Opinion of Dr. Komarovsky on DPT vaccination


Vaccinations have existed since the time of Catherine. Thanks to them, managed to avoid thousands of victims. Sure, there is always a risk of side effects after vaccination, but the task of each parent is to protect their child from serious diseases. Only a competent approach to vaccinations and awareness will help avoid dire consequences. Next, consider what DPT is. Komarovsky is a well-known pediatric doctor, who will help with his advice to prepare a child for vaccination and possible side effects.

Deciphering DTP

What do these letters mean?

- A - adsorbed vaccine.

The vaccine consists of weakened bacteria - the causative agents of the above diseases, sorbed on the basis of aluminum hydroxide and merthiolate. There are also cell-free, more purified vaccines. They have particles of microorganisms that stimulate the body to produce the necessary antibodies.

Note that Dr. Komarovsky says: “DTP vaccination is the most difficult and can be difficult for a child to carry. It complicates its portability pertussis contained in it. "

One vaccine will protect against diphtheria, whooping cough and tetanus. These diseases can lead to a sad outcome, and how far they are dangerous, we consider further.

Dangerous diseases

DTP vaccine will protect against whooping cough, diphtheria and tetanus. How dangerous are these diseases?

Whooping cough is a disease caused by an acute infection. There is a very strong cough, which can cause respiratory arrest, convulsions. A complication is the development of pneumonia. The disease is very contagious and dangerous, especially for children under 2 years old.

Diphtheria is an infectious disease. Easily spread by airborne droplets. There is a strong intoxication, with the formation of a dense coating on the tonsils. Laryngeal edema can occur, there is a greater risk of disruption of the heart, kidneys and nervous system.

Tetanus is an acute and infectious disease. There is a lesion of the nervous system. Reduces the muscles on the face, limbs, back. Difficulties in swallowing, it is difficult to open the jaws. Danger of respiratory failure. In most cases, fatal. The infection is transmitted through damage to the skin and mucous membranes.

When and to whom do DPT

Since the birth of the child establish a vaccination schedule. If you comply with all the timing of vaccinations, the efficiency will be high, the child in this case is reliably protected. DTP vaccination, Komarovsky pays attention to this, should also be done in a timely manner. Since the baby is protected by the mother’s antibodies only in the first 6 weeks of birth.

Vaccination can be domestic or imported.

However, all DPT vaccines, despite the manufacturer, are administered in three stages. Since immunity is weakened after the first vaccination, it is necessary to re-vaccinate. There is a rule for DTP vaccination:

  1. Vaccine should be administered in three stages.
  2. In this case, the interval between vaccinations should be at least 30-45 days.

If there are no contraindications to vaccination, the schedule looks like this:

  • 1 vaccination - in 3 months.
  • 2 vaccination - in 4-5 months.
  • 3 vaccination - in 6 months.

In the future, the interval should be at least 30 days. According to the plan, DPT vaccination is carried out in:

Adults can be vaccinated 1 time in 10 years. At the same time it is necessary to observe the interval between vaccinations, it should not be less than six weeks.

Very often, a single vaccine contains antibodies against several diseases. This does not burden the child's body at all, as they are easily tolerated. So, for example, if DTP and poliomyelitis are being vaccinated, Komarovsky notes that they can be done at the same time, since the latter has almost no side effects.

Vaccine against polio oral, "live". After she is recommended not to contact with unvaccinated children for two weeks.

How long does the protection last?

After DTP vaccination has been done (Komarovsky explains it this way), immunity begins to produce antibodies to measles, diphtheria and tetanus. So, it was established that after vaccination in a month the level of antibodies in the body will be 0.1 IU / ml. How long the protection will last depends largely on the characteristics of the vaccine. As a rule, immune protection is designed for 5 years. Therefore, the interval of planned vaccinations is 5–6 years. In older adults, it is enough to do DTP once every 10 years.

If the DPT vaccination is done, then the likelihood of diphtheria, tetanus or measles is very low. It is believed that the person in this case is protected from these viruses.

In order not to harm the body, you need to remember from the fact that there are a number of contraindications.

Who should not do DPT

DTP is one of the vaccines that is difficult to tolerate in childhood. And if before that there were no reactions to vaccinations, then it can cause side effects. In order not to cause undesirable DTP vaccination, Komarovsky advises to pay attention to the reasons for which the vaccination should be canceled.

The reasons may be temporary, to include:

  • Colds.
  • Infectious diseases.
  • Increased body temperature.
  • Exacerbation of chronic diseases.

In such cases, it is necessary to cure the child, and only two weeks after full recovery, you can do DPT.

DTP vaccination can not be done if there are the following diseases:

  • Deviations in the nervous system, which are progressing.
  • Previous vaccinations were very difficult to tolerate.
  • The child had a history of convulsions.
  • Earlier vaccinations caused febrile seizures.
  • Immunodeficiency.
  • Special sensitivity to vaccine components or their intolerance.

If your child has a medical condition, or you are afraid of causing unwanted DTP vaccine effects, you should consult a doctor. You may be prescribed a vaccine that does not contain pertussis toxoid, because they can cause adverse reactions.

Also, vaccination may be postponed if the child has:

Under these conditions, vaccination is possible, but preparation for the vaccination of DTP, Komarovsky, especially points out, should consist in stabilizing the state of health. It is best to use for these children cell-free vaccine, with a high degree of purification.

Possible conditions after vaccination

What are possible after having been vaccinated with DPT, the consequences? Reviews Komarovsky leads various. And all the side effects can be divided into light, moderate and severe.

As a rule, the reaction to the vaccine appears after 3 doses. Probably, because it is from this moment that the immune defense begins to form. The child should be monitored, especially in the first hours after vaccination and over the next three days. If the baby gets sick on the fourth day after vaccination, then it cannot be the cause of the disease.

The occurrence of adverse reactions after vaccination is very common. Every third they may appear. Light reactions that take place within 2-3 days:

  • It may be that the temperature is elevated after DTP vaccination. Komarovsky recommends churning her at the very beginning, you should not wait for an increase to 38 degrees. It is necessary to bring down only "Paracetamol" or "Ibuprofen". Such a reaction may occur 2 to 3 hours after vaccination.
  • Often after injection, the child's behavior changes. He becomes capricious, whiny. This condition can last for several hours. Perhaps the baby is worried about pain after the injection. Also allowed backlash. The child's activity will decrease, even slight lethargy may appear. It is also possible loss of appetite, drowsiness.
  • The place where the injection was made may turn red, a slight swelling may appear. This is also a valid reaction, but the edema should not exceed 5 cm, and the redness should not exceed 8 cm. The injection site can be painful, therefore it is necessary to protect it from unnecessary touch and movement.
  • Appearance of vomiting is not excluded.

Moderate and severe adverse events

The manifestations of more serious side effects cannot be ruled out. They are much less common:

  • Body temperature can rise to 39–40 degrees.
  • Possible occurrence of febrile seizures.
  • The injection site will redden considerably, exceed 8 centimeters and edema more than 5 centimeters will appear.
  • There will be diarrhea and vomiting.

If such reactions to vaccination have arisen, it is necessary to urgently show the child to the doctor.

In very rare cases, manifestations of more severe adverse reactions are possible:

  • Anaphylactic shock.
  • Quincke swelling.
  • Urticaria, rash.
  • Convulsions with normal body temperature.

DPT is a vaccine (Komarovsky notes this especially), which causes such side effects in one case per million.

Such a reaction may occur in the first 30 minutes after the injection. Therefore, the doctor recommends that you do not leave immediately after vaccination, but stay near the medical facility during this time. Then you should show the child again to the doctor. All this is done in order to be able to provide the necessary assistance to the baby.

What it is

Vaccination DTP is one of the very first in the life of a child, it is done at an early age, and therefore the very fact of this vaccination causes many questions and doubts among the parents of infants. The name of the vaccine consists of the first letters of the names of the three most dangerous infectious diseases for children - whooping cough (K), diphtheria (D) and tetanus (C). The letter A in the abbreviation means "adsorbed". In other words, the vaccine contains the maximum amount of active substances obtained by adsorption (when a high concentration is reached from a gas or liquid on the contact surface of two media).

Thus, the adsorbed pertussis-diphtheria-tetanus vaccine (DPT) is designed to stimulate the production of specific antibodies to the listed infections in the baby’s body. Immunity “gets acquainted” with microbes, the causative agents of whooping cough, diphtheria and tetanus, and in the future, if such pests enter the body, will be able to quickly identify them, recognize and destroy them.

Vaccine composition

DTP includes several types of biological material:

  • Diphtheria toxoid. This is a biological material derived from a toxin, but without independent toxic properties. The dose of the vaccine is 30 units.
  • Tetanus toxoid. Obtained in the laboratory of a drug based on toxin that infects the body with tetanus. By itself is non-toxic. The DPT is contained in an amount of 10 units.
  • Pertussis Microbes. These are the real causative agents of whooping cough, only previously killed and inactive. 1 ml of DTP vaccine contains about 20 billion.

Diphtheria and tetanus toxins are included in the preparation, because not only the pathogens of these ailments are terrible for the child, but their toxins, which start to be produced as soon as the microbes are activated in the children's organism. Dead pertussis wands are the most active component of the drug; it is to him that children often get a reaction after vaccination.

When to do?

DTP is included in the National Vaccination Schedule, which implies certain terms of vaccination, which Dr. Komarovsky does not strongly advise to violate. Kids do it three times. The first time is when a baby reaches three months of age. Then at 4.5 months and half a year. If for some reason the first vaccination did not take place (the child was sick, quarantine for influenza or ARVI was declared), then they begin to vaccinate him from the current moment, strictly observing the interval between vaccinations from 30 to 45 days).

Revaccination should take place one year after the third injection. If the baby is on schedule, then at one and a half years, if the first vaccination was made to him later than the deadline, then 12 months after the third vaccination.

With DTP, the child will have to face at the age of seven, and then at the age of 14, these will be one-time revaccinations necessary to ensure that the level of antibodies to tetanus and diphtheria is maintained at the proper level.

Children, who are already 4 years old, as well as older children, if necessary, are given ADS as a vaccine deprived of pertussis killed germs. The same vaccine will vaccinate children who have had whooping cough.

How to do?

DTP can be combined with other vaccinations, put the baby according to the National calendar. However, simultaneous administration with BCG is not allowed (this vaccine should be given separately).

DPT infants are injected intramuscularly into the thigh, and older children - into the shoulder. A child under 4 years old must be given 4 vaccinations.

Komarovsky about DTP

Yevgeny Komarovsky advises worried and doubtful parents to carefully read the question, and to those who oppose vaccination as a whole, advises to reconsider their views. Since DTP, according to the doctor, is a highly effective way to protect your baby from diseases that are dangerous for his health and the only reasonable choice of moms and dads.

In this video release, Dr. Komarovsky will tell us everything he thinks about the need for DPT vaccination.

As with any prevention, vaccination with an adsorbed pertussis-diphtheria-tetanus vaccine requires a certain preparation and readiness of parents for possible problems. However, they are completely surmountable, Komarovsky emphasizes, if you follow a certain sequence of actions.

Take into account the drug

First of all, parents should be aware of which manufacturer will vaccinate their child with a vaccine. Today there are many such drugs, they have their pros and cons, but there are no frankly bad vaccines on the pharmaceutical market at the moment. Parents are not able to influence the choice of vaccine, as the drug is delivered centrally to clinics. DTP vaccination, which is done for free.

And now we will listen to Dr. Komarovsky on the topic of complications after vaccinations.

However, moms and dads can go the other way, and ask the pediatrician to vaccinate the crumbs "Tetrakok and Infanrix", these drugs are expensive, and this vaccination is done solely at the expense of the parents. Komarovsky, based on personal experience, argues that there are a lot of children who become ill with whooping cough after having made DPT on time. However, in his practice there were only a few cases of the disease of this ailment of children vaccinated with Infanrix or Tetrakok.

The reaction to "Tetrakok" is sometimes stronger than after DTP. Infanrix is ​​better tolerated by most children. Komarovsky does not exclude the use of "Pentaxim", in addition to the composition of this vaccine introduced biopreparations against polio.

Baby's health condition

At the time of vaccination, the child must be completely healthy. It is for this baby that the pediatrician always examines before the injection. But the doctor sees your child less often and less than the parents, and therefore careful observation of the child’s condition on the part of the mother and father will help the doctor decide whether the right time has come to administer the vaccine.

But actually the video where Dr. Komarovsky tells you when you can not be vaccinated

You can not get a DPT vaccine if your child has signs of ARVI, runny nose, cough, or his body temperature is high. If the baby previously had convulsions that were not related to high fever, the vaccine should not be done. If the previous procedure caused a severe allergic reaction in the karapuz, high temperature (over 40.0), Komarovsky also advises against vaccination to abstain. With great care, the doctor must make a decision about vaccination of the baby, in the medical record of which there are marks about the presence of serious immune diseases.

If the baby has a runny nose for a long time, but the appetite is excellent and there are no other symptoms of the disease, Komarovsky is sure that rhinitis will not be a contraindication in vaccination in this case.

If the time has come to make an injection of the vaccine, and the child is teething with might and main, and his condition is far from perfect, you can inoculate him. Limit one - high temperature. In this case, the procedure is postponed for some time, until the state of the crumbs become stable. If the heat is not, then AKSD does not hurt the baby, who soon plans to get the first teeth.


Yevgeny Komarovsky emphasizes that it’s parents who must first assess the condition of the baby, and if in doubt, be sure to tell the doctor about them at the next appointment.

It is advisable to do a complete blood count a few days before the expected date of vaccination. The results of this study will help the pediatrician to understand whether everything is in order with the baby.

Komarovsky advises children with allergic dermatitis to do DTP only after new skin rashes have not appeared for 21 days. Previously, a child prone to severe allergies can be given an antihistamine medication, the name of which and the exact dosage should be prescribed by the pediatrician. Self-activity in this matter is unforgivable. However, Yevgeny O. advises not to take "Suprastin" and "Tavegil", since these drugs "dry" the mucous membranes, and this is fraught with complications after an injection on the respiratory tract.

Watch your baby’s bowel movement. За день до прививки, в день и на следующие сутки малыш должен ходить по-большому, чтобы кишечник не был перегружен. Это способствует тому, что кроха сможет легче пережить АКДС. Если стула не было, можно сделать клизму за сутки до похода в поликлинику или дать ребенку разрешенные по возрасту слабительные препараты.

It will be better if mother reduces the volume of food during these three days, reduces her caloric content and does not overfeed the child. For artificial babies, Komarovsky recommends diluting the dry mixture at a concentration lower than that declared by the manufacturer, and those who are breastfed are advised to suck less milk, giving warm drinking water as a supplement. According to Komarovsky’s observations, it is easier for the vaccine to be transported by those who feed on the breast, and not on mixtures. It is better not to feed the baby for 2 hours before the injection.

Vitamin D, if the baby takes extra, should be stopped to give 3-4 days before the intended vaccination. After vaccination, you need to wait at least five days to start taking the vitamin again.

Do not wear the baby too warm in front of the polyclinic. Vaccination with sweaty body with a lack of fluid in the body is more likely to be inoculated with a vaccine than a baby dressed in season and weather.

And now we will listen to Dr. Komarovsky on how to prepare for vaccinations.

Text video

Everybody knows about vaccinations. Many are afraid of them. But how to prepare for them and what parents can do to make this procedure both effective and safe, few people imagine. What knows about the preparation for vaccinations and whether Yegor Benkendorf is afraid of them, we will find out today together with Dr. Komarovsky.

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Dr. Komarovsky is a pediatrician, TV presenter, author of books on children's health and common sense of parents.

How to behave when adverse reactions occur

  • Temperature. Komarovsky recommends her to constantly monitor. You should not wait for 38, it is necessary to give antipyretic, as soon as it starts to rise.
  • If there is swelling or redness at the injection site, it is necessary to show the child to the doctor. This drug may not have got into the muscle, but into the subcutaneous fatty tissue, which may cause swelling and thickening. In any case, it is necessary to consult a doctor to alleviate the condition of the child and eliminate possible complications. If this is just a slight reddening, it will come down within 7 days and nothing needs to be done.

In order to avoid adverse events, you should take seriously the preparation of the child for vaccination. About this further.

Your actions after vaccination

In order to make the child easier to transfer the vaccine, it is necessary not only to prepare for it, but also to behave properly after it. Namely, follow some rules:

  • The child should not be bathed in the bathroom and not wet the injection site.
  • Dr. Komarovsky recommends walking, but do not need to walk in public places.
  • Spend these 3 days at home without visitors, especially if the baby is temperate or naughty.
  • The air in the room must be moist and fresh.
  • Do not introduce a new product into the diet one week before and after vaccination. If the baby is breastfed, mom should not try new products.
  • Particularly attentive should be the parents of children with allergies. Talk with your doctor about what antihistamines should be given before and after vaccination.

Should I Do DTP?

Currently, vaccination refusals can be observed. Remember: the disease faces much greater problems than the consequences after the DPT vaccination has been given. Reviews Komarovsky, he said, heard different about vaccination, but always more advantages for than against. After all, having been ill with diphtheria or tetanus, immunity to these diseases does not appear. Medicine does not stand still, and vaccines become more purified and safe. It is worth pondering this. No need to risk the health and life of the child. Reduce the risk of side effects can be a quality vaccine, attentive doctor. Health to you and your children.