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Question

A 6-year old boy comes to the immunization clinic having received all vaccines as per schedule till 18 months of age. Which vaccine should be administered now?

The correct answer is
DTPw booster

Vaccine Administration at 6 Years: DTP Booster

Children require booster vaccinations at specific ages to maintain immunity against diseases.

Reviewing the standard immunization schedule for DTP (Diphtheria, Tetanus, Pertussis) vaccines:

  • The primary DTP series is completed in infancy.
  • A DTP booster is typically given between 15-18 months (or 16-24 months).
  • The second DTP booster is recommended between 4 to 6 years of age.

The child is 6 years old and has completed immunizations up to 18 months. This means the child is now due for the second DTP booster.

Evaluating Vaccine Choices

  • DTPw booster: This vaccine provides protection against Diphtheria, Tetanus, and whole-cell Pertussis. It is the standard recommendation for the 4-6 year age group.
  • Tdap booster: This contains reduced doses of Diphtheria and Pertussis (acellular). It is typically given later, around 11-12 years old.
  • DT booster: This vaccine lacks the Pertussis component and is used when the pertussis vaccine is not recommended due to contraindications.
  • TT booster: Tetanus Toxoid is usually given for tetanus prevention post-injury or during pregnancy, not as a routine booster at 6 years.

Given the child's age (6 years) and completed schedule, the DTPw booster is the indicated vaccine.

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Important Questions from Child Immunization

  1. Which of the following are correct with regard to BCG vaccination? 

    1. It is a live-attenuated vaccine. 

    2. It is administered by intramuscular injection. 

    3. It is derived from Mycobacterium bovis. 

    4. It is highly immunogenic. 

    Select the answer using the code given below :

  2. Consider the following statements : 

    1. Hepatitis B vaccine has reduced efficacy, if administered intramuscularly. 

    2. The maximum time allowed between reconstitution of MMR vaccine and use is 30 minutes. 

    3. Maternal antibodies do not interfere with cellular immune response to BCG vaccine. 

    4. DTwP is preferred to DTaP for primary immunization in most children. 

    Which of the statements given above are correct?

  3. Rotavirus vaccination is avoided during an episode of diarrhoea because
  4. The event related to vaccination which can be contraindication for the next vaccination of similar/identical type is
  5. Which of the following events could be caused or precipitated by an active component of vaccine? 

    1. Anaphylaxis after measles vaccine 

    2. Encephalopathy after DPT vaccine 

    3. Adenitis following BCG vaccine 

    4. Gastroenteritis following MMR vaccine 

    Select the correct answer using the code given below.

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