 months of age;
30-45 days after the first vaccination;
six months;
in the period from 6 to 7 years;
14 year olds.

For reference. All features of vaccination, individual adjustments to regimens, indications and medical considerations are decided by the pediatrician after a thorough examination of the baby.

Side effects: are there any differences?

There is no specificity in the occurrence of sensitization; it all depends on the child’s allergic mood. Reactions can occur to any vaccine, but when foreign ones are administered, the likelihood of their occurrence decreases several times. General manifestations requiring immediate medical attention are extremely rare.

If you distribute the symptoms according to the increasing severity of the condition, it looks like this:

swelling and soreness, hyperemia at the injection site;
skin rashes, urticaria;
temperature increase;
hypotonic state;
anaphylaxis and edema;
convulsions.

Most often, the consequences go away without special treatment and do not require urgent measures. So, a minor rash goes away within 3-5 days without leaving a trace. Low-grade body temperature is reduced by taking antipyretics. But if signs appear that threaten the baby’s life, you should contact a doctor or call an ambulance.

Is there a difference in contraindications?

There are no significant differences. It should be noted that DPT is not recommended for allergic children at all, but preference is given to imported analogues. However, this situation is not a contraindication to vaccination.

Vaccination should strictly not be carried out in the following pathologies:

sensitization to the drug and its components;
encephalopathy of various etiologies;
acute diseases of internal organs;
tuberculosis;
immunodeficiencies;
conditions with changes in blood clotting;
serious problems with previous vaccinations.

Relative contraindications should be considered illness in the acute period, exacerbation of chronic diseases, fever, and dyspeptic symptoms.

Are vaccines interchangeable?

Every parent should be guided by several principles and take into account that the child’s health is above all. The next important “commandment” is: do no harm! All of these vaccines can be replaced with similar ones, and if necessary, there is no point in injecting the same one that was administered the first time. At the same time, do not forget to consult a doctor.

But when replacing the drug, one must take into account that their composition is different, and instead of a three-component one, a pentavalent vaccine will be offered, which will provide protection against polio. Accordingly, the vaccination schedule will change. This should be done if the child has already had a severe reaction to DTP the last time.

Love children, take care of them and make your choice correctly: after all, the baby’s health is always more important than the financial issue or support for domestic products.

Source: https://privivkumne.ru/vse-vakciny/akds-ili-pentaksim.html

How to do?

DPT can be combined with other vaccinations prescribed for the baby according to the National Calendar. However, simultaneous administration with BCG is not allowed (this vaccination must be done separately).

For children, DTP is injected intramuscularly into the thigh, for older children - into the shoulder. Until the age of 4 years, a child must receive 4 vaccinations.

Komarovsky about DPT

Evgeny Komarovsky advises worried and doubtful parents to carefully read the issue, and advises those who are against vaccination in general to reconsider their views. Because DPT, according to the doctor, is a highly effective way to protect the baby from diseases dangerous to his health and the only reasonable choice for mothers and fathers.

In this video episode, Dr. Komarovsky will tell us everything he thinks about the need for DTP vaccination

Like any prevention, vaccination with adsorbed pertussis-diphtheria-tetanus vaccine requires some preparation and parental readiness for possible problems. However, they are completely surmountable, Komarovsky emphasizes, if you follow a certain algorithm of actions.

First of all, parents should be aware of which manufacturer’s vaccine their child will be vaccinated with. Today there are many such drugs, they have their pros and cons, but there are no frankly bad vaccines on the pharmaceutical market at the moment. Parents are in no way able to influence the choice of vaccine, since the drug is delivered centrally to clinics. DTP vaccination, which is given free of charge.

Now let’s listen to Dr. Komarovsky on the topic of complications after vaccinations

At the time of vaccination, the child must be completely healthy. It is for this reason that the baby is always examined by a pediatrician before the injection. But the doctor sees your child less often and less than the parents, and therefore careful observations of the child’s condition by mom and dad will help the doctor decide whether the right time has come to administer the vaccine.

And here is the actual video where Dr. Komarovsky will tell you when you can’t get vaccinated

You cannot vaccinate with DTP if your child has signs of acute respiratory viral infection, runny nose, cough, or has an elevated body temperature. If the baby has previously had seizures that are in no way related to high fever, the vaccine cannot be given. If the previous procedure caused a severe allergic reaction or a high temperature (over 40.0) in the little one, Komarovsky also advises refraining from DTP vaccination. With great caution, the doctor should decide to vaccinate a baby whose medical record contains notes about the presence of serious immune diseases.

If the baby has had a runny nose for a long time, but the appetite is excellent and there are no other symptoms of the disease, Komarovsky is confident that rhinitis in this case will not be a contraindication for vaccination.

If the time has come to get a vaccine injection, and the child is teething with all his might, and his condition is far from perfect, he can be vaccinated. There is only one limitation - high temperature. In this case, the procedure is postponed for some time until the baby’s condition becomes stable. If there is no fever, then AFSD will not harm the baby, who is soon planning to get his first teeth.

Pediatrician Komarovsky about DPT vaccinations

The famous Ukrainian pediatrician, IMN, author of many books and television programs, Evgeniy Olegovich Komarovsky, is an ardent advocate of vaccination. He devotes many conversations with parents, interviews and articles to the importance and necessity of preventing children from dangerous diseases.

In his author’s program, Dr. Komarovsky’s School, you can also learn a lot about the benefits of vaccination, how to prepare a child for vaccination and what to do after it.

How does Komarovsky think the DPT vaccine is safe and how does he argue his position?

Is it necessary to get vaccinated?

In his works, Dr. Komarovsky provides convincing statistics. Before the introduction of general DTP vaccination, 20% of children suffered from diphtheria. Of this number, 50% died. After the start of treatment with diphtheria serum, only 5% began to die. In countries that have not yet been vaccinated, about a quarter of a million people die from tetanus every year.

If you get tetanus, then with the best treatment, usually 85% die. That is, the only thing worse than tetanus is rabies, from which 100% die. As for whooping cough, before vaccination, all children suffered from whooping cough. 4% of them died.

However, of all the vaccines included in the vaccination schedule, DTP is the most difficult to tolerate, which is why there is so much controversy surrounding it.

Possible complications after vaccination and methods of dealing with them according to Komarovsky

The diphtheria and tetanus components of the vaccine are very easily tolerated and have virtually no side effects. The most difficult component of the vaccine is pertussis.

There are quite a large number of imported vaccines with a more purified pertussis component, which give fewer side effects. These are Tetrakok, Infanrix, Pentaxim, which you will have to buy at your own expense.

The drugs are interchangeable; once you start vaccination with one drug, you can continue it with another. Of course, according to pediatrician Komarovsky, these are better vaccines than DPT.

Complications with DTP vaccination are very rare, but side effects, unfortunately, are not. Dr. Komarovsky presents his statistics as a practicing pediatrician on mild reactions of children’s bodies to DTP:

the temperature rises after vaccination in 1 case out of 4;
a lump after DTP vaccination in a child, Komarovsky claims that it can also appear in 1 case out of 4;
pain appeared at the injection site, the leg hurt and the child limped - in 1 case out of 4;
irritability manifests itself in 1 case out of 3;
Appetite worsens and the child becomes lethargic in 1 case out of 10;
1 in 50 people vomit.

Moderate reactions include:

the reaction of convulsions to injected toxoids after DTP vaccination according to Komarovsky occurs in 1 case out of 14,000;
continuous crying can be heard in 1 case out of 1,000 vaccinations administered;
Temperatures above 40 degrees may rise in one in 16,000 people.

The incidence of reactions after DPT vaccination is 3,000 times less likely than reactions during treatment for whooping cough.

If a child has a fever after vaccination, he can be given an antipyretic - paracetamol or ibuprofen in suppositories or syrup. If these medications do not help, it is best to consult a doctor. The temperature after vaccination does not have any benefit for the formation of immunity, so an antipyretic can be given even if the temperature rises to 37.5.

Pediatrician Komarovsky emphasizes that the DTP vaccine is always given to children in the thigh, and not in the buttock, to reduce the occurrence of adverse reactions.

When injecting into the buttock, there is always a risk of getting into the blood vessels, into the sciatic nerve, and introducing the drug into the subcutaneous tissue.

In addition, the level of antibody formation and immune defense formation is higher when the vaccine is administered in the thigh than in the buttock.

Preparation

Evgeniy Komarovsky emphasizes that it is the parents who should assess the baby’s condition in the first place, and if doubts arise, be sure to tell the doctor about them at the next appointment.

It is advisable to do a general blood test a few days before the expected date of vaccination. The results of such a study will help the pediatrician understand whether everything is okay with the baby.

Monitor your child's bowel movements. The day before the vaccination, on the day and the next day, the baby should walk large so that the intestines are not overloaded. This helps the baby to survive DPT more easily. If there was no stool, you can do an enema a day before going to the clinic or give your child age-appropriate laxatives.

Vitamin D, if the baby takes it additionally, should be stopped 3-4 days before the expected vaccination. After vaccination, you need to wait at least five days to start taking the vitamin again.

Do not dress your child too warmly before the clinic. A vaccine is more likely to harm a sweaty baby with a lack of fluid in the body than a baby dressed for the season and weather.

Now let’s listen to Dr. Komarovsky on the topic of how to prepare for vaccinations.

Komarovsky's advice

Doctor Komarovsky
Description
Whooping cough
Diphtheria
Tetanus

medical reviewer, psychosomatics specialist, mother of 4 children

If you are convinced that anyone who speaks out in favor of vaccinations is a person who has clearly sold out to vaccine manufacturers, you don’t need to read this at all. If you are an ardent opponent of vaccination, if you have already decided everything for yourself and for your child, you do not need to read this at all. This article is intended for parents who understand that vaccinations are a real and highly effective way to prevent infectious diseases, but a method associated with certain risks. That is why prudent and sensible mothers and fathers should know and try to practically implement a certain algorithm of actions that can significantly reduce the risk. It is these actions (real and practical) that we will talk about.

So, in the entire complex of problems associated with vaccination, three areas can be distinguished that require separate consideration:

1) Vaccine preparation.
2) Child.
3) Vaccination conditions - that is, the parameters under which the paths of the child and the vaccine intersect.

Let us immediately note that the ability of parents to influence the three designated areas is far from equivalent. They are minimal in relation to the vaccine, maximum in relation to the child and very significant when it comes to the conditions of vaccination.

With natural feeding, problems usually do not occur - breast milk in itself is an excellent prevention of post-vaccination reactions, but in a situation where the baby is fed on demand, problems may develop. The bottom line: after vaccination, the child may well experience moderate discomfort, which is manifested by greater moodiness. And since the baby cries more, then, of course, it is also located more near the breast. Accordingly, on the day of vaccination, the child eats more food than on normal days, then his stomach hurts, and, as usual, the vaccination is to blame. The situation is further aggravated by the fact that supporters of on-demand feeding, as a rule, do not give children any liquid other than milk, so there is no way to reduce the amount of food. If we are talking about free feeding, then the algorithm of actions is as follows: - if you can give him something to drink, or you can feed him, then you should give him something to drink; - if you can feed now, or in half an hour, then try very hard so that in half an hour; - if you can hold it on your chest for 10 minutes, or you can hold it for 30, it’s better than 10... The next safety precautions. You cannot vaccinate if the child has not had a bowel movement for 24 hours before the vaccination. You're going to the clinic today, and you haven't pooped since yesterday? Do a cleansing enema and place a glycerin suppository.

First, a revealing illustration of our capabilities. Remember, we wrote about DPT, Tetracok, Infanrix: all drugs are sensitive to storage conditions and should be stored and transported exclusively in the refrigerator. If, on the advice of a doctor, you decide to purchase Infanrix at a pharmacy, then purchase (borrow, rent) a cooler bag and cold packs first... Personally, I am convinced that the DTP vaccine is no less effective than Tetrakok or Infanrix, but in relation to this storage conditions of the drug are more often violated. This is due, first of all, to its cost (more precisely, its free nature). It’s hard to imagine that a person who paid his own $50 for Infanrix would put the ampoule in his pocket and get on the tram. None of the parents can be sure that the drug that the vaccination room nurse or pharmacy worker took out of the refrigerator before your eyes was stored correctly before it entered the refrigerator. A doctor came to your home with a cooler bag and removed an ampoule from this bag. You can either trust or not trust this doctor, but neither you nor this doctor knows anything about how the ampoule was stored before it went into the cooler bag. Let us state a fact: vaccine storage is a weak and one of the least controlled links in the entire chain of problems associated with vaccination. The radical solution is on the technical plane, and taking into account the capabilities of modern technology, this solution is not complicated - each ampoule, or at least each package of ampoules, must have an indicator that permanently changes color in a situation where the ambient temperature exceeds, say, 10 ° C. It is clear that everything described has nothing to do with the specific actions of specific parents. These are wishes - to the state, the consumer protection society, vaccine manufacturers... But, nevertheless, parents can definitely control the last stage. The vaccine must be removed from the refrigerator before your eyes, after which one of the adults takes it (ampoule, bottle) in the hand and warms it with the heat of their body. Cold hands - you can breathe on the ampoule, put it under your arm, etc. But in any case, you should see and feel the cold ampoule with your own eyes! If you come and it (the ampoule) is already warm, if an already warm ampoule is brought to your house, you cannot be sure of anything, you do not know how long it has been warm.

You cannot vaccinate in unusual, non-standard climatic conditions for a given child. If it’s terribly hot outside, and dad hasn’t started working on the air conditioning yet, then it’s okay to wait. You cannot immediately before and immediately after vaccination (2 days before, 3 days after) look for the infection by unnecessarily visiting crowded places and inviting guests. You should not get vaccinated if there is a real risk of getting sick. If dad came home from work yesterday covered in snot, if today his older brother started having diarrhea, it is, to put it mildly, wrong to vaccinate a still healthy child. Nevertheless, for a child in the first year of life, in the overwhelming majority of cases, the real risk of getting sick is associated not with a snotty dad, but with a trip to the clinic. Classic situation: the child is 3 months old. 3 months is the period when the antibodies inherited from the mother by the child cease to exist. 3 months is a visit to the clinic. Visiting medical specialists. 3-4 lines to the doctor's office. In this case, the child is in the corridor of the clinic, i.e., where the probability of meeting a patient is clearly higher than the statistical average. And now, after all the doctors say that the baby is healthy and can be vaccinated, the last line will come, to the vaccination room. And the child will receive the DTP vaccine. He will receive it exactly on the day when he had at least 20 contacts with strangers. And after two days a cough will begin and a fever will appear. And the vaccine will be to blame. So, let us repeat: it is extremely undesirable to get vaccinated when there is a real risk of getting sick. And such a day is very often the day of visiting the clinic. I strongly advise you to separate the time between visits to numerous offices and vaccination. We visited the specialists and everyone gave the go-ahead. Amazing. We returned home, remember that the incubation period of most acute respiratory viral infections does not exceed 2 days. If after 2 days the child is healthy, you can get ready for vaccination. However, you will not be able to avoid one queue - directly to the vaccination office. If you have the opportunity not to sit in the corridor, but to take a turn and take a walk, take a walk. If you have the opportunity to seat your dad, grandma, or older brother in the queue, but don’t poke your nose into the hallway ahead of time, don’t bother. Take a walk in the fresh air. When the time comes, they will call. In any case, during your stay in the clinic, try to undress the child in a timely manner (so as not to sweat) and have with you one of the saline solutions in the form of drops for introduction into the nasal passages (saline, aqua maris, regular saline, etc.). Place the mentioned drops in the child’s nose every 15-20 minutes, 2-3 drops in each nostril (a real reduction in the likelihood of ARVI). Immediately after the vaccination, theoretically, you cannot go home, and the doctor will warn you to sit in the corridor for about 30 minutes. This is correct (not to leave), but it is still better to walk for an hour in the fresh air near the clinic. Combining the risk of vaccination and the risk of infection with ARVI is one of the main contradictions of the entire system of organizing vaccinations. It is clear that this contradiction can only be resolved through certain organizational efforts. And it's actually not that difficult at all. It would seem, why can’t one person who has received a diploma as a pediatrician examine a child and decide whether vaccinations can be done or not? Why can’t a doctor come to our home, examine us, decide what is possible, and immediately administer the vaccine? Who needs to go to crowded clinics, queues, and be examined by numerous specialists? It would seem that the questions are rhetorical, but as long as children's doctors are poor, dependent and powerless, they will also be irresponsible, since there is nothing to take from them. But this is all a lyrical digression, but in reality: why can’t you vaccinate at home? By the way, I should note that vaccination at home is not possible according to the instructions of the Ministry of Health of Ukraine. Russian regulations do not prohibit this. But they do not encourage, limit, warn. This is explained by the fact that after any vaccine, a life-threatening acute allergic reaction called anaphylactic shock can occur. And there are two extremely paradoxical points here. - anaphylactic shock after antibiotic injections is much more common than after vaccines. But thousands of nurses give tens of thousands of antibiotic injections to children at home every day, and for some reason no one prohibits this; - emergency care for anaphylactic shock in a clinic consists of several drugs being administered intramuscularly to the child, and while someone is administering the injection, the rest are fussing and waiting for an ambulance. Nothing else can be done in our clinics - there are neither conditions (resuscitation equipment) nor people (who know how to use resuscitation equipment). Thus, if the doctor has with him something to inject intramuscularly (the same few drugs), then the possibilities of providing emergency care at home and in the clinic are approximately the same. Summary: the risk of vaccination at home and in the clinic is the same, the risk of co-infection is not comparable. It turns out that whenever there is an opportunity to get vaccinated at home, it is safer to get vaccinated at home. It should be noted: if you managed to agree that your child will be vaccinated at home, then in almost 100% of cases the child will be vaccinated for a fee. Since you pay, you have the right to demand something (take off your boots, wash your hands) and control something (the presence of a cooler bag and a first aid kit for providing first aid in case of complications). Having considered the topic of infection before vaccination, let’s turn our attention to infection after. This provision is especially relevant when vaccinations are carried out in children's groups. It’s optimal when vaccinations are done on Friday - then there are two days off ahead, with family and minimal contact with snotty peers. It is only important that a trip to the circus is not planned for this post-vaccination day...

The main thing I want to say is that vaccine tolerance is determined by a combination of many factors. At the same time, the quality of the vaccine preparation has incomparably less influence on the final result than the preparation of the child and the correct organization of the procedure. The easiest thing is to do nothing, not be interested in anything, to care for the child in accordance with the demands of public opinion. And then the overheated and overfed baby, after an hour of wandering through the corridors of the clinic, will return home to a room with a carpet and a heater and eat an additional portion of the mixture as a bite with orange juice... And when after that the temperature rises, or vomiting occurs, or the stomach hurts, or a rash appears, so It’s clear that the vaccine mafia is to blame for all this!

author Komarovsky E.O. published 14/10/2008 16:33 updated 16/03/2020 — Vaccinations

Vaccinations have existed since the time of Catherine. Thanks to them, thousands of victims were avoided. Undoubtedly, there is always a risk of side effects after vaccination, but the task of every parent is to protect their child from serious diseases. Only a competent approach to vaccinations and awareness will help avoid terrible consequences. Next, let's look at what DPT vaccination is. Komarovsky, a well-known children's doctor, will help with his advice to prepare the child for vaccination and possible side effects.

DTP vaccination according to Komarovsky: doctor’s opinion

DTP is included in the list of mandatory vaccines according to the national calendar approved by the Ministry of Health. This is one of the few vaccinations that is given in almost every country in the world. Based on these data, it is already possible to draw a conclusion that it is mandatory to vaccinate a child, but Dr. E. O. Komarovsky gives several more undeniable arguments.

Today, humanity, especially the population of developed countries, hears the words whooping cough, diphtheria and tetanus less and less often.

Meanwhile, these are serious and extremely dangerous diseases, which in previous times posed a serious threat.

They still pose a danger, but it was thanks to total vaccination that it was possible to reduce the number of cases and prevent the development of the most severe forms of disease.

To better illustrate his words, Dr. Komarovsky cites the following facts. Before the invention of the pertussis component of the DTP vaccine, absolutely all children became infected with this infection.

The generation of our grandmothers and great-grandmothers grew up in such conditions. The mortality rate from whooping cough was 4%.

As for tetanus, this infection in its danger is very close to rabies and the mortality rate, even with high-quality medical care, is 85%.

These numbers speak for themselves and best answer the question of whether it is necessary to get the DPT vaccine. As for the arguments of some parents regarding refusal of vaccination due to the risk of complications, it is important to say that the risk of developing negative consequences when contracting these diseases is much higher than from vaccination.

Dr. Komarovsky E.O. also talks about the choice that seems possible after 4-5 years. The thing is that the greatest number of adverse reactions is caused by the pertussis component of the vaccine.

This disease poses the greatest danger to children under 3-4 years of age, therefore, after this age, it is allowed to use not the standard three-component DPT vaccine, but a two-component DPT vaccine without the pertussis element.

When is the best time to do it?

In his program, Dr. Komarovsky presents to parents the standard vaccination regimen approved by the World Health Organization. The first stage of vaccination occurs at the age of 2-6 months, where vaccinations are given at intervals of at least 1 month. In our country, it is customary to give the first DTP at 3 months, although in Europe and the USA the first dose is prescribed precisely at the age of 6 weeks.

The first revaccination takes place 1 year after the last dose and occurs at 15-18 months. In the period from 4 to 6 years, a second revaccination takes place with the ADS or DTP vaccine with an acellular pertussis component. In the future, it is customary to continue to carry out revaccinations every 10 years.

If you deviated from the approved schedule and for certain reasons missed one of the stages of vaccination, then you do not need to start all over again. In this case, WHO has clear recommendations.

If you miss the next dose of DTP, the next vaccination must be done as soon as possible and then the schedule is shifted to take into account the resulting shift.

When planning to get vaccinated, make sure that your child is properly prepared. First of all, you need to make sure that he is absolutely healthy. One of the most common reasons for postponing vaccination is acute viral or bacterial infections, fever, dysbacteriosis, etc. Therefore, preparation should include a comprehensive medical examination.

In addition, Dr. Komarovsky talks about general preparation methods that will help avoid the development of side effects.

For 2-3 days, it is important to limit, if possible, the child’s contact with other people, so as not to accidentally catch the virus and get sick at the time of vaccination. When you come to the clinic, do not sit in a stuffy corridor in line.

It is best to spend the time before taking it in the fresh air, thereby reducing the risk of contracting ARVI, for example.

Make sure your child goes to the toilet before the procedure. If he is constipated, delay the vaccination for a few days until the problem is resolved. For 1 day, reduce the amount of food you consume.

The last meal before vaccination should be no later than 1 hour. Choose your wardrobe carefully. The child should not be hot. If your baby is sweating, change his clothes and give him something to drink before entering the office.

Possible complications

The risk of side effects and complications always exists and parents should clearly understand this. Dr. Komarovsky agrees with the statement that DTP is one of the most difficult vaccinations to tolerate. It is the pertussis component that gives the greatest reaction.

Side effects and complications vary in severity and frequency. The list of mild and completely acceptable reactions includes fever (1 case out of 4), swelling, redness and pain at the injection site (1 case out of 4), irritability, poor appetite, drowsiness, vomiting (1 case out of 50). The listed side effects do not pose any danger to the life and health of the child.

With poor appetite and the injection site, you do not need to do anything. After 2-3 days, the condition will gradually begin to normalize and the child will return to its previous shape. As for the temperature, it is completely unnecessary and it is necessary to knock it down already at 37°C. You don’t even have to wait for unpleasant symptoms to appear, and give paracetamol or ibuprofen in advance as a preventive measure.

Complications of moderate severity include continuous crying of the child for more than 3 hours (1 case out of 1000), convulsions (1 case out of 14000), fever above 40°C (1 case out of 16000). Such side effects require medical attention, but with proper therapy they disappear without a trace.

Severe reactions and complications after DPT are even less common. However, they cannot be completely excluded and must be kept in mind. Serious allergic reactions such as angioedema and anaphylactic shock occur in 1 in 1 million vaccinations. Even less common are persistent disorders of the brain, prolonged convulsions not associated with temperature, loss of consciousness, and coma.

Dr. Komarovsky draws the attention of parents to the fact that, as a rule, all complications and side effects appear in the child on the 1st day after vaccination. Therefore, on the first day you need to be extremely careful and attentive. The allergy manifests itself within the first 20 minutes after the injection.

Dr. Komarovsky does not claim that the vaccine is 100% safe, but the risk of developing negative consequences after the vaccine is much lower than the risk of developing the same consequences with a full infection. For example, the likelihood of seizures after whooping cough is 3000 times higher than after vaccination.

Let's decipher DTP

What do these letters mean?

— A – adsorbed vaccine.

The vaccine consists of weakened bacteria - the causative agents of the above diseases, sorbed on the basis of aluminum hydroxide and merthiolate. There are also acellular vaccines that are more purified. They contain particles of microorganisms that stimulate the body to produce the necessary antibodies.

One vaccine will protect against diphtheria, whooping cough and tetanus. These diseases can lead to a sad outcome, and how dangerous they are, we will consider further.

Dangerous diseases

The DTP vaccine will protect against whooping cough, diphtheria and tetanus. How dangerous are these diseases?

Whooping cough is a disease caused by an acute infection. There is a very strong cough, which can cause respiratory arrest and convulsions. A complication is the development of pneumonia. The disease is very contagious and dangerous, especially for children under 2 years of age.

Diphtheria is an infectious disease. Easily spreads by airborne droplets. Severe intoxication occurs, and a dense coating forms on the tonsils. Swelling of the larynx may occur, and there is a high risk of disruption of the heart, kidneys and nervous system.

Tetanus is an acute and infectious disease. Damage to the nervous system occurs. Contracts muscles on the face, limbs, back. There are difficulties when swallowing, it is difficult to open the jaws. Respiratory problems are dangerous. In most cases, the outcome is fatal. The infection is transmitted through lesions on the skin and mucous membranes.

Is it possible to vaccinate a child with rhinitis?

DPT is an international abbreviation that stands for a combination vaccine that protects against the formation of white films in the throat, bacterial acute infectious disease of the nervous system and convulsive cough. The vaccine against diphtheria, tetanus and whooping cough builds the immune system of all vaccinated children.

After the vaccine is administered, the patient’s body produces antibodies that form certain memory cells.

When the body is affected by the listed diseases, the immune system activates already familiar cells and forms a protective reaction.

Vaccination is an imitation of a disease in an insignificant form. As a result of this process, the patient experiences a slight weakening of the body, during which the baby may develop rhinitis.

When and to whom is DPT administered?

From the very birth of the child, a vaccination schedule is established. If you follow all the timing of vaccinations, the effectiveness will be high, the child in this case is reliably protected. DTP vaccination, Komarovsky draws attention to this, should also be done in a timely manner. Since the baby is protected by the mother's antibodies only in the first 6 weeks from birth.

The vaccine can be domestic or imported.

However, all DPT vaccines, regardless of the manufacturer, are administered in three stages. Since immunity weakens after the first vaccination, repeated vaccination is necessary. There is a rule when vaccinating with DPT:

The vaccine should be administered in three stages.
In this case, the interval between vaccinations should be at least 30-45 days.

If there are no contraindications to vaccination, the schedule looks like this:

1 vaccination – at 3 months.
2nd vaccination – at 4-5 months.
3rd vaccination – at 6 months.

In the future, the interval should be at least 30 days. According to the plan, DTP vaccination is carried out in:

Adults can be vaccinated once every 10 years. In this case, it is necessary to observe the interval between vaccinations; it should not be less than one and a half months.

Very often, one vaccine contains antibodies against several diseases. This does not burden the child’s body at all, as they are easily tolerated. So, for example, if DTP and polio vaccinations are carried out, Komarovsky notes that they can be done simultaneously, since the latter has practically no side effects.

All about vaccinations

DPT and poliomyelitis can be carried out simultaneously against the backdrop of complete health of the child.
In the absence of allergies or neurological disorders, combined vaccination allows you to avoid one extra injection, which reduces the psychotraumatic effect on the baby’s body. Some vaccine preparations containing pertussis antigen (Russian DTP (NPO Microgen), Tetrakok) develop pronounced post-vaccination reactions. DTP vaccination and polio are better tolerated when choosing Infanrix as a prophylaxis for whooping cough, diphtheria, and tetanus.

Antigens of the inactivated whooping cough bacillus affect the brain not only through direct contact, but also through immune reactions. Practice shows that timely immunization against infection (possibly together with hepatitis and polio) can protect the brain from the whooping cough bacillus.

In practice, post-vaccination reactions occur, but they are not pronounced.

How long does the protection last?

After the DTP vaccination is given (Komarovsky explains it this way), the immune system begins to produce antibodies to measles, diphtheria and tetanus. Thus, it was found that after vaccination a month later, the level of antibodies in the body will be 0.1 IU/ml. How long the protection lasts depends largely on the characteristics of the vaccine. As a rule, immune protection lasts for 5 years. Therefore, the interval of scheduled vaccinations is 5–6 years. In older age, it is enough to do DTP once every 10 years.

If you are vaccinated with DTP, then the likelihood of getting diphtheria, tetanus or measles is very low. It is believed that a person in this case is protected from these viruses.

In order not to harm the body, it is necessary to remember that there are a number of contraindications.

Who should not do DPT?

DTP is one of the vaccines that is difficult to tolerate in childhood. And if there have been no reactions to vaccinations before, then it can cause side effects. To avoid unwanted consequences from DTP vaccination, Komarovsky advises paying attention to the reasons why vaccination should be canceled.

The reasons may be temporary, such as:

Colds.
Infectious diseases.
Increased body temperature.
Exacerbation of chronic diseases.

In such cases, it is necessary to cure the child, and only two weeks after complete recovery can DPT be administered.

DTP vaccination cannot be done if you have the following diseases:

Deviations in the functioning of the nervous system that progress.
Previous vaccinations were very difficult to tolerate.
The child had a history of seizures.
Previous vaccinations caused febrile seizures.
Immunodeficiency.
Particular sensitivity to the components of the vaccine or intolerance to them.

If your child has any disease, or you are afraid that the DTP vaccine will cause unwanted consequences, you should consult a doctor. You may be prescribed a vaccine that does not contain pertussis toxoids, since these are the ones that can cause adverse reactions.

Vaccination may also be delayed if the child has:

Diathesis.
Little weight.
Premature baby.
Encephalopathy.

In these conditions, vaccination is possible, but preparation for DTP vaccination, Komarovsky especially notes, should consist of stabilizing the health status. It is best to use an acellular vaccine with a high degree of purification for such children.

Why does the temperature rise after vaccination?

Doctors believe that the main reason that causes the development of hyperthermia in babies after DPT vaccination is activation of the immune system. In response to the entry of infectious agents into tissues, the body begins to actively produce antibodies aimed at eliminating dangerous microorganisms.

Due to such changes, the body slows down the synthesis of substances that control heat transfer. Moreover, the body begins to actively increase body temperature in order to prevent the spread of bacteria inside the tissues, as a result of which the thermometer steadily creeps upward.

The child's body temperature rises as the immune system strengthens. It takes several hours, and sometimes even several days, to activate this mechanism.

Sometimes the functioning of the immune system reaches its peak only after 7-10 days. In such a situation, the baby lives well for about a week after vaccination without hyperthermia, and only on the 7th or 10th day the temperature increases.

If the temperature is within normal limits, such a manifestation is not considered a serious pathology, but, on the contrary, indicates the uninterrupted operation of the child’s body’s protective mechanisms.

As a rule, it is these signs that indicate the development of a powerful immune memory, thanks to which later, when faced with an infectious agent in natural conditions, the baby will be immune to the effects of infection.

Possible conditions after vaccination

What are the possible consequences after receiving the DTP vaccine? Komarovsky gives various reviews. And all side effects can be divided into mild, moderate and severe.

As a rule, a reaction to the vaccine appears after the 3rd dose. Perhaps because it is from this moment that immune defense begins to form. The child should be monitored, especially in the first hours after vaccination and over the next three days. If the baby gets sick on the fourth day after vaccination, then it cannot be the cause of the disease.

The occurrence of adverse reactions after vaccination is a very common occurrence. Every third person may have them. Mild reactions that disappear within 2-3 days:

Side effects of vaccines

The vaccination itself is quite painful. Under the influence of the vaccine, young patients experience unpleasant symptoms, including:

temperature increase,
hyperemia of the skin,
convulsive syndrome,
general malaise,
allergic reactions.

This impressive list cannot but cause concern for parents. But it is worth remembering that the consequences of contracting one of the diseases against which vaccination is carried out are much worse.

Moderate and severe side effects

More serious side effects cannot be ruled out. They are much less common:

Body temperature can rise to 39–40 degrees.
Febrile seizures may occur.
The injection site will become significantly red, exceeding 8 centimeters, and swelling of more than 5 centimeters will appear.
Diarrhea and vomiting will occur.

If such reactions to the vaccine occur, the child must be shown to a doctor immediately.

In very rare cases, more severe adverse reactions may occur:

Anaphylactic shock.
Quincke's edema.
Hives, rash.
Convulsions with normal body temperature.

DTP is a vaccine (Komarovsky especially notes this), which causes such side effects in one case in a million.

This reaction may appear in the first 30 minutes after the injection. Therefore, the doctor recommends not leaving immediately after vaccination, but staying near the medical facility during this time. Then you should show the child to the doctor again. All this is done so that it is possible to provide the necessary assistance to the baby.

Imported or domestic DTP vaccine Komarovsky

What do these letters mean?

– A – adsorbed vaccine.

Let us note what Dr. Komarovsky says: DTP vaccination is the most complex and can be difficult for a child to tolerate. Its tolerability is complicated by the pertussis element it contains.

One vaccine will protect against diphtheria, whooping cough and tetanus. These diseases can lead to a sad outcome, and how dangerous they are, we will consider further.

Dangerous diseases

The DTP vaccine will protect against whooping cough, diphtheria and tetanus. How dangerous are these diseases?

When and to whom is DPT administered?

The vaccine can be domestic or imported.

The vaccine should be administered in three stages.
In this case, the interval between vaccinations should be at least 30-45 days.

If there are no contraindications to vaccination, the schedule looks like this:

In the future, the interval should be at least 30 days. According to the plan, DTP vaccination is carried out in:

Adults can be vaccinated once every 10 years. In this case, it is necessary to observe the interval between vaccinations; it should not be less than one and a half months.

Polio vaccine, oral, live. After it, it is recommended not to have contact with unvaccinated children for two weeks.

How long does the protection last?

If you are vaccinated with DTP, then the likelihood of getting diphtheria, tetanus or measles is very low. It is believed that a person in this case is protected from these viruses.

In order not to harm the body, it is necessary to remember that there are a number of contraindications.

Who should not do DPT?

The reasons may be temporary, such as:

Colds.
Infectious diseases.
Increased body temperature.
Exacerbation of chronic diseases.

In such cases, it is necessary to cure the child, and only two weeks after complete recovery can DPT be administered.

DTP vaccination cannot be done if you have the following diseases:

Vaccination may also be delayed if the child has:

Possible conditions after vaccination

What are the possible consequences after receiving the DTP vaccine? Komarovsky gives various reviews. And all side effects can be divided into mild, moderate and severe.

The occurrence of adverse reactions after vaccination is a very common occurrence. Every third person may have them. Mild reactions that disappear within 2-3 days:

Moderate and severe side effects

More serious side effects cannot be ruled out. They are much less common:

Body temperature can rise to 39–40 degrees.
Febrile seizures may occur.
The injection site will become significantly red, exceeding 8 centimeters, and swelling of more than 5 centimeters will appear.
Diarrhea and vomiting will occur.

If such reactions to the vaccine occur, the child must be shown to a doctor immediately.

In very rare cases, more severe adverse reactions may occur:

Anaphylactic shock.
Quincke's edema.
Hives, rash.
Convulsions with normal body temperature.

DTP is a vaccine (Komarovsky especially notes this), which causes such side effects in one case in a million.

What to do after vaccination

In order for a child to tolerate the vaccine more easily, it is necessary not only to prepare for it, but also to behave correctly after it. Namely, follow some rules:

How to behave if adverse reactions occur

Temperature. Komarovsky recommends constantly monitoring it. You shouldn’t wait until 38, you should give an antipyretic as soon as it starts to rise.
If swelling or redness appears at the injection site, the child must be shown to a doctor. It is possible that the drug did not enter the muscle, but the subcutaneous fatty tissue, which may cause swelling and hardening. In any case, a doctor’s consultation is necessary to alleviate the child’s condition and eliminate possible complications. If it's just minor redness, it will go away within 7 days and you don't need to do anything.

In order to avoid side effects, you should take seriously the preparation of your child for vaccination. More on this later.

How to prepare a child for DTP vaccination

Komarovsky gives some simple and necessary advice:

Is it worth doing DTP?

https://.ru/article/226226/akds-privia-komarovskiy-sovetuet-kak-podgotovit-rebenka-k-privie-akds

Let's decipher DTP

What do these letters mean?

– A – adsorbed vaccine.

Let us note what Dr. Komarovsky says: DTP vaccination is the most complex and can be difficult for a child to tolerate. Its tolerability is complicated by the pertussis element it contains.

One vaccine will protect against diphtheria, whooping cough and tetanus. These diseases can lead to a sad outcome, and how dangerous they are, we will consider further.

Akds or Infanrix: Komarovsky

So which drug should you choose, DPT or Infanrix: Komarovsky agrees that Infanrix is safer, but does not make a fundamental difference between the vaccines, because they have the same effect.

The vaccination itself is quite painful. Under the influence of the vaccine, young patients experience unpleasant symptoms, including

temperature increase,
hyperemia of the skin,
convulsive syndrome,
general malaise,
allergic reactions.

DTP and Infanrix: principle of operation

As a result of the introduction of the drug components into the child’s body, protective cells begin to be actively produced. When the pathogen enters, the antibodies subsequently formed begin to actively fight it, preventing the onset of the disease .

Komarovsky about DPT and Infanrix

DTP is more aggressive, which expands the list of side effects. On the other hand, this is a domestically produced drug that is offered free of charge.

"Infanrix" is characterized by a gentle effect, but its price is high, and it is not always possible to obtain the drug.

A similar problem was faced by many parents who had previously vaccinated their children with Infanrix, but were forced to look for an alternative when, due to sanctions, the number of imported medicines sharply decreased.

The vaccine composition should not be administered in case of acute allergic reactions, indigestion, or even if the child has not had a bowel movement for more than a day.

Komarovsky warns that in clinics there is a high probability of contracting an infection.

If the doctor asks you not to go home for half an hour after vaccination, then it is better to spend time not near the office, but on the street in close proximity to the clinic.

https://zhenskij-sajt-katerina.ru/akds-ili-infanriks-komarovskij/

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What to do after vaccination

In order for a child to tolerate the vaccine more easily, it is necessary not only to prepare for it, but also to behave correctly after it. Namely, follow some rules:

The child should not be given a bath or the injection site should be wet.
Dr. Komarovsky recommends walking, but you should not walk in public places.
Spend these 3 days at home without visitors, especially if the baby has a fever or is naughty.
The air in the room should be moist and fresh.
You should not introduce a new product into your diet a week before or after vaccination. If the baby is breastfed, the mother should not try new foods.
Parents of children with allergies should be especially careful. Consult your doctor about which antihistamines to give before and after vaccination.

How to behave if adverse reactions occur

Mild adverse reactions are still possible. Since the DTP vaccine is considered the most difficult for the body, especially if the child previously had negative reactions to vaccinations. What to do if side effects occur after receiving the DPT vaccine:

Temperature. Komarovsky recommends constantly monitoring it. You shouldn’t wait until 38, you should give an antipyretic as soon as it starts to rise.
If swelling or redness appears at the injection site, the child must be shown to a doctor. It is possible that the drug did not enter the muscle, but the subcutaneous fatty tissue, which may cause swelling and hardening. In any case, a doctor’s consultation is necessary to alleviate the child’s condition and eliminate possible complications. If it's just minor redness, it will go away within 7 days and you don't need to do anything.

In order to avoid side effects, you should take seriously the preparation of your child for vaccination. More on this later.

DTP and polio at the same time - is it possible to do it?

Vaccination should be regarded as microinfection. Antigens from foreign microorganisms enter the body, but their activity is too low to cause serious harm.

In children, when using DPT and polio at the same time, allergic reactions are possible due to a temporary decrease in immune activity. Usually after a few days the changes disappear on their own. Parents only need to monitor the child’s condition and provide symptomatic treatment.

When the temperature rises above 38 degrees - suppositories with paracetamol or ibufen syrup. Allergic manifestations require antihistamines.

The polio vaccine is rarely associated with serious post-vaccination reactions. The main danger is the whooping cough component. It often causes a skin rash. In children with increased sensitization, Quincke's edema is likely to form.

Statistics show that Infanrix is easily tolerated. Violent reactions are observed when using Russian DTP. Moderate post-vaccination complications are observed with Tetrakok.

A contraindication to administering DPT and polio at the same time is weakening of the immune system and secondary diseases. Weak children are recommended to undergo ADS. Eliminating the pertussis component significantly reduces the load on the immune system.

Is it worth doing DTP?

Currently, vaccination refusal can be observed. Remember: the disease threatens much greater problems than the consequences that arise after the DPT vaccination. Komarovsky, according to him, has heard different reviews about vaccination, but there are always more pros than against. After all, having had diphtheria or tetanus, immunity to these diseases does not appear. Medicine does not stand still, and vaccines are becoming more purified and safe. It's worth thinking about this. There is no need to risk the health and life of the child. A high-quality vaccine and an attentive doctor can reduce the risks of developing side effects. Health to you and your children.