Vaccinations .Necessity.Complications .After inoculation
Children's Doctor Conversations / / March 25, 2016
conversation sixth.About vaccinations
Often parents ask whether to do immunizations to children?Is it not better to give your child recover childhood infectious diseases, such as measles, whooping cough and others, while it is still small?Many people know that in adults the disease is much more difficult.Will not vaccinated negative impact on the child's body?After all, the terms of immunity, ie,immunity to the disease after various vaccination is not too long (on average 2-5 years).
& gt;The positive role of vaccination in the past
So, whether necessary preventive vaccinations?We know what terrible deadly diseases before existed.Plague, smallpox cover the city, the country, the entire continent.People often died out completely recovered unit ... Now, however, these diseases are almost never occur.So, the last smallpox cases were reported in the 70-ies, in connection with which were abolished compulsory vaccination against smallpox in this country and abroad.It preventive vaccination in all countries freed humanity from these terrible infections.
first immunizations were made by English physician E.Dzhennerom at the end of the XVIII century.At this time still were not aware of any of the immunity, ie. E. Of the protective forces of the body against infections, or about how you can reduce a person's susceptibility to the disease.We do not know anything about infectious agents - viruses, microbes.Therefore, they could not know at the time, and that administration of a killed or attenuated infectious agents leads to intensive development of specific protective antibodies, which prevents a person from illness.There was no theoretical knowledge of fundamentals of immunity, but it was remarkable powers of observation and intuition of the doctor.Jenner noticed that women korovnitsy never suffer from smallpox.But they are taking care of the cows every day, meet with cattle suffering from "cow" smallpox.Then the doctor to get people to the content of bubbles "cow" of smallpox and showed that the vaccinated produces immunity to smallpox.Material taken from bubbles "vaccinia" virus, called the vaccine from the Latin word "vaccina" - translated: "cow".Many years later, at the suggestion of Loon Pasteur, all medications that prevent the disease became known as vaccines.For the first time 200 years ago has been found protection from epidemics of smallpox.
& gt;The success of previous vaccinations
In our time with success such terrible infectious disease had been eliminated as diphtheria and polio.After the start of the vaccination of children against polio completely disappeared worst - paralytic - forms of the disease.Diphtheria almost completely disappeared in Moscow in the early 60s.Isolated cases occurred and afterwards, but they were imported - "Vokzalnaya" diphtheria.Currently, however, diphtheria reappeared.The main cause of this disease in Moscow and other cities - is the migration of large groups of the population as a result of the disasters which now take place in our country.There are other reasons: many of Moscow's children do not receive vaccinations due to various diseases.Most adults also disappeared immunity to the disease.All these factors have created the ground for a new outbreak of diphtheria in our time first among adults and then in children.
& gt;Vaccinations are not safe, but still need
So, whether you need to make children vaccinated?Yes need.Especially against diphtheria and polio.Vaccination has a negative impact on the child's body?Of course, they are not safe.Working most of his life in a medical hospital, I have often met with vaccination complications.That hospital doctors most often observed reaction or occurring after the introduction of the vaccine disease.Precinct pediatricians tend to refer such children to the hospital for diagnosis and treatment.In all cases, posleprivivochnyh complications that I have seen to be violating any rules - on graft case instructions are available under the hand of every doctor.Here are a few examples.
& gt;Example: encephalitis after vaccination against smallpox
In Hospital.Rusakova I watched very seriously ill with encephalitis (inflammation of the brain), which was the cause of preventive vaccination against smallpox.This vaccination did the kid who had symptoms of increased intracranial pressure after childbirth.It was necessary to wait for the inoculation to 1-1.5 years, as it is written in the instructions - "vaccination to begin no earlier than 12 months after the disappearance of pathological symptoms and only after the conclusion of a neurologist" - and there would be no such trouble.This baby after 6 months has been developing well, and the doctor, in violation of the instructions, I decided to get vaccinated, even though the symptoms occurred in the first months of baby's life.
& gt;Another example: a complication after vaccination against diphtheria
Another example - a severe complication after vaccination against diphtheria in a child with exudative diathesis.A child from a family where the mother and grandmother suffered from eczema.The kid was softly pronounced exudative diathesis.As stated in the instruction?"Grafting 6 months after the disappearance of skin changes."The first vaccination he moved well, but her mother said that the baby began to appear during the night short bouts of shortness of breath.After the second vaccination developed an attack of bronchospasm, increased skin allergy;the child had to be hospitalized.
& gt;A third example: polio after vaccination against polio ...
following example: The boy was treated in hospital due to chronic gastrointestinal disease.In a study called attention to the gait of the child: it was the impression that he suffered a stroke.The mother said that the child appeared limp after being vaccinated against polio.Apparently, there was a so-called "vaccine-associated" polio, i.e.disease caused by the vaccine, made immediately after the exacerbation of chronic diseases of the digestive tract.Live vaccine against polio (Sabin vaccine), which is grafted at home and abroad, should not be administered to children during acute gastro-intestinal diseases, and in the period of exacerbation of chronic diseases.It is necessary to cure the child and vaccination push through 1-1.5 months after recovery.The diseased intestine live polio virus can start to multiply and cause disease.
& gt;Fourth example: allergic myocarditis after vaccination
I observed and a girl of three years, which was in our department with allergic myocarditis occurring after vaccine made against the background of residual symptoms of acute respiratory infection.In the past, a child marked allergic reactions such as swelling of the blade.Vaccination after acute respiratory tract infections can be started only a month after recovery.
One could cite many other examples, but they show that posleprivivochnye complications are mainly associated not with the quality of the vaccines themselves, and in violation of all known instructions on carrying out preventive vaccinations.
& gt;And another example: Avoid repeated vaccination
And recently, I had to consult a boy of five years, until recently, not to vaccinate in connection with the delay of psychomotor development.In summer, the child suffered dysentery.In the autumn he went to kindergarten, where it is strongly required to be vaccinated.Mother agreed to be vaccinated against diphtheria, and it did in the presence of the mother.And the next day the child reiterated already without a mother!Apparently, he forgot to write yesterday that the vaccine was given.I asked my mother if this unacceptable case in the clinic know to which kindergarten belongs.No, my mother said, no one said anything.
& gt;Posleprivivochnye complications should not hide!
I would say that it is an unfortunate and isolated incident, and it does not need to advertise.I think it is not.It seems to me that it is necessary to disassemble all cases posleprivivochnyh complications, disassemble in the presence of all physicians district, not hide them.Just as in hospitals are always disassembled and analyzed all serious outcome.If each case is analyzed in detail the complications in clinics, doctors at the district conference, the GP would be much easier to work with.
& gt;The physician should not be afraid of accusations of failing grafts!
I understand all the complexity of the work the local doctor, because we all know how our bosses usually criticizes doctors who have many children are not vaccinated.They are accused of, and indifference, and the inability to persuade the mother, and other shortcomings.Often, such a doctor scolded in meetings in the presence of nurses and doctors.And the doctor, of course, to avoid such a situation, the more so that he knows nothing about the cases of severe complications.If all the deficiencies in the implementation of vaccination were opened, and the heads of departments would be required from local doctors is not the number of vaccinations and their qualitative performance.
& gt;The importance of monitoring the vaccination
I remember how difficult moments I've experienced because of vaccinations in the first year of work at the site.I had a sister precinct with plenty of experience.I'm listening to it, always consulted with her.The site was large (about 3 thousand children), with a large territorial extension.Challenges were many.I could hardly cope with the medical work, and provided preventive her sister.While vaccines are sister at home (without a doctor).Our site has been advanced, all vaccinations are done, all newborn sister served.At all meetings, my sister precinct was set up as an example.And then it turned out that all of its records were "lime."It was removed from the work at the site, and I was given a lesson for life.We dismantled all meetings.Does it hurt me?No.I went to work.And in the following years working in a hospital is always strictly checked as perform my sister purpose.In preparation for intravenous procedures never began to administer the drug until you view all of the sisters fed me.The lesson was for life.
Unfortunately, to this day the violation of rules and regulations in the performance of vaccination is often common in hospitals, and because of their failure to comply with sometimes threatens children mortal danger.
& gt;Do I need to "boldly" to be vaccinated?
Now, many doctors believe that it is necessary to "boldly" to be vaccinated against diphtheria in connection with the unfavorable epidemiological situation on the infection.But then why is it strictly necessary to comply with today's vaccination schedule?With this question I have now come across very often.Mom wants to make the baby be vaccinated against diphtheria, and she said that at first supposed to do against tuberculosis.It is known that the interval between vaccinations should be no less than two months.We also know that antidiphtheritic immunity occurs more frequently after the second vaccination (must be carried out 45 days after the first).Consequently, during an epidemic of diphtheria vaccine against it is delayed by an average of 2-3 months.And when you consider the fact that unvaccinated children - children, vaccinations that do not, as a rule, due to frequent illnesses, and they may get sick again this term, the vaccine is delayed even for a long time.Is it correct?I do not need now to break the normal schedule so that a greater number of children to protect against diphtheria?In addition, many doctors believe that vaccination against tuberculosis - is not the main, but only an auxiliary measure to combat the disease.At the same time we all know that vaccination against diphtheria effective.We already had the experience complete disappearance of this terrible infectious disease in children for nearly 30 years.
& gt;You can not be vaccinated before entering directly into the garden
And I think parents need to know the following: do not be vaccinated and immediately give the child in an institution.Children need to adapt to new living conditions.Typically, the adaptation period after admission to kindergarten, they start to get sick often.And, as a rule, it is impossible to bring the vaccine to the end of the endless colds.And if the argument is any risk of complications in the vaccination or not get a child of the desired immunity to infections.It is better to be vaccinated several months before entering kindergarten.Then the child's adaptation to the new environment easier to pass.This we will protect the child from vaccination complications.
& gt;Dangerous component of ADSM!
Weakened children better to vaccinate vaccine, which does not contain pertussis component (ADSM), as most physicians believe that it is this component is most often associated with adverse reactions to the vaccine.
& gt;After inoculation
After any vaccinations the child for 2-3 days can be a slight fever, lethargy, irritability.A child like mild carries the infection.During these days is to leave his home, to enable more to lie in bed, do not overfeed, drink a lot.Any procedures, as well as trips to the sauna, sports lessons, excursions better to postpone an average of 6-7 days.
Concluding the conversation about inoculations, again I want to repeat:
1) in the current situation in our country, children need to be vaccinated (especially against diphtheria and polio);
2) only complying with all the rules of the vaccination business ensures the development of immunity in the child and to avoid vaccination reactions and complications of vaccination.
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