Which vaccine is contraindicated in child with history of convulsions?
High-Yield Explanation
Ans. is 'a' i.e. DPT DPT vaccine is contraindicated in children with progressive neurological disease and children with convulsions following the first dose.These contraindications are because of the adverse reactions that the child can develop to the pertussis component of the vaccine.Contraindications to DPT vaccineProgressive neurological diseaseContraindications to second doseConvulsions within 72 hoursEncephalopathy within 7 hoursAnaphylaxisHyporesponsive or hypotensive episodesHyperpyrexia with fever > 105 FPersistent or high pitch cry > 3 hoursContraindications to measles vaccinePregnancyAcute illnessDeficient cell mediated immunity (can be given to asymptomatic HIV positive patients)Patients on steroidsContraindications to typhoid vaccineWithin 24 hours of antibiotic treatmentImmunosuppressionPregnancyContraindications to BCG vaccineImmunosuppression and HIV