Pentaxim vaccination - when is it done with the Hib component, and when - without?


Description of the drug


The Pentaxim vaccine is one of the most modern combined vaccines, which allows you to simultaneously protect a child from five dangerous infections. Pentaxim belongs to a new generation of acellular (cell-free) vaccines that replaced cellular (cellular) vaccines. Acellular vaccines are less reactogenic because are devoid of bacterial membrane lipopolysaccharides that cause reactions after vaccination. Pentaxim is a highly immunogenic vaccine, i.e. giving a high immune response of the body after vaccination.

Pentaxim is a combination vaccine containing adsorbed acellular pertussis-diphtheria-tetanus vaccine, inactivated polio vaccine and a vaccine for the prevention of Haemophilus influenzae type b. This allows one injection to immunize a child against whooping cough, diphtheria, tetanus, polio and diseases caused by Haemophilus influenzae (meningitis, sepsis, pneumonia, epiglottitis, etc.).

The presence of five components in one vaccine allows you to minimize the number of injections, thereby significantly reducing pain in the child.

Is it possible to use polio drops after Pentaxim?

The Russian vaccination calendar provides for exactly this sequence in the combined use of the inactivated biological product Pentaxim and live polio vaccine.

The use of killed polioviruses in the first two stages of immunoprophylaxis eliminates the possibility of a child developing vaccine-associated paralytic poliomyelitis, which may be caused by a live mutated pathogen.

Directions for use and doses

Primary vaccination is carried out according to the Russian Federation preventive vaccination calendar at 3, 4.5 and 6 months, revaccination at 18 months. On the recommendation of a doctor, vaccination and booster immunization (re-vaccination) can be carried out according to an individual schedule. A single dose of the vaccine is 0.5 ml.

If the child is not currently scheduled to be vaccinated against hemophilus influenzae, it is possible to use only the vaccine in a syringe for the prevention of diphtheria and tetanus; whooping cough and poliomyelitis, without diluting it in a bottle with a lyophilisate containing 1 dose of Haemophilus influenzae B polysaccharide conjugated with tetanus toxoid.

Pentaxim maximum interval between vaccinations 2 and 3

For parents, when caring for a growing child, the interval between vaccinations becomes an important issue, which is especially important if it is necessary to prevent the occurrence of polio. It should be noted that this is an important parameter that parents should definitely pay close attention to. For example, you should consider the situation with vaccinations against hepatitis, DPT; between the first and second vaccinations, a maximum period of twelve weeks is established, or three months from the date of the last one. What is noteworthy is that the period may also vary somewhat, which is associated with the state of health of the child himself. For example, you can consider a situation in which the baby has a fever, nasal discharge, cough, and much more.

Parents can try to see a doctor and take the appropriate medical test from a doctor for DTP, after which the interval between the two vaccinations increases slightly. The same situation can be observed in the case of polio, if the child suffers from other diseases. It is worth paying attention to them in a timely manner and visiting a doctor who will help determine the causes and consequences of the situation and identify a possible delay in the vaccination procedure and against polio.

Important! Despite some delay in other vaccinations, DPT does not lose its importance.

Compatibility of Pentaxim and hepatitis B

The compatibility between such vaccinations for hepatitis B and the corresponding Pentaxim, also an important component in the system presented by the Ministry of Health, will become quite relevant.

Key rules of combination:

  • You can combine these vaccinations without any problems.
  • The only condition relevant for compliance is preliminary preparation for carrying out such a DTP vaccination process.
  • During the preparation process, you can use fenistil, only strictly in an age-appropriate dosage, which will reduce the likelihood of a child developing adverse reactions to the drug and weakening the immune system.
  • It is necessary to give the child water for no more than five days before the start of combining these vaccinations.
  • The maximum break is not regulated by current regulations; therefore, the decision is made solely at the discretion of the doctor himself, with whom an appropriate consultation must first be held.

Interval for administration of Pentaxim

In the case of appropriate Pentaxim vaccinations, an interval of no more than forty-five days is established between three vaccinations. A slight increase in the interval between the first two vaccinations is allowed, but it is not recommended to delay the third vaccination. Otherwise, you will have to start the whole process of DTP vaccination all over again, as all pediatricians talk about. Possible deviations in the child’s health are taken into account, and it is allowed to increase the interval between subsequent DTP vaccinations by no more than twice as long as the last one. Therefore, if parents cannot get a similar DPT vaccination one and a half months after the previous one, it is mandatory to vaccinate after three months.

Important! On an individual basis, increasing the frequency of such DPT vaccinations is possible only after agreement with the doctor regarding the current condition of the child.

In some cases, an overdue vaccination, or a missed interval between two vaccinations, is so categorical and necessitates the need to carry out the entire process again. The most important condition for virtually any vaccination is to vaccinate only healthy children. In the event that DTP vaccination is carried out, there is no maximum possible time frame for its completion, there is only a minimum. The minimum period is just one month, while the established periods of 45 days are rather simply the safest, in order to eliminate the possibility of a positive reaction to the introduced components. These deadlines are set based on the need to develop immunity for its speedy development. Between the third DPT vaccination and, accordingly, the first revaccination, a break of at least six months is established, in accordance with the established values ​​and the relevance of the vaccination issues.

Specifics of vaccination against other diseases

If it is necessary to consider the specifics of the break between polio vaccinations, you should definitely pay attention to the lack of practice of starting these activities again if the final periodicity has been expired. This need is due to the high likelihood of severe side effects from polio in the future.

Key points:

  • In case of emergency, it is important to carry out only the missing polio vaccinations. If this is not done, the risk of unexpected complications and other adverse reactions to polio increases.
  • If about one year has passed since the second dose of the drug administered, you will simply need to administer a third dose.
  • In the future, it will be necessary to carry out an appropriate revaccination of polio every other year.

Analyzing the administration of Pentaxim, in the event of a possible violation of the schedule, the established intervals do not change, this applies directly to the period before the fourth dose, which is also set within one year. After the child reaches 12 months of age, it will be necessary to exclude repeated administration of the polio vaccine component against possible hemophilus influenzae infection; this must be closely monitored. Many nurses, who are fairly new to a drug such as Pentaxim, quite intensively continue to add a hemophilic component to the syringe when vaccinating. Some example can be given if during the first year in the hospital three Pentaxim vaccinations were given, of which about two were with hemophilic components, therefore, revaccination should be the same.

Important! During the first year, all three polio vaccinations with hemophilic components can be given, for which you should consult a specialist, qualified physician.

More information about this issue can be found here:

The first vaccination with Pentaxim was given at 4 months, now we are almost 9 months old, but we still can’t get the second vaccination, either otitis media, or a virus with a high temperature, and now we have sniffles on our teeth. After a week and a half at sea, that means the vaccination will be further delayed. I called the ECV and they said that the maximum break is 60 days, but if more time passes, they don’t start anything again, but complete the remaining vaccinations. But I forgot to clarify with them, with such breaks between vaccinations, the immunity will no longer be the same? (for the diseases for which the vaccine is vaccinated), i.e. the likelihood of getting sick and getting complications is higher?

Perhaps such posts have already been written, and I missed it, but I’ll write again, forearmed means forewarned. Yesterday I was at home in Moscow and missed my granddaughter and daughter, the granddaughter was sick, everything was as always, the granddaughter is on the mend, the daughter was doing household chores, and we were playing and laughing with the granddaughter, everyone was having a great time. Nothing foreshadowed a storm and spoiled mood until I received this SMS

Many photographs touch to the core. Below I present those that touched the strings of my soul. You can attach those photos that touched you in some way.

My 16 year old brother has a girlfriend. And so I completely accidentally overheard their conversation. My brother is going to visit his passion and my husband is giving him instructions. Husband - “When you come to her house, immediately ask to use the toilet, don’t be shy. And then look under the toilet lid. If you find out you know what, then feel free to get away from the slut and erase her phone number.”

Dear mothers, I’d really like to hear your experience - how you cope with childhood ingratitude. Although it is no longer possible to say the child’s age - the child is 16 years old. I can’t say that she is spoiled by excesses; expensive things are given mainly for big holidays or have to be earned. I want to share several situations - this is already the edge, it’s boiling over, so I react very painfully.

Topic: Allowable interval between Pentaxim 2 and 3

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Allowable interval between Pentaxim 2 and 3

According to the schedule, 45 days expired on June 6.

On the one hand, the interval has already been 55 days; on the other hand, the epidemiological situation in the house is not the best.

Why does a child need 2 parents? - And then, while mom is freaking out, dad is normal, and when dad was already covered with children’s quirks, mom was already released.

If you started taking Pentaxim before you were one year old, but didn’t have time to take the third one before you were a year old, then now you just do it without mixing it with the hemophilus influenza injection.

If you started taking Pentaxim before you were one year old, but didn’t have time to take the third one before you were a year old, then now you just do it without mixing it with the hemophilus influenza injection.

Why don’t they do hemophilia every time after a year, but only the first time?

The first and second times we were treated with hemophilus influenzae, the doctor said that in her opinion it was still more reliable than only once with hemophilus influenzae.

Should I fight off Haemophilus influenza for the third time?

Why does a child need 2 parents? - And then, while mom is freaking out, dad is normal, and when dad was already covered with children’s quirks, mom was already released.

Why don’t they do hemophilia every time after a year, but only the first time?

The first and second times we were treated with hemophilus influenzae, the doctor said that in her opinion it was still more reliable than only once with hemophilus influenzae.

Should I fight off Haemophilus influenza for the third time?

It’s probably still not worth giving you Hemophilus infusion for the third time now, there was no need for a second time, and even less so a third

Topic: Allowable interval between Pentaxim 2 and 3

Theme Options Display

  • Linear view
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Allowable interval between Pentaxim 2 and 3

According to the schedule, 45 days expired on June 6.

On the one hand, the interval has already been 55 days; on the other hand, the epidemiological situation in the house is not the best.

Why does a child need 2 parents? - And then, while mom is freaking out, dad is normal, and when dad was already covered with children’s quirks, mom was already released.

If you started taking Pentaxim before you were one year old, but didn’t have time to take the third one before you were a year old, then now you just do it without mixing it with the hemophilus influenza injection.

If you started taking Pentaxim before you were one year old, but didn’t have time to take the third one before you were a year old, then now you just do it without mixing it with the hemophilus influenza injection.

Why don’t they do hemophilia every time after a year, but only the first time?

The first and second times we were treated with hemophilus influenzae, the doctor said that in her opinion it was still more reliable than only once with hemophilus influenzae.

Should I fight off Haemophilus influenza for the third time?

Why does a child need 2 parents? - And then, while mom is freaking out, dad is normal, and when dad was already covered with children’s quirks, mom was already released.

Why don’t they do hemophilia every time after a year, but only the first time?

The first and second times we were treated with hemophilus influenzae, the doctor said that in her opinion it was still more reliable than only once with hemophilus influenzae.

Should I fight off Haemophilus influenza for the third time?

It’s probably still not worth giving you Hemophilus infusion for the third time now, there was no need for a second time, and even less so a third

Allergist-Immunologist - online consultations

Maximum allowable interval between vaccinations

No. 14 871 Allergist-Immunologist 02.09.

Shiyanova V, V, Kazan

ANSWERED: 03.09. Aizikovich Boris Leonidovich Moscow 0.4 manager pediatric department

1.5 weeks ago, a 3-month-old child developed an allergic rash to baby cream. When treating allergies, I was given enterosgel, which caused constipation. Now I give my child Duphalac. There are remnants of the rash on the body, there were no new rashes. In a week they were going to install Pentaxim. Is it possible to get vaccinated or is it better to postpone it and for how long?

Hello. The child received 3 Pentaxim+hib vaccinations, and 1 year later was revaccinated with Pentaxim. Our local doctor at the clinic says that we need to do polio. Should we make polio or not?

Hello! Please tell me, are there any possible consequences due to DPT revaccination ahead of schedule? At 9 months Pentaxim was placed, at 1.2 years Infanrix+poleomelitis, at 1.4 years Pentaxim I. Due to an error, honey. Sisters today 05.10. At 1.9 years old, the child was given Pentaxim. The doctor calms me down, says not to worry, saying it will be a revaccination. There are also vaccinations - BCG (maternity hospital), heppatitis B (all three). There are no more vaccinations. Thank you in advance for your answer.

My Child received 3 Pentaxim vaccinations, the last vaccination was September 6, are children vaccinated with live polio vaccine dangerous for US?

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Compatibility with other vaccines

The Pentaxim vaccine can be administered simultaneously with all drugs from the national calendar of preventive vaccinations on the same day, in different parts of the body, with the exception of the BCG vaccine. The use of the Pentaxim vaccine together with other vaccinations does not affect their immunogenicity (ability to develop immunity). Tolerability of vaccines does not deteriorate, and the number of adverse reactions does not increase. Pentaxim can be used to continue and complete a course of vaccination started with other vaccines against whooping cough, diphtheria, tetanus, polio and Haemophilus influenzae.

Administering several vaccines on the same day does not place an excessive burden on the immune system. All vaccines in the Russian national vaccination calendar are interchangeable.

Actions to separate vaccinated and unvaccinated children


In a child who has been vaccinated with live polio vaccine, the weakened pathogen is released from the digestive tract into the external environment within 8-9 weeks.

An unvaccinated, weakened child who comes into contact with a vaccinated live biological product is at risk of developing a vaccine-associated form of paralytic poliomyelitis. Measures for its prevention are regulated by the Sanitary and Epidemic Rules SP3.1.2951-11.

They require that children who have not completed the three-stage primary immunization cycle be separated from children receiving live polio vaccine for 60 days. In kindergartens, an unvaccinated child is usually placed in another group, where vaccination with a biological product with live poliovirus is not carried out and which is equipped with its own toilet.

In a school where the toilet and cafeteria are shared, an unvaccinated child is at risk of disease when adolescents at the age of 14 are immunized with a live vaccine. A cycle of timely primary immunization (three vaccinations) against polio is a reliable prevention of the vaccine-associated form of the disease.

Vaccination scheme

The course of primary vaccination consists of 3 doses of vaccine and revaccination. Immunization schedule: first administration, then the second after 45 days from the first, then the third after 45 days from the second and revaccination a year after the third is completed. The use of the vaccine is not clearly related to age. It is important to comply with vaccination dates. If the deadlines are extended, vaccination will not be resumed.

Violation of the vaccination schedule can lead to a decrease in the intensity of immunity to the components of the vaccine. The hemophilic component of the Pentaxim vaccine for children over one year of age is administered once. Therefore, as soon as a child over one year old is injected with the Pentaxim vaccine with a hemophilus influenzae component, it is the last one for immunization against hemophilus influenzae infection. Further prevention of diphtheria, whooping cough, tetanus and polio with the Pentaxim vaccine in a child older than one year is carried out without the use of the hemophilic component.

Long break between vaccinations.

?
Category: Girls, question from a friend.:) The boy is 2.5 years old. In October last year he received his first Pentaxim vaccination, so the remaining two were scheduled to be given in mid-November and early January. But due to family circumstances (my mother was hospitalized and then got a difficult divorce), he did not complete the course. That is, he only has this October vaccination. They did it in a regular clinic. Now my mother has come to her senses and doesn’t know where to start, she’s naturally afraid to go to the clinic to see an immunologist, because they will scold her (she went through a divorce on tranquilizers, so now she’s afraid of everything in the world). Plus, this is happening on the territory of the Moscow Region, the boy goes to the garden - and a measles vaccination is required. So please tell me where to start? Is it possible to get vaccinated against measles right now? Or does Pentaxim need to be completed? Or has that Pentaxim already faded away from the long break? Thanks from a friend, she will read the answers, and I will comment. Tags: vaccinations

malyshi.livejournal.com

How is vaccination carried out?


Vaccination is carried out in a vaccination room, in compliance with all sanitary requirements. All drugs are certified. A certificate for the drug is provided upon request.

Without reminders, before vaccination, the medical worker must show the drug and the expiration date of the vaccine.

Only sterile and disposable instruments are used. The vaccination must be carried out using disposable medical gloves.

On the day of vaccination, the child is examined by a pediatrician and the temperature is measured. In the absence of contraindications, vaccination is carried out. Information about the vaccination performed is entered into the card, vaccination certificate, and detailed recommendations for caring for the child in the post-vaccination period are given.

Before vaccination, the doctor will answer all your questions. Be sure to bring information about previous vaccinations to your appointment!

Please note that vaccination of a child, Mantoux test, Diaskintest can only be carried out in the presence of parents or legal representatives of the child (guardians), or if the accompanying person has a NOTARIZED power of attorney to carry out the manipulation (indicating the drug planned for administration) . Otherwise, vaccination will be denied. We comply with the laws of the Russian Federation.

Only here!

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