Vaccination, Pediatrics FAQ

Concerns About Chewing Skills in a 2-Year-Old: What to Know

A 2-year-old who does not chew? If he refuses to eat any solid foods and only drinks milk, could this indicate a delay in some aspect of his development?

Dr. He Shenglong Reply:
Hello: It's important to try various methods for introducing complementary foods without forcing it; keep the atmosphere relaxed and enjoyable. I recommend referring to the Children's Health Handbook (new edition, pages 54-55, on introducing complementary foods) for mor...

Concerns About Administering Four-in-One Vaccine in the Buttocks

Four-in-One Booster Vaccine by Pasteur The child is 6 years and 1 month old. Today, they were taken to the clinic to receive the booster dose of the Pentavalent vaccine (DTPaHibIPV) and the Japanese Encephalitis vaccine, both administered in the buttocks (one injection in each si...

Dr. Xiao Kaiwen Reply:
Vaccines are not suitable for administration in the buttocks, particularly for children under three years old, as the gluteal muscles are not sufficiently developed at that age. By the age of six, it should be acceptable. There is no specific time interval required between vaccin...

Managing Cough and Phlegm in Children: A Guide for Parents

My younger brother has phlegm in his lungs! How should we handle this? Hello Dr. Hsiao, My younger brother suddenly developed a fever of 39.8 degrees Celsius around 1 AM last Saturday. He was taken to Chang Gung Memorial Hospital's emergency department, where the doctor dia...

Dr. Xiao Kaiwen Reply:
1. Viral infections can cause fever for 2-3 days, but in some cases, it may last up to a week. Generally, if a fever persists for more than 3-4 days, physicians will conduct tests (such as blood tests, X-rays, or urinalysis) to check for possible bacterial infections. If the feve...

Can Vaccines Worsen a Cold in Newborns? Pediatric Insights

Neonatal cold (to ask again) Dr. Hsiao, I apologize for asking another question. When a baby receives vaccinations at the hospital, do the doctors check to ensure there are no issues before administering the shots? If a baby had a mild cold prior to receiving the BCG vaccine and ...

Dr. Xiao Kaiwen Reply:
1. Contraindications for vaccination include: fever, having a "severe" acute illness, undergoing immunosuppressive therapy, and known allergies to vaccine components. A common cold is generally not a contraindication for vaccination. 2. Vaccines are made from specific c...

Assessing Developmental Delays in Infants: Understanding Milestones and Testing

Regarding infant intelligence testing! Hello, Dr. Hsiao! My brother is now nine months and five days old. Today, we took him to see a neurologist who assessed his development and said, "His development is only at the level of a seven-month-old." I looked at the developm...

Dr. Xiao Kaiwen Reply:
The development of parental records in the child health handbook does not necessarily require full compliance to be considered normal. There is considerable variability in the neurological development of infants and young children of the same age, and such variability can still b...

Can Breastfeeding with Hepatitis B Risk Infection in Infants?

Breastfeeding with Hepatitis B? Hello Doctor: I would like to ask you... I have a positive Hepatitis B infection and recently breastfed a relative's child, but the child only consumed less than 10ml of breast milk. I later realized that I should not breastfeed due to my Hepa...

Dr. He Shenglong Reply:
Hello: Currently, there is no evidence that hepatitis B can be transmitted to infants through breast milk, so mothers who are carriers of hepatitis B can still breastfeed. For mothers who are positive for both hepatitis B surface antigen and e-antigen, the infant will receive hep...

Timing Concerns for Hepatitis B Vaccination in Preterm Infants

Issues Regarding the Timing of Hepatitis B Vaccination My daughter was born prematurely on October 4th. She received the first dose of the hepatitis B vaccine on October 22nd. On November 6th, she was supposed to go to the health center for the BCG vaccine, but since her weight w...

Dr. Pei Rensheng Reply:
Dear Mommy Tingting, Hello! The "Vaccination Group of the Infectious Disease Control Advisory Committee of the Department of Health, Executive Yuan" has provided recommendations regarding vaccinations for young children, including the hepatitis B vaccine, combination v...

Can Children with Allergies Receive the Flu Vaccine?

Influenza vaccine Hello, doctor! My 2-year-old child has been taking medication for nasal and bronchial allergies recently. Is it safe to administer the flu vaccine?

Dr. Pei Rensheng Reply:
Dear Mom, Hello! The contraindications for the influenza vaccine include: allergy to egg protein, fever, or other serious illnesses. Allergy medications do not affect the administration of the influenza vaccine. The physician will reassess before the vaccination. Wishing you ...

Child Develops Rash After Pneumococcal Vaccine: Is It an Allergy?

Three days after the child received the 13-valent pneumococcal vaccine, a localized rash appeared on the arm? Hello Dr. Hsiao: My child received the 13-valent pneumococcal vaccine at the health center on July 24 (he is 2.5 years old). Three days later, small bumps appeared at the...

Dr. Xiao Kaiwen Reply:
It seems that this reaction is not commonly associated with vaccines. Personally, I believe it is not vaccine-related and does not constitute an adverse reaction to vaccination. There should be no connection. After receiving the vaccine, individuals can be observed at the healthc...

Can Babies with Hydrocephalus Safely Consume Solid Foods?

Can babies with hydrocephalus consume solid foods? Hello Dr. Hsiao: Previously, during the four-month vaccination, it was found that the baby had 0.7 cm of hydrocephalus in the brain. I would like to ask, since the baby is now over four months old and has only been drinking dilut...

Dr. Xiao Kaiwen Reply:
Hydrocephalus (commonly referred to as "water on the brain") generally does not require fluid restriction, and the dietary principles are similar to those for a normally developing infant. However, if there are additional complications, such as certain heart conditions ...

Understanding Hepatitis B Vaccine Concerns in Children: A Parent's Guide

Hepatitis B vaccine injection issues? Hello Doctor: My child (high school) has a weak positive result for hepatitis B antibodies (approximately 17) and received a booster dose of the hepatitis B vaccine. I would like to ask the following questions: 1. Is a weak positive result ...

Dr. Xiao Kaiwen Reply:
1. A weak positive result may indicate insufficient protection, so it is still recommended to receive an additional hepatitis B vaccine. 2. It should not cause any harm to the body. 3. The hepatitis B vaccine does not cause hepatitis B infection. 4. Infants born after 1986 have b...

Concerns About Growth and Development in Preterm Infants

Request for Growth Status Hello, my daughter was born via cesarean section at 37 weeks and 3 days. The reason for the cesarean was that she stopped growing at 1800g after 31 weeks. An amniocentesis was performed during prenatal check-ups, and the results were normal. She was born...

Dr. Xiao Kaiwen Reply:
1. The prognosis for newborns with intrauterine growth restriction (IUGR) largely depends on the presence of any associated abnormalities. If there are chromosomal abnormalities, the prognosis is poor (normal chromosomal tests do not guarantee that all genes are normal; many gene...

Concerns About Infant Brain Ultrasound Results: Hydrocephalus or Development Issues?

Questions Regarding Infant Brain Ultrasound Examination Results Hello, Doctor. My child is 2 months and 2 days old and went to the pediatric clinic for vaccinations. The doctor assessed that there is weak neck support (head lag) and arranged for a brain ultrasound examination. Th...

Dr. Xiao Kaiwen Reply:
The results of the infant's brain ultrasound examination indicate that monitoring is sufficient, as there are no obvious signs of hydrocephalus or issues with brain tissue development. It is important to regularly measure the baby's head circumference; if there is a dis...

Understanding Growth and Development in Children: When to Seek Help

Pediatric Growth and Development My child (a boy) will turn five years old this September, and his height and weight are around the 15th percentile on the growth chart. Should he undergo any relevant examinations? If so, which specialty should we consult? What is the definition o...

Dr. He Shenglong Reply:
Hello: The height and weight of children are closely related to genetic factors. Generally speaking, if a child's growth percentile is below the 3rd percentile, or if there is a drop of two or more percentile curves compared to previous measurements (for example, originally ...

Flu Vaccine for Toddlers: Recovery Time After Common Cold

Pediatric influenza vaccine Hello Dr. Hsiao, I apologize for taking up your valuable time again. My question is as follows: For toddlers under 2 years old who have contracted a common cold, how long after recovery can they receive the first dose of the publicly funded influenza v...

Dr. Xiao Kaiwen Reply:
Situations in which influenza vaccination is not recommended include: 1. Individuals with a known severe allergy to egg proteins or components of the vaccine. 2. Children under 6 months of age. 3. Individuals who have experienced adverse reactions after previous influenza vaccina...

Understanding Fever, Rash, and Diarrhea in Young Children: A Guide for Parents

Fever, rash, and diarrhea in children? My child will turn one at the end of August. Last Saturday at 9 AM, he received two vaccinations for chickenpox and measles. Before the shots, I felt that his temperature was slightly elevated, but I didn't measure it at that time. Afte...

Dr. Xiao Kaiwen Reply:
The following is a brief overview of diseases associated with fever and rash in infants and young children (refer to items 1, 2, 3, 4, 5): 1. Measles 2. Rubella 3. Scarlet Fever 4. Roseola Infantum 5. Kawasaki Disease **Age of Onset:** 1. > 6 months 2. > 6 months 3. > ...

Assessing Tuberculosis Transmission Risk in Young Children

Pediatric tuberculosis If an adult's sputum smear test is negative but a bacterial culture shows a very low quantity of bacteria, and my two-year-old child has been in close contact with this adult for 48 hours, what is the likelihood of transmission? The child has had a nor...

Dr. Xiao Kaiwen Reply:
Tuberculosis (TB) is not as easily transmitted as one might think. The likelihood of transmission depends on several factors, including the bacterial load of the infected individual, whether they have open pulmonary tuberculosis, the distance between individuals, personal immunit...

Understanding Ear Infection Vaccines: Are They Worth It for Your Toddler?

Otitis media vaccine Hello Dr. Hsiao, I apologize for bothering you again. My question is: Recently, I found in a hospital publication that there are vaccines for otitis media and meningitis that can be administered to young children. My child is currently about 16 months old and...

Dr. Xiao Kaiwen Reply:
I believe the vaccines you refer to for otitis media and meningitis are the 7-valent and 13-valent pneumococcal vaccines. Since Streptococcus pneumoniae is the most common pathogen responsible for bacterial otitis media and bacterial meningitis, the pneumococcal vaccine can also ...

Understanding the 5-in-1 Vaccine: Timing and Co-Administration for Infants

Pentavalent vaccine Hello Dr. Hsiao, I apologize for bothering you again. I would like to ask: 1. Is it possible to administer the fourth dose of the pentavalent vaccine (which is scheduled at 18 months) when the baby is 15 months old? 2. Can the fourth dose of the pentavalent va...

Dr. Xiao Kaiwen Reply:
1. The fourth dose of the pentavalent vaccine is an additional dose, which is required to be administered one year after the third dose given at six months of age, meaning it should be given at 18 months of age. While there is a guideline stating that the interval should not be l...

Understanding the Risks of Early Vaccination for Chickenpox and Measles

Varicella and Measles Vaccines Hello Dr. Hsiao, on the afternoon of April 8, 2011, I took my just one-year-old son to the well-child clinic. Since he had taken antihistamine steroids on April 1, 2011, the doctor advised me to wait one month before administering vaccines (varicell...

Dr. Xiao Kaiwen Reply:
The health department lists individuals currently undergoing treatment with corticosteroids (steroids) as contraindicated for vaccination. I believe that those using low-dose steroids for a short duration (such as for urticaria) should be able to receive the vaccine after discont...

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