Pneumococcal and Rotavirus Vaccines for Your Baby - Pediatrics

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Regarding the pneumococcal vaccine vs. the rotavirus vaccine?


Hello: My baby has just turned one month old, and I would like to have him vaccinated with the hexavalent vaccine, which will change the traditional schedule to 1.5, 3, and 6 months.

1.
If I also want my baby to receive the pneumococcal vaccine (at 2, 4, 6 months, and after 1 year), how long should I wait between the first three doses and the hexavalent vaccine?
2.
Which dose of the pneumococcal vaccine should be administered after one year, and when should it be given? How long should it be spaced from the varicella vaccine, hepatitis A vaccine, measles/mumps/rubella (MMR) vaccine, and Japanese encephalitis vaccine?
3.
Is the rotavirus vaccine already available? Does your hospital offer this vaccine? What are the side effects? How much does it cost? What are the differences and effectiveness between the 2-dose and 3-dose schedules? What is the vaccination schedule? Can it be administered simultaneously with the pneumococcal vaccine? Thank you for taking the time to clarify these questions.

Qì'é māmā, 20~29 year old female. Ask Date: 2007/05/22

Dr. Pei Rensheng reply Pediatrics


Hello: ▲ The pneumococcal vaccine (Prevnar) should be administered starting at one month of age: a total of four doses are required, with the first three doses spaced at least one month apart, preferably two months apart.
The final dose should be given after the child turns one year old and at least two months after the third dose.
The first dose of the pneumococcal vaccine can also be given as early as one and a half months of age.
▲ The pneumococcal vaccine can be administered at any time in conjunction with the varicella vaccine, hepatitis A vaccine, measles/mumps/rubella (MMR) combination vaccine, and the hexavalent vaccine.
▲ The pneumococcal vaccine and Japanese encephalitis vaccine should be spaced at least one month apart.
▲ Currently, there is no rotavirus vaccine available in Taiwan; the Drug Committee is reviewing it, and it will be released soon, so please stay tuned.
▲ A comparison of the rotavirus vaccine is provided in the attached table.
▲ The rotavirus vaccine and pneumococcal vaccine can be administered simultaneously.
Dr.
Pei Ren-sheng

Reply Date: 2007/05/22

More Info


When considering vaccinations for your baby, particularly the pneumococcal and rotavirus vaccines, it's essential to understand the recommended schedules, potential side effects, and the importance of timing between different vaccines.
1. Pneumococcal Vaccine Schedule: The pneumococcal conjugate vaccine (PCV) is typically administered in a series of doses at 2, 4, 6, and 12-15 months of age. If you plan to give your baby the 6-in-1 vaccine (which usually includes DTaP, IPV, Hib, and HepB), you can administer the pneumococcal vaccine at the same time as the 6-in-1 vaccine or at different times. However, it is generally recommended to space out vaccines to allow your baby's immune system to respond effectively. A common practice is to administer the pneumococcal vaccine at least 4 weeks apart from the 6-in-1 vaccine doses.

2. Timing of the 1-Year Pneumococcal Vaccine: The booster dose of the pneumococcal vaccine is given between 12-15 months of age. This dose is crucial as it helps to enhance the immune response. After the first year, it is also important to consider the timing of other vaccines. The varicella (chickenpox) vaccine, hepatitis A vaccine, and the MMR (measles, mumps, rubella) vaccine can be given at 12 months or older. It is generally recommended to space these vaccines at least 4 weeks apart to ensure optimal immune response and minimize the risk of side effects.

3. Rotavirus Vaccine Availability and Information: The rotavirus vaccine is indeed available and is typically administered in either a 2-dose series (Rotarix) or a 3-dose series (RotaTeq). The 2-dose series is given at 2 and 4 months of age, while the 3-dose series is given at 2, 4, and 6 months. The rotavirus vaccine is crucial as it protects against severe diarrhea caused by rotavirus, which can lead to dehydration and hospitalization in infants.
As for side effects, they are generally mild and can include irritability, mild diarrhea, or vomiting. Serious side effects are rare but can include intussusception, a condition where part of the intestine telescopes into itself, which is a concern particularly in infants under 12 months. However, the benefits of vaccination in preventing severe rotavirus disease far outweigh the risks.

Regarding the cost, it can vary by location and healthcare provider, so it’s best to check with your pediatrician or local health department for specific pricing and availability.

4. Simultaneous Administration: Yes, the pneumococcal vaccine and the rotavirus vaccine can be administered simultaneously. This is often recommended to ensure that your baby receives all necessary vaccinations on schedule without unnecessary delays.

In conclusion, it's vital to follow the recommended vaccination schedule to protect your baby from serious diseases. Always consult with your pediatrician for personalized advice and to address any concerns you may have regarding the timing and administration of vaccines. They can provide you with the most accurate information tailored to your baby’s health needs.

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