Vaccine PENTAXIM – Immunoprophylaxis in Virilis Group of Companies

The French five-component vaccine from the concern “SANOFI PASTEUR, SA” - Pentaxim helps fight the most common childhood infectious diseases with just 1 injection. This drug has been used for a very long time throughout the civilized world to fight infections and, despite its high cost, is in high demand.

Scheme and method of administration of the Pentaxim vaccine

The vaccine is administered intramuscularly in a dose of 0.5 ml, the recommended injection site is the middle third of the anterolateral thigh. It is unacceptable to administer the vaccine intradermally or intravenously. Before insertion, you must ensure that the needle does not penetrate a blood vessel.

In accordance with the National Calendar of Preventive Vaccinations of the Russian Federation, the course of vaccination for the prevention of diphtheria, tetanus, whooping cough and polio consists of 3 injections of the drug with an interval of 1.5 months, at the age of 3, 4.5 and 6 months, respectively; revaccination is carried out once at the age of 18 months. If the vaccination schedule is violated, subsequent intervals between the next dose of the vaccine do not change, including the interval before the 4th (booster) dose should be 12 months.

When to vaccinate?

For the full course, 4 injections are required according to the course: 3 injections of primary vaccination and one for revaccination.

Primary vaccination with Pentaxim:

The course of primary vaccination with Pentaxim is carried out at intervals of 45 days when the child reaches the age of 3, 4.5 and 6 months. The pediatrician, at his own discretion and contraindications, can change the vaccination schedule.

Revaccination

Revaccination according to the Vaccination Calendar is carried out once at the age of 18 months. If the primary vaccination schedule changes, revaccination is done 12 months after the third primary vaccination.

The Pentaxim vaccination is given to children aged 6-24 months. intramuscularly into the thigh, over 24 months - into the shoulder.

Contraindications

Only a doctor can decide whether Pentaxim is suitable for vaccination

Pentaxim is contraindicated if there is a history of an allergic reaction to any component of the vaccine, as well as if the patient:

Progressive encephalopathy, accompanied by or without seizures. Encephalopathy that develops within 7 days after administration of any vaccine containing Bordetella pertussis antigens.

A severe reaction that developed within 48 hours after a previous vaccination with a vaccine containing a pertussis component: an increase in body temperature to 40 ° C or higher,

Prolonged unusual crying syndrome, febrile or afebrile convulsions, hypotonic-hyporeactive syndrome.

An allergic reaction following previous administration of a vaccine to prevent diphtheria, tetanus, whooping cough, polio and a vaccine to prevent infection caused by Haemophilus influenzae type b.

Confirmed systemic hypersensitivity reaction to any vaccine ingredient, as well as glutaraldehyde, neomycin, streptomycin and polymyxin B.

Diseases accompanied by an increase in body temperature, acute manifestations of an infectious disease or exacerbation of a chronic disease. In these cases, vaccination should be postponed until recovery.

If a child has a history of febrile seizures that are not associated with previous vaccination, the vaccinated person’s body temperature should be monitored for 48 hours after vaccination and, if it increases, antipyretic (antipyretic) drugs should be regularly used throughout this period.

How to prepare a child for the Pentaxim vaccination?

For the procedure to have a positive effect during vaccination, the child must be absolutely healthy.

You cannot get vaccinated under certain conditions:

ARVI, acute respiratory infections, bronchitis, mumps and other infections . If there is an urgent need for vaccination, the injection is given immediately after the child recovers. If you can wait a little, it is better to wait until the body has fully recovered;
allergy _ If your baby has an allergic reaction to at least one component of the vaccine, you cannot get vaccinated. Children who are allergic to chicken feathers, chicken protein, or chicken meat are likely to have a negative reaction to the vaccine administered;
Mantoux test . Children older than 2 months who have a positive Mantoux test result cannot be vaccinated;
stress _ During stress, the body is subjected to severe stress, so additional negative effects will be unnecessary.

In any case, before vaccinating your baby, be sure to consult your pediatrician.

Possible side effects

Local, developing within 48 hours after vaccination: soreness, usually expressed by short crying at rest or with gentle pressure on the injection area, redness and thickening at the injection site.

General reactions that resolve spontaneously within 24 hours without any residual effects:

irritability, drowsiness, sleep disturbances
anorexia, diarrhea, vomiting, prolonged crying.

In very rare cases:

rash, hives
febrile and afebrile seizures
hypotension and hypotonic-hyporesponsive syndrome
anaphylactic reactions (facial swelling, angioedema, shock)

Rarely, after administration of vaccines containing the HIb component, cases of edema of one or both lower extremities (with a predominance of edema in the extremity where the vaccine was administered) have been reported.

Very rarely, after the administration of vaccines containing an acellular pertussis component, there have been cases of severe reactions (more than 5 cm in diameter) at the site of vaccine administration, including swelling extending to one or both joints.

These reactions appear 24-72 hours after vaccine administration and may be accompanied by redness, increased skin temperature at the injection site, tenderness or soreness at the injection site.

These symptoms will disappear on their own within 3-5 days without any additional treatment.

In case of thrombocytopenia and other bleeding disorders, the vaccine should be administered with caution due to the risk of bleeding during intramuscular injection.

If there is a history of Guillain-Barré syndrome or brachial neuritis in response to any vaccine containing tetanus toxoid, the decision to vaccinate with Pentaxim should be carefully justified. In such cases, it is generally appropriate to complete the primary immunization (if less than 3 doses have been given).

Vaccination. Preparation

There is no need to specially prepare a healthy child for vaccination.

The child is healthy, which means he can be vaccinated without any prior preparation.

Distinguishing a healthy child from a sick one is the direct responsibility of the doctor, therefore a medical examination immediately before vaccination is a prerequisite for preparing for vaccination.

If the results of the examination do not allow an adequate assessment of the state of health, it is the doctor who determines the feasibility and scope of the preliminary examination.

If a child has diseases that are not a contraindication to vaccination, but increase the risk of side effects of vaccination, the doctor determines the tactics and duration of pharmacological preparation.

If the initial administration of the vaccine was accompanied by fever or moderate allergic reactions, it is possible to pre-use antipyretic or antiallergic drugs on the eve of re-vaccination (of course, as prescribed by a doctor).

All of the above are fundamental aspects of preparation for vaccination that fall within the competence of medical workers. But the capabilities of mom and dad in this aspect are no less (to put it mildly). Therefore, information for parents.

How to prepare a child for vaccination?

Tips and tricks.

The educational system influences the results of vaccination in the most fundamental way. Therefore, the first and mandatory condition for preparing for vaccination is a normal lifestyle. If you know how to properly care for a child: feed, dress, walk, bathe, condition, provide assistance with simple respiratory viral infections - so, if you not only know all this, but also put it into practice, the likelihood is that your The child will tolerate vaccinations without any problems, maximum.
At the time of vaccination, the child must be healthy . Healthy, first of all, from the mother’s point of view! It is clear and obvious that the body temperature should be normal and that there should be no other complaints. But not only that! Behavior, mood, appetite, sleep - everything is as always. The doctor may not know that the baby was acting up for some unknown reason at night, or that for some reason he didn’t finish his favorite kefir this morning. But mom is obliged to react. Observe, wait, postpone. In the end, no one better than a mother can sense the child’s condition and say the phrase “something is wrong.”
Remember: routine vaccinations are not urgent . There is terrible heat or terrible frost outside - put it aside; If you are planning a trip that you can’t refuse, put it off; older brother came home from school with a cough and runny nose - put it aside, etc.
For 3-4 days before the planned vaccination, not experiment with new (even very healthy) food products.
The less stress on the digestive system, the easier the vaccination is tolerable. Never force your child to eat. Don't offer food unless asked. The day before vaccination, limit the volume and concentration of food you eat if possible. In any soup, in any porridge, a spoon can float or stand. Make it float and sink very quickly. When using milk formulas or ready-made instant cereals for baby food, you must deliberately reduce the concentration. It is written on the package: add 6 tablespoons of powder to 200 ml of water. Put in 5! And if the child is overweight - 4.5!
Do not feed (anything) for at least an hour before vaccination.
On the eve of vaccination (maximum within 24 hours), the child should have stool . Are you going to the clinic today, but your baby hasn’t pooped since yesterday? Do a cleansing enema and place a glycerin suppository.
Remember: to prepare a healthy child for vaccination with any medicine . Any drugs that supposedly make vaccination easier to tolerate: “vitamins”, homeopathic remedies, herbs “for blood vessels”, beneficial bacteria, drops “for immunity”, etc., etc. - all these are popular methods of psychotherapy for mom and dad, an attempt implementation of the widespread mental principle “well, something needs to be done”, the business of manufacturers (distributors) of these drugs and a real chance to increase the number of adverse events.
When going to the clinic for vaccination, try very, very hard not to overdo it with clothes . It would be extremely undesirable if the vaccine is given to a heavily sweating baby with a lack of fluid in the body. If you do end up in the clinic sweating, wait, change your clothes, and give them a good drink.
3-4 days before vaccination, limit your child’s contact with people (children) as much as possible. Don’t look for ARVI: if possible, avoid crowded events, shops, public transport, etc.
While in the clinic, restrain your sociability . Stand (sit) aside, reduce your contacts. Ideally, put dad in line and take your baby for a walk in the fresh air.
If during your stay in the clinic you cannot avoid a densely crowded corridor, saline solutions to prevent ARVI , the easiest way is ordinary saline sodium chloride solution. Place the mentioned drops in the child’s nose every 15-20 minutes (2-3 drops in each nostril).
Last thing. Very important!

Before vaccination, you must get an answer to the question of what diseases and what drugs will be vaccinated against. The information received must be remembered (written down).

published 10/09/2020 19:12 updated 10/09/2020 - Wiki of Dr. Komarovsky

How to help your young child feel comfortable during vaccinations

Vaccination works better when the baby is calm and not afraid. To avoid scaring your child, try the following:

Be calm, confident, smile.
Maintain eye contact with your child
Communicate with your child, show that you are nearby and everything is fine.
Let your child hold a favorite toy or blanket.
Ask your doctor if you can hold your baby on your lap and gently rub his back during vaccination.
Be sure to praise your child after vaccination, tell him how great he is and how proud you are of him.
Support your baby, even if he couldn't help but cry.