4th Pediatric Infectious Diseases Conference
 
 
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Specialist Answers
Question Category : Immunization
What to do in a case of recurrent U.T.I.? USG---NAD, UTI occurs EVERY 3-6 MONTHS. AGE IS 5 YRS. WHAT will BE THE DOSE OF NITROFURANTOIN? A child has been bitten by a dog(street dog)6 weeks ago. What to do? A pre-exposure or post -exposure anti rabies vaccine to be given? Is pneumo-23 vaccine needed in a child with cirrhosis of liver with huge splenomegaly? how many doses and at what interval?
Question Category : Immunization
Dear Specialists... My question is .. Why is only 2 drops of oral polio dose is given to children? What happens if by mistake 3 drops of oral polio liquid goes in baby's mouth? Please answer me if u have time... your well wisher Regards.
Question Category : Immunization
A child received 3rd dose of hepatitis-b vaccine and developed chicken pox after 2 days. Will the effect of the hepatitis-b vaccine nullified or not? Will he have to take\repeat the vaccine.if yes, then how many days after.
Question Category : Immunization
A 6 month old child has been given BCG twice, but the scar has not developed. Does the child need to be vaccinated again for the same?
Question Category : Immunization
At what minimum weight of a baby can BCG be given?
Question Category : Immunization
Which one is rational and easy five(chiron)vaccine or hiberix-+ tritanrix hb vaccine? In tritanrix-hb+hiberix we have to re constitute but in easy five we can give it directly. From aseptic part of view which one is logical? Is priorix vaccine(mmr) superior than conventional mmr vaccines which we were previously using?
Question Category : Immunization
A 4 month male baby has taken 4 doses of hepatitis-b vaccine. one after birth, next at 6 wks,10 wks,& 15 wks. what will happen as he taken an extra dose of hepatitis-b vaccine? What will be the best management in gerd(pediatric age)? Should mosapride be used in a child of 2 years 6 months? Should flu-vaccine be given to all children?
Question Category : Immunization
My queries are: - is there any need to vaccinate a child who has suffered from Hepatitis A? When should one test to rule out CDH / when should think of CDH.
Question Category : Immunization
A 2 years 7 months child is still having open anterior fontanelle. It is pulsatile, not bulging. head circumference is normal. Intellect is normal. What investigations should we do? What are the d'd? 2. a child has taken 3 doses of antirabies 10 months ago. Again he has taken 5 doses of rabipur 1 month back. will it do any harm? Is there any treatment for mesenteric lymphadenitis?
Question Category : Immunization
As per vaccine information ROTARIX vaccine series should be started before 14 weeks age & completed by 24 weeks,& never beyond 32 weeks. If it has been started at 4 months...what consequences if any?
Question Category : Immunization
Sir, many a times when I gave hibrex ( hib ) with tritanrix ( dpt + hepatitis b ) there is swelling over the thigh, which is painful, what shall I do? why is it so? Refrigeration is also good and conditions are sterile. Can you suggest me what are the precautions?
Question Category : Immunization
Will pedimmune work in a case of recurrent RTI? 2. What is the role of granisetron in vomiting due to acute gastroenteritis? 3. Should imovax polio be given to all children instead of oral polio? 4. should a child receive pneumococcal vaccine if he is on budecort inhaler?
Question Category : Immunization
What are the latest IAP recommendations for Pneumococcal vaccines in India?
Question Category : Immunization
I have recently seen a 4/12 old female infant who received a BCG vaccination in the Left lateral thigh in December. She subsequently developed an abscess that pointed and drained 3months later. She was initially seen by a colleague who prescribed Cefaclor post abscess rupture (no swab sent for culture). The abscess has healed somewhat but there still exists a small 1.5cm area that is firm and nonadherent to underlying muscle however, there is a small erythematous, fluctuant area at site of previous I&D (like a small hematoma). I also performed a small I&D but just blood, no pus was expelled. A swab culture was sent but returned negative for bacteria/AFB. The child is otherwise well and playful with no other lypmadenopathy. Obs are normal. X ray of the left femur is normal and ultrasound showed just a dermal lesion. The mother is worried about the persistence of this problem. Is there any other treatment to be performed or is just patience required(and the lesion will eventually heal)? I have performed an internet search and there is very little helpful information regarding treatment of this problem.
Question Category : Immunization
We had a 2 month otherwise healthy male baby, who developed seizures after 2 hrs of DTPw.It took 10 days & 3 anti convulsants to control the seizures.Crude metabolic work out did not help us.Should we all together avoid pertussis component( w or a) on the next scheduled day of DPT Vac OR adm. DTaP.
Question Category : Immunization
I have 2 queries 1)Till what age can a repeat BCG be given(after doing a Mantoux) if the child does not develop a scar from the previous BCG vaccine? 2)What would be the site for DPT second booster for a 5 yr old,Anteriolateral aspectt af thigh or Deltoid? Thanks in advance, Regards, Dr. Arshi.
Question Category : Immunization
Tell me where i could find DTaP VACCINE {KILLED VIRUS VACCINE SUBSTITUTE FOR DPT VACCINE} thanks. again laksh.
Question Category : Immunization
Dear Sir, I need your urgent help on the below mentioned conflict. I have boy of Thirteen months (DOB:21 Nov 2005).And on the advise of an nearby maternity hospital I had given single infant dose of Hepatitis A In the end of APR06 to my son.Now I am very much confused to give him the second dose that should be given after six month interval because every Doctor to whom I approached gives me a different opinion. Today after a long search on internet I became to know that the minimum age to induce this vaccine should be of 2(Two )years. Sir kindly let me know what should I do now and whats the side effect of the first dose that I HAD GIVEN HIM IN APR06. Thanks for your kind attention. Waiting eagerly for your reply Vikas Sharma.
Question Category : Immunization
Dear Sir, I want to know after complete routine immunization with 5 polio doses and in between pulse polio immunization doses in first year of age what are chances of a child getting Polio.& (2)when polio can occur in children of more than 5 years of age why children of more than 5 years of age are not given polio doses in pulse polio immunization.
Question Category : Immunization
Dear sir, i will really appreciate if you could tell me where in mumbai i could find the IPV SALK VACCINE. thanks & regards. laksh.





 
 
 
Pedi Poll
Today's Poll
Should teicoplannin, colistin be used in case of neonatal sepsis where culture does not reveal any organism_?
No, it should be used only after drug sensitivity report
Yes, under guidance of an infectious disease expert
Educational Section
 
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