DTP (vaccination). Komarovsky advises... How to prepare a child for DTP vaccination?

If there is a disease of the mucous membrane, parents are concerned about the question: is it possible to do DPT with a runny nose? Worry about this is justified, since rhinitis reduces the child’s immune system. Vaccination during inflammation of the body can cause a number of side effects and complications. Therefore, it is important to find out the contraindications and what will happen if you do DPT with a runny nose.

The timing of vaccination is limited by time, so if the vaccination is not done on time, the child runs the risk of developing long-term rhinitis and a clear decrease in the body’s protective functions. What will happen in this case, as well as how to avoid undesirable consequences, we will find out in this material.

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.

The admissibility of administering DTP vaccination for a runny nose is determined by a doctor , but the release of mucous secretion is not a reason to refuse vaccination.

You can give DPT for a runny nose, but only in cases of non-acute rhinitis. It is prohibited to administer the vaccine if you have a runny nose if the following contraindications occur simultaneously:

  • hypersensitivity to vaccine components;
  • in case of deficiency of the patient’s immune system, which manifests itself as a severely weakened or complete absence of immunity;
  • with the progression of inflammation in the nervous system;
  • with convulsions;
  • at a very high body temperature.

However, in the above cases, the injection can be given without the whooping cough component.

In addition, it is better to postpone the vaccine if a runny nose is accompanied by the following symptoms:

  • diathesis;
  • if the child has recently had an acute respiratory infection;
  • for acute symptoms of symptomatic illness;
  • fibril spasms.

Some doctors may prohibit the vaccine if rhinitis occurs due to an allergic reaction.

If the patient suffers from a common runny nose, DPT is not a contraindication. After the injection, the child may have increased secretion of mucous secretion, but even in this case there is no need to worry.

Where to get vaccinated

Vaccinations are given only at the Institute of Immunology or at a children's clinic.
But parents can purchase the vaccine themselves. Doctors suggest purchasing the popular drug “Infanrix”, due to its wide popularity among medical professionals.

However, all certified vaccinations are safe, so you can buy domestic or imported vaccines at any pharmacy.

A well-known Russian-made vaccine, in addition to Infanrix, is Bubo-kok.

Among foreign drugs, give preference to proven products, the content of harmful preservatives in which is minimized:

  • "Pentaxim";
  • "Tetrakok";
  • "Tritanrix-HB".

You can purchase each vaccine at a pharmacy. Remember that self-vaccination is prohibited!

Let's decipher DTP

What do these letters mean?

— A – adsorbed vaccine.

- K - whooping cough.

— D – diphtheria.

- C - tetanus.

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.

Let us note what Dr. Komarovsky says: “DTP vaccination is the most complex and can be difficult for a child to tolerate. The pertussis element it contains makes it difficult to tolerate.”

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.

Reaction to vaccination

Immediately after vaccination, a child may experience a number of minor side effects. This sign indicates a favorable process in the body.
This means that the correct formation of the immune system occurs inside the body. But if the patient does not show any symptoms, there is no need to worry. This is how the effectiveness of the drug and its full acceptance by the body are manifested.

Regardless of which drug you choose, DTP is considered difficult for any child’s body . The severity of its transfer is due to the components of whooping cough.

After vaccination, the baby experiences pain at the injection site, redness of the skin, swelling, increased body temperature, irritability, moodiness, and severe deterioration in health.

After the injection, the puncture site may swell up to eight centimeters!

In addition, adverse reactions include:

  • refusal to eat;
  • drowsiness;
  • defecation disorder;
  • vomit.

If the vaccination was given at the time of rhinitis, the patient’s symptoms may increase and become more acute. Therefore, in case of acute inflammation of the sinuses or nasal mucosa, it is best to wait for the baby to fully recover. But if rhinitis is not accompanied by a deterioration in health and an increase in body temperature, you should not refuse vaccination.

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.

Pediatrician's opinion

The well-known pediatrician Dr. Komarovsky believes that vaccination for rhinitis is possible only if a runny nose appears with minor symptoms.

The DTP vaccine, according to Komarovsky, saved millions of children's lives. Before vaccinations began, almost twenty percent of children suffered from diphtheria, of which almost all died. Today, these statistics have improved, all thanks to the start of vaccination. Therefore, vaccination is mandatory for a child.

A runny nose and DTP are incompatible only with high body temperature and acute inflammation of the mucous membrane or paranasal sinuses. If at the time of vaccination the child does not have a fever, but the general health is poor, the baby’s eyes are watery, there is a cough, there is no appetite and other signs of intoxication appear, the vaccination should be done after complete recovery.

Preparing a child for vaccination

In order for the body to react with fewer side effects after vaccination, it is necessary to prepare well for it. First of all, in order for the vaccination to be effective and safe, you need to go to the doctor in advance and find out how to prepare for it. The most important thing, of course, is not to vaccinate a child with contraindications, during the period of exacerbation of allergic and chronic diseases and after an illness. After a cold or any drug treatment, at least two weeks must pass before the Komarovsky vaccination so that the body can become sufficiently strong.

A healthy child, according to Komarovsky, does not require any special preparation for vaccination. The pediatrician determines whether the baby is healthy. However, parents should be careful on the eve of vaccination, that is, prevent the child from coming into contact with sick family members and not go to public places, so as not to pick up some kind of infection. The risk zone also includes visiting the clinic for the vaccination itself. It is better to choose a healthy children's day for this.

Another important condition is that the child must ride the day before. That is, if he has not pooped for 2-3 days, it is necessary to create conditions under which he will poop and give, for example, an enema or a suppository. Dr. Komarovsky constantly draws the attention of parents to this.

If your baby received the first DTP vaccine and had a moderate allergic reaction to this vaccine, he can be prepared with medications before the next one. Suprastin is not given to children under three years of age before vaccination, but fenistil can be given in drops. If the reaction was strong, then a medical discharge is issued. Antipyretics, as Komarovsky constantly emphasizes, should not be given prophylactically before vaccination.

DTP (vaccination). Komarovsky advises... How to prepare a child for DTP vaccination? 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.

Let's decipher DTP

What do these letters mean?

— A – adsorbed vaccine.

- K - whooping cough.

— D – diphtheria.

- C - tetanus.

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. AKDS vaccine Komarovsky

Let us note what Dr. Komarovsky says: “DTP vaccination is the most complex and can be difficult for a child to tolerate. The pertussis element it contains makes it difficult to tolerate.”

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, there is a high risk of disruption of the heart, kidneys and nervous system. DPT vaccination and polio Komarovsky

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.

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:

18 months. 6-7 years. 14 years old. 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.

The polio vaccine is oral, “live”. After it, it is recommended not to have contact with unvaccinated children for two weeks.

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 DPT once every 10 years. Dr. Komarovksy DPT vaccination

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.

preparation for DPT vaccination Komarovsky

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.

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:

It is possible that the temperature will increase after DTP vaccination. Komarovsky recommends knocking it down at the very beginning; you shouldn’t wait for it to rise to 38 degrees. It is necessary to knock down only with Paracetamol or Ibuprofen. This reaction can occur 2-3 hours after vaccination. Often after the injection, the child's behavior changes. He becomes capricious and whiny. This condition may last for several hours. Perhaps the baby is worried about pain after the injection. A reverse reaction is also allowed. The child's activity will decrease, and even mild lethargy may appear. Loss of appetite and drowsiness are also possible. DDT vaccination Komarovsky temperature The place where the injection was given may turn red and a slight swelling may appear. This is also an acceptable reaction, but swelling should not exceed 5 cm, and redness should not exceed 8 cm. The injection site may be painful, so it is necessary to protect it from unnecessary touches and movements. Vomiting is possible. 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 vaccination consequences Komarovsky DPT is a vaccination (Komarovsky especially notes this) that 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.

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 humid 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.

How to prepare a child for DTP vaccination

Komarovsky gives some simple and necessary advice:

Show the child to a pediatrician, who should examine him and correctly assess his condition. In other words, confirm that the child is healthy. How to prepare a child for the Komarovsky DPT vaccination If your child is allergic, an antihistamine should be given 3 days before the vaccination. Before doing this, you should consult your doctor about the drug and its dosage. It is best to visit a neurologist and take urine and blood tests. Especially if the child suffered from any illness before this. You should not overfeed your child on the day of vaccination. If there is a suspicion that the child may get sick, or if someone in the family is sick, you should postpone vaccination. The vaccine must be of high quality and administered correctly. 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.

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.

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.

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