Is it possible to walk with a child after vaccination with DPT in the summer Komarovsky?

any manifestations of respiratory failure.
A slight increase in temperature and anxiety in the first days are not pathological reactions and allow time in the fresh air.

The characteristics of the vaccine itself also matter. And the reaction to it may be the reason why you should not walk with your child after vaccination:

Some advice for parents

To avoid unpleasant surprises after your baby is vaccinated, remember a few important rules.

Walking after vaccination is not only acceptable, but also necessary. You need to go for a walk, but it is important to take into account the child’s condition. If you suspect an illness not related to your walk, you should stay home and call a doctor. Bathing or walking should be discussed with the doctor based on each child's condition.

Author: Sukhorukova Anastasia Andreevna, pediatrician

How long can you walk after DPT vaccination?

How to prepare for DTP vaccination

It is often impossible to strictly adhere to the vaccination schedule, due to childhood illnesses or the lack of vaccines in the required period of time. Then the following principle should be observed: between the previous and subsequent vaccinations there should be a period of time of at least thirty to forty-five days. The last, fourth DPT vaccination can be done one year after the third.

Contraindications to the administration of the DTP vaccine are all acute conditions, allergies to its components, and a sharp decrease in immunity.

Children with manifestations of diathesis and prone to allergic reactions for two days

Before vaccination, antihistamines can be given in a standard dose appropriate for age. After vaccination, when you come home, you can give your baby a candle with an antipyretic drug to prevent temperature spikes.

At the time of vaccination, the child must be absolutely healthy; even minor manifestations of malaise are a reason to postpone the administration of DTP. You should not feed your child before vaccination. Make sure your baby has a bowel movement before vaccination. Dress your baby according to the weather; do not over-insulate the child.

Video “DTP vaccine”

Period after vaccination

Give recommendations for the near future, warn about possible complications of vaccination, explain what can be done with the baby during this period and what cannot be done.

All side effects following the administration of vaccines are divided into local and general reactions. At the site of injection of the DTP drug, redness, swelling, tissue compaction, and pain of varying intensity may appear - this is a local reaction to the injection and the drug.

Is it possible to walk with a child outside after DPT vaccination? There is no consensus on this issue in medical circles. Traditionally, doctors prohibit walking on the street after DTP. It is believed that the child’s body is in a vulnerable position during this period, so it should be protected in every possible way from external infection. This is precisely the reason for the ban on walking during the first three days after the introduction of the vaccine.

Child's walking routine

The question of how long you can walk outside after administration of the DTP vaccine is considered only if there are no reactions to the administration of the drug, either local or general.

Possible complications

Sometimes side effects occur with the simultaneous administration of DPT and polio vaccine. They may be due to the characteristics of the child’s body, non-compliance with the rules and violation of manipulation techniques by medical personnel, and improper care of the baby after immunoprophylaxis by the parents.

cold;
exacerbation of chronic diseases;
swelling of the leg where the injection was given, lameness;
diarrhea;
asthenia;
enlarged lymph nodes;
vomit;
abscess at the injection site;
increased anxiety;
fever;
prolonged unnatural crying;
convulsions;
allergic manifestations (anaphylaxis, urticaria, Stevens-Johnson syndrome, Quincke's edema).

Dangerous consequences of vaccination against polio, DTP:

damage to the central nervous system;
developmental delay;
paralysis of limbs;
vaccine-associated polio.

To prevent the development of negative consequences of simultaneous vaccination with DTP and IPV, it is necessary to adhere to the following recommendations:

fully examine the child, consult with specialists (neurologist, cardiologist, allergist, immunologist) regarding the safety of immunization;
Give your baby antihistamines a few days in advance to prevent allergies;
dress your baby outdoors according to the weather;
on the day of vaccination, give the child an antipyretic drug;
After vaccination, avoid visiting crowded places for a week. This minimizes the likelihood of infection with infectious or viral pathologies;
Do not bathe your baby for several days. Ignoring this advice can lead to a cold or infection in the puncture;
do not make changes to the child’s diet before and after immunization.

When can a child walk and swim after vaccination with DPT, Pentaxim, Prevenar and others?

In childhood, especially in the first year of life, the baby receives a large number of preventive vaccinations. Many vaccines cause temporary changes in a child's body:

change blood counts;

disrupt the daily biorhythm;

affect the functioning of the nervous system.

These side effects do not last longer than a few hours. But it is impossible to predict exactly how a child will react to a vaccine, even if he previously tolerated a similar vaccine well.

To avoid additional stress on the child’s body and not harm the baby, doctors have developed a number of restrictions for the post-vaccination period. For example, avoiding walking and daily bathing is a standard precaution.

Is it possible to do it at the same time?

DTP is a vaccine drug that protects a person from infection with the germs of whooping cough, diphtheria and tetanus bacilli. The product contains toxoids and killed whooping cough cells.

Poliomyelitis is a highly contagious infectious disease that affects the spinal canal, causing paralysis. To protect against this pathology, two types of vaccines are used: IPV and OPV. The first is administered by injection, the second - orally.

Diphtheria, whooping cough, polio, and tetanus are difficult to tolerate, especially in childhood. These diseases can lead to disability and death, so immunoprophylaxis is performed to prevent infection.

In terms of timing, vaccination against these four dangerous diseases is carried out at the same time. Doctors recommend injecting antigenic materials at the same time. This approach does not increase the likelihood of developing adverse reactions and complications. The immune system immediately recognizes foreign substances and begins to actively fight them, producing antibodies.

Don’t swim or walk, or Where did the prohibitions come from?

Any vaccine causes a biochemical reaction that is atypical for a child’s body. For a child’s immunity, vaccination is stressful and a serious burden. During the period after vaccination, the immune system is actively producing antibodies against pathogens introduced with the drug, and its protective functions are reduced. External negative factors increase the load on the child’s body. This causes disruptions in its operation and additional complications.

Children react to vaccinations differently, and temporary changes occur at different times. Some children develop a fever that evening, while others experience side effects the next day or later. Many babies tolerate the vaccine without pathological changes, but even in such conditions the body is especially susceptible to pathogenic microorganisms.

Bathing and walking are hardening procedures that are 100% useful only for an absolutely healthy child. For example, when taking a bath, the baby's back and chest are not completely immersed in the water, but are above it. In the intervals between douches, the body is subjected to sudden cooling. When the body's defenses are weakened by the vaccine, it can lead to colds and other illnesses.

If a child is bathed in hot water after vaccination, this often causes an increase in body temperature. Also, when steaming, an infiltrate may develop - compaction at the site of drug administration.

For vaccinations that are not accompanied by a temperature reaction, refusal to take a bath is not a mandatory requirement. The main thing is not to steam, not to rub the injection site and not to delay water procedures. It is better to limit yourself to a warm evening shower.

Opinions vary on how safe it is to go outside after vaccination. Some doctors are sure that in public places and on the street the risk of getting sick is higher, others believe that the chances of getting sick are equal both at home and in the open air.

Pathogens that enter the body through injection increase its susceptibility to infection and acute immune reactions. A child can catch a virus or catch a cold even in a stuffy apartment without proper ventilation. Whether it is possible to go for a walk after vaccination directly depends on what drug was used during vaccination and how many months the baby is.

When can you walk and wash after DPT vaccination?

DPT is prescribed to completely healthy children without signs of acute, chronic or systemic diseases at the time of examination before the injection. Newborns receive their first injection at 1.5 months.

Once pathogens of a complex of diseases enter the body, the immune system enters into an active fight against them and is unable to provide protection against other infections. The high probability of infection through dirty water during this period explains why the DPT vaccine should not be wetted. There are several more reasons to postpone swimming for 2-3 days:

Insufficiently clean water causes itching at the injection site. The child begins to scratch the irritated area, and this increases the risk of bacteria entering the wound. After two days, the injection mark is completely healed and contact with water does not pose any threat.
Taking a long hot bath stimulates the child's nervous system. Due to overheating, the body experiences unnecessary stress, as a result of which sleep is disturbed, the baby becomes restless, and body temperature may increase.

The recommended period of 2-3 days is also determined by the fact that complications after vaccination may not occur immediately, but later. Depending on the degree of manifestation, the temperature reaction to vaccination is:

weak (normal) – up to 37.5°;
medium (requires condition monitoring) – up to 38.5°;
strong (you need to see a doctor) – above 38.6°.

To make sure there are no side effects, it is recommended not to wash the child until complete recovery. If the temperature rises above 37 degrees, washing is prohibited. Visiting the swimming pool, water park, and bathhouse is also prohibited.

At a temperature of 38 degrees or more after the first immunization, it is recommended to take antipyretic drugs in the form of syrup or rectal suppositories - especially for newborns and children under 1 year of age. The drug should not contain acetylsalicylic acid, which thins the blood.

Due to the exposure of the child’s body to bacteria and viruses in the post-vaccination period, doctors advise not to walk with the child in crowded places. On the day of DTP vaccination, it is better to simply walk from the clinic to your home. If the baby feels well and has no fever or changes in appetite, sleep or behavior, you can go outside on the second day.

In winter, it is recommended to walk after vaccination against whooping cough, diphtheria and tetanus in the daytime, and in summer - in the morning or evening, when the temperature is lower (we recommend reading: when children are vaccinated against tetanus and its contraindications). In rainy and windy weather it is better to stay at home.

How long is it advisable to stay at home after vaccination?

Many parents are interested in how long to stay at home after vaccination/revaccination. It all depends on the condition of the baby, weather conditions and the epidemiological situation in the country.

Many doctors advise holding off on walking for 2-3 days. During this period, changes begin in the child’s body, and immunity is especially weak.

If the post-vaccination period is difficult, then you should stay at home until the adverse reactions completely disappear. In bad weather conditions (rain, high humidity, extreme heat or cold), walking is prohibited. If there is a bad epidemiological situation in the country regarding influenza or other infectious viral pathology, then it is better not to go outside for 2-3 weeks.

How long after a child is allowed to walk and bathe after vaccination with Pentaxim?

Pentaxim is an imported vaccine against whooping cough, diphtheria and tetanus, which is accompanied by fewer side effects (we recommend reading: differences between the Pentaxim and Infanrix Hexa vaccinations). In most children, the temperature rises within 24 hours after the injection and gradually decreases over a period of 3 to 72 hours.

As with other serums of this group, it is not advisable to bathe the child and walk with him during the first two days after vaccination. The baby needs to be given the most gentle treatment possible to protect him from infection with viruses and bacteria.

In children who tolerate other vaccinations well, fever and other side effects after Pentaxim are not excluded. Due to the gradual accumulation of antibodies to serum components in the body, children react most acutely to the fourth revaccination.

If the temperature remains within normal limits within 24 hours after the injection, the next day an hour-long walk in the fresh air is allowed, provided the weather is good and you feel normal. If necessary, you can bathe the child. It is not prohibited to wet the injection site itself - contact with water does not pose a threat.

Vaccinated against polio: when is it time to take a bath and go outside?

The percentage of typical vaccination reactions for modern drugs is minimal. When immunized against polio by the oral route, the temperature rises extremely rarely. If there is no deterioration in health or fever, you can go for a walk with your child even on the day of vaccination. Brief washing with warm water is not prohibited.

Reactions to the polio drug occur more often when polio vaccine is administered simultaneously with DTP. If a child has received both vaccinations at once, he should refrain from walking and swimming for 2-3 days.

DTP and polio vaccination at the same time: possible reactions and complications

Vaccination is the only reliable measure to prevent infection with dangerous viral and bacterial pathologies. They begin to carry it out from birth.

Immunoprophylaxis is especially recommended for infants whose body’s defenses are weak. Until one year of age, a child receives a number of vaccinations, including DPT and OPV.

The timing of the administration of these vaccines coincides, so sometimes doctors suggest doing two vaccinations on the same day. Many parents think that this creates a greater burden and increases the likelihood of developing adverse reactions, so you need to figure out whether it is worth vaccinating against DPT and polio at the same time.

When is it allowed to swim and walk after a hepatitis vaccination?

Vaccination against hepatitis B is carried out at 6 months. The drug itself does not cause temperature or allergic reactions, but usually the procedure is combined with DPT and IPV vaccination. In such conditions, doctors do not allow you to wet the injection site and stay outside with the child for a long time in the next 2 days.

If the hepatitis B vaccine is given separately from other vaccines, you can swim and walk on the same day. When taking a bath is part of your baby's daily routine, it is even necessary. It is advisable to reduce the duration of water procedures - the wound should not be steamed. After contact with water, the injection site is carefully soaked with a towel to dry the surface.

Precautions when walking with a child outside in winter and summer

It is better to walk with a vaccinated child in early autumn or late spring. Then the weather is nice and warm outside. But for some children, the vaccination period falls in the summer or winter.

At such times, the yard may be too hot or cold. It is important to know how to organize a walk correctly in order to protect your baby from negative consequences.

Precautions when being outdoors with a child:

do not go to crowded places. You should not attend fairs, holidays, meetings, or shops. It is better to walk in a garden or forest plantation, where there are no people and the risk of infection is minimal;
avoid unnecessary activity. A baby can sleep in a stroller, and an older child can just calmly walk around and get some fresh air;
Dress your baby appropriately for the weather.

Is it possible to wash the baby and walk with him after vaccination with Prevenar?

One day after vaccination with Prevenar, the injection site should not be wetted, and it is better not to bathe the child. This will make it easier for him to cope with immunization. Do not apply compresses, stick an adhesive plaster, or apply iodine or other topical preparations to the wound from an injection of Prevenar against pneumococcus.

In good calm weather, it is allowed to go outside. It is better to avoid large crowds of people and not walk on a busy playground. Contact with potential carriers of infection during the period after vaccination with Prevenar is dangerous for the child.

When are walking and swimming prohibited?

Walking and swimming are strictly prohibited if there is a high likelihood of developing side effects after vaccination. Such risks arise when the rules for vaccination are violated and the child has symptoms of common diseases at the time of administration of the drug.

If the baby experiences pathological reactions after the procedure, walks should be completely abandoned. The list of contraindications includes:

increased body temperature above 38.6 degrees;
symptoms of respiratory diseases;
allergic manifestations in the form of itching, extensive compaction, skin rashes;
increased nervous excitability for longer than three days from the date of vaccination;
poor appetite and refusal to eat;
any signs of respiratory failure;
joint pain;
attacks of nausea and vomiting;
an increase in the size of lymph nodes.

Parents should immediately call a pediatrician and find out why the negative manifestations occurred. Before consulting with a specialist, you should not take a bath or wet the injection site; you should stay at home with your child. During this period, it is necessary to keep the room clean and ventilate it regularly. The child should not be in a draft. To prevent hypothermia and colds, before ventilating the baby, move it to another room and close the door to the room where the window is open.

When side effects are due to a simple respiratory infection without complications after vaccination, you can go outside. You should not bathe a child with a runny nose, cough or signs of general malaise.

The ban on walking during the post-vaccination period also applies to visiting a kindergarten or school. Parents should limit the child's contact with other children, including siblings.

What else should you not do on the first or second day after vaccination?

In the post-vaccination period, there is a high risk of complications. To minimize the likelihood of adverse reactions, you should know what not to do in the first days after DTP.

Doctors advise adhering to a number of prohibitions:

You should not overfeed your baby on the day of vaccination and the next day. Overeating is an extra burden on the body;
You should not dress your child in tight clothes made of synthetic materials. This can lead to inflammation and irritation of the injection site;
Do not let the baby scratch the puncture area. The injection site may ache and itch for the first couple of days. The discomfort will go away on its own if you do not touch the injection area. When scratching a puncture, there is a risk of infection;
If the baby is breastfed, then the mother should not introduce new dishes into her diet. It is necessary to exclude chocolate, tomatoes, citrus fruits, fish, exotic fruits and other products that have highly allergenic properties from the menu. If the child is already feeding on his own, you need to feed him only healthy foods;
Do not bathe the child or get the puncture area wet. This prohibition is especially relevant if the baby is not feeling well or if there are drafts in the apartment;
It is not recommended to send your child to kindergarten for a couple of days after DTP due to the high risk of infection.

How to prepare for DTP vaccination

To create lasting immunity against the listed diseases, in our country children under two years of age are vaccinated with DTP four times. The first vaccination is carried out at the age of those months, the second - at 4-5 months, the third - at six months. The child receives the last, fourth dose at one and a half years old. Subsequent administrations of the vaccine are aimed at maintaining immunity at the level necessary for protection and should take place between 6 and 7 and at 14 years of age, with further revaccination carried out every ten years.

The use of this vaccine is more often than others accompanied by an increase in temperature and the development of local reactions at the injection site. Therefore, parents should stock up on all necessary medications in advance and have them on hand if necessary. These are antipyretic drugs based on paracetamol and ibuprofen, antihistamines and analgesics.

Children with manifestations of diathesis and prone to allergic reactions can be given antihistamines in a standard dose appropriate for age two days before vaccination. After vaccination, when you come home, you can give your baby a candle with an antipyretic drug to prevent temperature spikes.

Control her. Continue taking your allergy medications. On the second day after the vaccine is administered, antipyretic drugs can be given only when the temperature rises significantly, and antihistamines can continue to be taken. By the third day, when body temperature usually returns to normal, all medications can be discontinued.

Period after vaccination

For a short time after vaccination (about 30 minutes), the baby should be under the supervision of medical professionals to avoid rapid allergic reactions. Therefore, you should not leave the medical facility immediately after the injection. Stay with the baby, you can put him to your chest, calm him down, encourage him if he is already old enough. Before going home, the pediatrician must conduct an examination and assess the child’s condition.

Give recommendations for the near future, warn about possible complications of vaccination, explain what can be done with the baby during this period and what cannot be done. All side effects following the administration of vaccines are divided into local and general reactions. At the site of injection of the DTP drug, redness, swelling, tissue compaction, and pain of varying intensity may appear - this is a local reaction to the injection and the drug.

Common side effects include fever, indigestion, skin rashes, emotional instability, and sleep disorders. In the first 2-3 days after the administration of DTP vaccination, when the risk of side effects is high, parents should closely monitor the child’s condition, control his temperature, feed the baby only on demand, without insisting on the usual regimen and quantity, increase the amount of fluid the baby consumes . Swimming is not allowed on these days. Even if the baby tolerated the vaccination well, visits to guests and public places with large crowds of people should be canceled.

In addition, mothers, overly protective of their child, when preparing to walk outside, try to dress him as warmly as possible, thereby provoking excessive sweating, which can cause local irritation and inflammation at the site of DTP vaccine administration. In addition to this, a baby’s clothing that is inappropriate for weather conditions can disrupt his heat exchange, thereby causing a rise in body temperature.

There is also a risk of overheating if you walk with your child during the hottest period of the year and day, and contact of wet clothes with the body at the injection site during rain is also unfavorable. The modern view of medicine on walking after vaccination is not so categorical. You can walk in the fresh air, and as much as usual, if these are quiet walks in the park, away from playgrounds and large crowds of people, without excessive physical activity. Of course, provided that the baby is in good health and the weather conditions are acceptable.

Is it allowed to bathe a baby and walk outside after hepatitis vaccination?

The child receives the first vaccination against hepatitis while still in the maternity hospital. The baby is injected with exactly as many weakened viruses as the body can overcome. This is how immunity to hepatitis disease is developed. Revaccination is carried out when the baby is 1 month old.

The child’s body may react differently to the introduction of weakened bacilli: weakness may appear, a low temperature may rise, and the baby will be lethargic and drowsy. Of course, in this case it is better to refuse walks. You should also not bathe on the first day after the vaccine is administered.

Some pediatricians say that in the absence of any signs of illness in the baby, you can bathe and wet the injection site. On the first day, it is better to do this in the shower, and do not rub the wound with a washcloth. After bathing the child, dry with a towel and lightly blot the injection site.

Despite the fact that hepatitis vaccination is quite easily tolerated and gives a reaction in rare cases, children should start walking on the second or third day after vaccination. It is better to avoid places with large crowds of people (playgrounds, shopping centers). Attendance at clubs and sections must be limited for a time.

Walking and swimming are strictly prohibited if:

the child has a fever and lymph nodes are enlarged;
rashes appear on the skin, severe itching bothers you;
The baby complains of nausea.

Fever and poor health of the child after vaccination prohibit walking in the fresh air.

Child's walking routine

The question of how long you can walk outside after administration of the DTP vaccine is considered only if there are no reactions to the administration of the drug, either local or general.

On the day when the vaccination was carried out, it is better not to go for a walk, but to spend it at home, observing the child’s condition, his temperature, behavior, and appetite. It is necessary to ensure that the temperature in the room where the baby is located is no higher than 22 degrees, and the humidity is at least fifty percent. Give your child water more often.

Every other day, if the child’s condition does not cause suspicion, the night passed peacefully, and the body temperature is stable, you can walk outside in the morning and evening in the summer, and during the day in winter. It is important to provide the child with a quiet walk, without active games, in places where there is no close contact with other children. During this period, all the attention of parents should be focused on the baby. You may have to cancel your plans to visit friends and relatives, postpone visits to shops and matinees. The best gratitude for this will be the good mood and well-being of the baby.

Doctor Komarovsky’s opinion on DTP vaccination

DPT vaccination is most often discussed by parents of children.
Hundreds of thousands of mothers and fathers speak out for and against this vaccination on numerous Internet platforms. Some tell scary stories about how a child with a high fever suffered a vaccination, others say that they did not notice any reaction at all in their child to the administration of a biological drug. DTP has its opponents and supporters, and quite often the question is raised whether it is necessary to do DTP at all. On this topic, quite often it is necessary to give a qualified answer to Evgeniy Komarovsky, a pediatrician of the highest category, well-known throughout Russia and the former CIS countries.