The debate for painless versus normal vaccine has been there for quite a long time leaving parents confused. So, let’s get all the facts right!
All vaccines are not available in painless versus painful variant. Only DPT vaccine is available in these two formats.
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This combination vaccine protects against three diseases:
Diphtheria: Diphtheria is a bacterial infection causing a thick covering in the back of the throat. It can lead to breathing problems, paralysis, heart failure, and even death.
Tetanus: Tetanus (lockjaw) is a serious disease that causes painful tightening of muscles, usually all over the body. It can lead to "locking" of the jaw so the patient cannot open his mouth or swallow. Tetanus leads to death in about 1 in 10 cases.
Pertussis: Pertussis, also known as whooping cough or 100 day cough, is a highly contagious respiratory disease. Pertussis is known for uncontrollable, violent coughing which often makes it hard to breathe. After fits of many coughs, someone with pertussis often needs to take deep breathes which result in a "whooping" sound. Pertussis most commonly affects infants and young children and can be fatal, especially in babies less than 1 year of age. Since the 1980s, the number of reported pertussis cases has increased. These increases have been noted in both infants younger than age 1 year, ages 11-18 years and adults.
Side effects are usually seen in whole cell vaccine and rarely seen in acellular vaccine.
Swelling at vaccination site: In most cases, this swelling subsides within 48-72 hours after vaccination. Sometimes the swelling at the injection site becomes firm, nodular and may persist for several days to weeks. It may soften and form a sterile abscess. It usually disappears on its own, sometimes leaving thick skin behind which eventually also goes
If the swelling is painful and warm on touch and child not able to move legs at the end of 5-7 days, it could be an abscess or pus collecting there. Consult your doctor immediately. An ultrasound and drainage might be required
The serious side effects are attributed to the cell of pertussis toxin generally.
DwPT and DaPT:
Use DaPT in place of DwPT if the following develop after DwPT use:
It is not contraindicated in children with non progressive brain illnesses like cerebral palsy, febrile convulsions, epilepsy.
YES, commonly administered combinations are:
Let's get our basics right first:
Some golden rules to be followed:
Keeping in mind our country's dynamics, IAP recommends DTwP for primary immunisation whereas AAP (American Academy of Pediatrics) and CDC recommends DTaP for children >7 years age. Our personal opinion is that parents should take an informed decision along with their pediatrician.