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Question

Eight months old child had history of unusual crying and convulsions following previous vaccination after BCG, DPT & OPV ( first dose), and Hepatitis B. Now parents have brought child for next doses of vaccination. Which vaccine is contraindicated in this situation?

The correct answer is
DPT

Vaccine Contraindication Considerations

When administering vaccines, it's crucial to consider a child's medical history for potential contraindications based on previous reactions.

DPT Vaccine Contraindication Explained

The DPT (Diphtheria, Pertussis, Tetanus) vaccine requires careful consideration if a child has experienced specific adverse events after a previous dose. Key contraindications include:

  • A serious neurological event (like encephalopathy) occurring within 7 days of a prior DPT dose.
  • Uncontrolled seizures or seizures that developed after a previous DPT administration.

Child's Reaction Analysis

The child in question experienced unusual crying and convulsions following their initial DPT vaccination.

This history directly points towards a potential adverse reaction to the vaccine, specifically the pertussis component.

Identifying the Contraindicated Vaccine

Based on the child's documented reaction (convulsions) after receiving the DPT vaccine, this specific vaccine is contraindicated for future doses.

While vaccines like Measles and Hepatitis B have their own contraindication profiles, the reported history specifically flags the DPT vaccine as unsuitable for this child.

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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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