Pediarix/vaccinations

FamilyPracticeRN · Jul 9, 2006

I work in NC in a family practice clinic and while it has been the standard to give Hep B to newborns, I'm suprised to see that they are also getting the DTaP and IPV as well (included in the pediarix). Do you know if they are changing the suggested age for the DTap and IPV? Seems a little early to be getting all three.

:balloons:

dawngloves, BSN, RN · Jul 9, 2006

The AAP recommends the first doses of DPT,IPV and HiB at 2 months. Been like that for years as I recall.

We've been using Pediarix for about a year or so.We won't give it if the baby is sick. (NPO, lots of As/Bs,anemic,ect) but will still give if vented or in an isolette. I personally haven't seen any increase in reactions.

Are you giving Tylenol beforehand?

justjenny · Jul 12, 2006

We use it in our Level III NICU. Not for the sick ones, but one thing I will say is that we have begun to "space out" our vaccines at 2 months of age...any baby in the last few months or so receiving multiple vaccines (or sometimes even one vaccine) decides to have a major setback and become apneic, or worse yet, intubated again. We have never said it was because of the vaccine specifically...but just to be safe we give them a couple of days apart.

Jenny

BittyBabyGrower, MSN, RN · Jul 13, 2006

jenny, we are noticing that also. Big set backs too. We have a new protocal that we will not give them until they are 2 months corrected and it seems to work out a bit better. They are already immuncompromised and we are asking their little bodies to do more.

We don't use the Pediarix...we give them all separate.

NICURN513 · Jul 14, 2006

I Work In A Level 3 Nicu And We Have Also Been Noticing Set-backs After Infants Recieve These Immunizations. THIS IS REALLY SCARY!

Gompers, BSN, RN · Jul 14, 2006

My friend's sister had two babies die of SIDS within 48 hours of recieving their 2 month vaccinations.

Just a thought.