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Suggest a vaccition chart/schedule for infant, new born - Online Doctor Chats

Date : 26-Mar-2013
User rating for this question
Very Good Posted in: Child Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2585 Questions
User:Hello Doctor, my baby girl is just under 2 months old..can you suggest a vaccition chart/schedule?
Doctor:Yes, sure
Doctor:Did she get vaccinated at birth?
User:yes, BCG, polio and hepatitis at birth
User:I have also heard of painless vaccination shots..I also need to know where can I get these in Bangalore and whether are they better than normal injections
Doctor:We'll first discuss the schedule and then discuss the other aspects
Doctor:Is that ok for you?
User:yes doctor
Doctor:at 6 weeks, did she get polio, DPT and hepatitis B
Doctor:Did she also get haemophilus influenzae B vaccine?
User:he mentioned its a combination
User:the doctor had given comvac
Doctor:That will also do
Doctor:Then at 10 weeks
User:I am not sure what is included in Comvac
Doctor:Its actually a pentavalent vaccine
Doctor:It covers hepatitis B and Hib
Doctor:At 10 weeks, she needs her third dose of polio, hepatitis B, and DPT
Doctor:and second dose of Hib
Doctor:Same for 14 weeks
Doctor:Do you follow?
Doctor:Then at 9 months, she gets her measles shot
Doctor:Then at 15-18 months
Doctor:She gets her polio, DPT and Hib booster
Doctor:and her 1st shot of MMR
Doctor:MMR will protect against mumps, measles and rubella
Doctor:at 2 years of age, she gets her typhoid shot
Doctor:then at 5 years, OPV, DPT and MMR boosters
Doctor:Do you follow?
Doctor:Then there are other vaccines
Doctor:The ones I mentioned are essential
Doctor:But there are others which are available and its good that you get them
Doctor:But it remains an option that you need to decide on
Doctor:after 6 weeks, there is a vaccine against pneumococci
Doctor:This protects against meningitis and pneumonia
Doctor:These are serious infections in children
Doctor:Then there is a vaccine against rotavirus
Doctor:This is the most common cause of diarrhoea in children
Doctor:But I firmly believe that this one is really optional
Doctor:as I presume you would take excellent care of your child if and when she has diarrhoea
Doctor:Then there is a vaccine against chicken pox, which is given after 15 months
Doctor:only 1 dose is needed
Doctor:and finally, after 18 months, vaccine against Hepatitis A is needed
Doctor:This protects against jaundice
Doctor:Do you follow? The whole schedule must be confusing
Doctor:I would suggest 1 thing
Doctor:I'll send you a link
User:What is the cost of the optional vaccines? (pneumococci, rotavirus)..can they given by the same doctor or I need to go to some specific hospital
User:yes, it can be confusing...if you can share a chart then it would be helpful
Doctor:they are slightly expensive
Doctor:Rs. 3300 for pneumococcal vaccine
Doctor:but the rotavirus one is pretty cheap
Doctor:around Rs 40-100
Doctor:This is the link
Doctor:Take a print
Doctor:and keep a tab on the next due dose
Doctor:That will help you stay on track
Doctor:Is there anything else you'd like to know about the immunization schedule?
User:is there any specific brand that I need to buy from for the optional vaccines?
Doctor:Talk to your paediatrician about this
User:I just went through the is good
User:Now, I need to know about the painless option
Doctor:Usually the drug majors like Glaxo and all only make them
Doctor:Its better to buy a slightly expensive version of a reputed company
Doctor:Now the second issue about painless immunizations
Doctor:The thing is XXXXXXX till now, the truly painless immunization is in the research phase
Doctor:they are developing patches with which they would be able to put the vaccine without poking a needle
Doctor:But there are 2 techniques which are currently available which cause relatively less pain
Doctor:One of them is using the acellular pertussis vaccine
Doctor:This one is more expensive than the usual DPT used
Doctor:but it causes less reactions and is less painful
Doctor:The second way is to use a combination vaccine
Doctor:Its called the easy 5 vaccine and covers the DPT, hepatitis B and Hib vaccine in 1 shot
Doctor:Those are the 2 techniques available
Doctor:Did your child cry excessively after the shot or was there some reaction that she experienced
User:She cried for a few minutes...but was dull for a whole day..
User:and also had mild fever
User:for a day
Doctor:At that time, you can give her Crocin syrup at the dose of 15 mg/kg
Doctor:What is her current weight?
User:her weight was 3.4 kg around 10 days ago
Doctor:When you take her for vaccination next time
Doctor:Take her weight
Doctor:When you buy the crocin syrup bottle
Doctor:See the concentration on the bottle
Doctor:It will say something like 120 mg paracetamol/5 ml
Doctor:That means it has 24 mg/ml
Doctor:So if her weight is 5 kg next time, the dose for her is 75 mg
Doctor:Which means about 3/4 th of a teaspoon
Doctor:Do you understand howw to calculate the dose and adjust it
User:no..right now we give .5 ml from the dropper
Doctor:What does it say on the bottle about the concentration?
User:I am not sure
User:I will have to check
Doctor:Just check and let me know
User:the doctor had advised to give .5 ml
Doctor:also check with your paediatrician
Doctor:Then the concentration in the bottle must be higher
User:I was just talking to my childs doctor..he mentioned a vaccine Rotateq for rotavirus..but he is saying it costs INR this correct?
Doctor:It may be correct
Doctor:It varies from place to place and from source to source
User:ok..I asked since you mentioned that rotavirus is priced around 40-100
User:oh ok
Doctor:ask him about Rotavac
Doctor:That is cheaper and its an indian version of the same vaccine
User:oh ok
User:thanks a lot
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