Temperature from DPT what to do. Can there be a fever on the second day after DPT vaccination?

DTP vaccination frightens young mothers with its consequences: many children develop a fever, are capricious, refuse to eat, and do not want to sleep. But should you be afraid of elevated temperatures? Is it possible to get vaccinated without causing unpleasant consequences? How to prepare your child for the vaccine?

A little about vaccination and DTP vaccination

Vaccination of children is an important part of pediatrics not only in Russia, but throughout the world. The vaccination calendar for children is full literally from birth: already in the first months of life, the child must be vaccinated approximately once every 30 days, and at an older age he must undergo systematic revaccination.

DTP vaccination is of particular importance to parents, because the attitude towards it is not always positive. Many mothers are categorically against it and refuse to administer the vaccine due to a possible negative reaction to the vaccine components.

What young mothers should be afraid of:

• Hysterical and crying.
• Refusal to eat.
• Cramps.
• Edema.
• Fatal outcome.
• Serious complications.

For children

The introduction of the ADKS vaccine helps protect the child from such dangerous infections as whooping cough, tetanus and diphtheria, which cause severe developmental disorders and disability. This is one of the first vaccinations given to children at 3 months. The vaccine is reactogenic, so the child often develops general and local post-vaccination symptoms. The most common reaction is increased temperature after DPT.

A little about DTP vaccination

Immunization allows you to create artificial immunity in a child against dangerous infections. The vaccine is a turbid liquid that includes particles of pertussis microorganisms, tetanus and diphtheria toxoids. The drug is administered intramuscularly into the upper third of the shoulder (deltoid muscle) or into the thigh.

In the clinic, you can vaccinate with the Russian DPT vaccine or imported analogues, which are based on the acellular pertussis component. This allows you to reduce the reactogenicity of the drug. These include:

• Infanrix;
• Infanrix IPV (also protects against polio);
• Infanrix Hexa (with additional protection against polio, hepatitis and Hib);
• Pentaxim (additionally protects against Hib and polio).

The body's reaction to vaccination

After injection, foreign agents enter the bloodstream. Therefore, the body begins to actively develop immunity to the components of the vaccine through the synthesis of antibodies, interferon, and phagocytes. This allows leukocytes to remember the pathogenic agent, and when pathogens enter the body, they overcome the infection.

These processes provoke the development of local and systemic reactions. Local side symptoms include:

• Redness of the skin at the injection site, soreness, slight swelling;
• Impaired motor function of the limb where the drug was injected.

The systemic reaction of the body involves the development of the following symptoms:

• Temperature increase;
• Moodiness, irritability, tearfulness, anxiety;
• Mild lethargy, drowsiness;
• Abnormal stool;
• Vomiting and loss of appetite.

The listed symptoms usually develop within 1-3 days after vaccination. If symptoms appear later, they indicate the development of an infection that coincided with immunization.

Important! Normal temperature after vaccination is not a deviation. This only characterizes the individual characteristics of the child’s body.

Hyperthermia after vaccination: normal or complication?

An increase in body temperature or hyperthermia is a normal response of the immune system to the introduction of infectious agents. Therefore, pediatricians urge parents not to worry. However, hyperthermia does not contribute to the development of immunity, so it should be knocked down.

Important! You should not delay calling an ambulance if the child’s temperature after vaccination exceeds 39 °C and does not decrease after taking antipyretics.

Experts consider a normal temperature rise of 38.5 °C. However, antipyretic drugs should be used already at a temperature of 38 ° C to reduce the risk of developing
seizures WHO representatives recommend reducing even minor hyperthermia that develops against the background of DTP vaccination.

Many parents are interested in how many days the temperature lasts after DTP. Normally, hyperthermia lasts no more than 3 days after immunization. However, in 70% of cases, the child’s condition returns to normal the very next day.

How to eliminate hyperthermia in a child?

To bring down the temperature after DTP vaccination, pediatricians recommend using:

• Panadol, Tylenol, Cefekon, Efferalgan and other paracetamol-based medications, which are produced in the form of syrup or suppositories. It is recommended to drink at night to prevent hyperthermia;
• Ibuprofen, Nurofen, Burana and other non-steroidal anti-inflammatory drugs that are produced in syrup. Products should be used at temperatures above 38 °C;
• Wipe the child with cool water or vinegar solution;
• Chamomile decoction compresses.

Important! In case of hyperthermia, you should not wipe the child’s body with vodka, which dries out the skin. It is also not recommended to use aspirin as an antipyretic, which is prohibited in children under 12 years of age.

After vaccination, pediatricians advise to refrain from water procedures and walks for 2-3 days. To normalize the child’s well-being, during hyperthermia you can use Regidron, Glucosolan, Gidrovit. These drugs allow you to restore water and electrolyte balance and remove toxins.

Contraindications

DTP vaccination should be avoided in the following situations:

• Any acute pathologies;
• The presence of hypersensitivity to any component of the drug;
• Immunodeficiency conditions;
• If hyperthermia in a child is accompanied by neurological symptoms or seizures. It is recommended to use a vaccine without a pertussis component;
• Leukemia and pregnancy.

It is necessary to postpone immunization until recovery in the following pathologies:

• Diathesis and other allergic reactions;
• Perinatal encephalopathy;
• Prematurity.

In such cases, the child needs to be examined before DTP vaccination and the use of purified vaccines.

How to prepare for DTP vaccination?

To reduce the risk of adverse reactions, you should adhere to the following algorithm:

• 1-2 days before vaccination, take antihistamines and do not introduce new foods into the diet. It is recommended to continue taking medications for 3 days after vaccination.
• After the injection, you need to stay in the clinic for 20-30 minutes so that the child can receive medical help if allergies develop.
• To prevent hyperthermia, you should take an antipyretic drug after returning home. It is important to monitor the temperature not only during the day, but also at night for 2 days after vaccination.

The dosage of medications should be determined by the local pediatrician, taking into account the individual characteristics of the child.

Temperature rise(hyperthermia) in a child not higher than 38.5

With after delivered

vaccinations is a normal reaction of the child's body. Hyperthermia is due to the fact that the immune system, during the process of neutralizing the vaccination antigen and forming immunity to

infections

releases special pyrogenic substances, which lead to an increase in body temperature. That is why there is an opinion that the temperature reaction to vaccination is a guarantee that the child will develop excellent immunity to infection.

IN vaccine contains microbial antigens, which can be in the form of whole but killed microorganisms, live and weakened, or their parts. Each pathogenic microorganism has its own properties, and the child also has individual qualities. It is the properties of vaccine antigens and the individual qualities of the child that determine the presence of a temperature reaction to vaccination. There may be a more pronounced reaction to some types of vaccinations, and less to others. Also, the rise in temperature after vaccination depends on the purity, degree of purification and properties of the vaccine. For example, DTP is a reactogenic drug because it often causes fever. At the same time, there are vaccines that contain the pertussis component in a cell-free form (for example, Infanrix). Such vaccines are much less likely to cause fever compared to conventional DTP.

Therefore, if a child is prone to developing a temperature reaction to vaccination, then, if financially possible, it is better to purchase purified vaccines with reduced reactogenicity. Such vaccines will not be offered to you at the clinic, since a cheaper option is purchased at public expense for vaccinations for children. These cheaper vaccines, available in clinics, are as effective as more expensive ones, but they are more likely to cause fever.

Hyperthermia after vaccination is a normal condition of the child, which indicates the active formation of immunity. But if the temperature does not rise after vaccination, then this is not a reason to assume that the child’s immunity has not developed. This is a purely individual reaction, which depends both on the vaccine and on the qualities of the child.

Sometimes hyperthermia occurs if a child develops a scar at the site where the vaccine was administered, which festers and becomes inflamed. In this case, it is necessary to eliminate the inflammation at the injection site, and the temperature will normalize on its own.

How long does it take for the temperature to rise after vaccination?

If you have been vaccinated, the vaccine contains weakened particles of microorganisms (this is DTP, ADS, against

hepatitis A

B), the temperature may rise within two days after the injection. Typically, such hyperthermia goes away on its own and does not require special treatment. After DTP vaccination, it can last for 5 days, but this is a normal reaction of the child’s body.

If the vaccination was given with a vaccine with live but weakened microorganisms (for example, against polio, measles, rubella or mumps), then the temperature may rise several days after the injection, most often on the 7th - 10th day.

What vaccinations most often cause fever?

Since vaccinations have different reactogenicity (the ability to cause a response in the body), the likelihood of a rise in temperature depends on the type of vaccine that is administered to the child. So, how often do vaccinations from the calendar cause a rise in temperature in a child:

• Against hepatitis B - very rare, the vaccine has low reactogenicity.
• BCG vaccine – some children experience hyperthermia. When the injection site or crust becomes suppurated, the temperature almost always rises.
• The polio vaccine almost never happens, since the vaccine has extremely low reactogenicity.
• The DTP vaccine causes a rise in temperature quite often. This vaccine has the highest reactogenicity among others required for children, according to the national vaccination schedule.
• Against mumps (mumps) – the temperature rises in rare cases.
• Against rubella - hyperthermia is a relatively rare phenomenon.
• Against measles - this vaccination usually passes without any reactions. But some children may experience hyperthermia, several days after vaccination. Physiological temperature remains no longer than two days.

The above-described reactions in the form of hyperthermia in response to vaccination are normal, that is, physiological. If a child's temperature rises above 39oC, you should consult a doctor.
How high can she go?

After vaccination, it is possible to develop a weak, moderate or strong reaction to the vaccine. A weak reaction to the vaccine is expressed in an increase in temperature to a maximum of 37.5

With and slight malaise. The average reaction to the vaccine is an increase in temperature in the range of 37.5 - 38.5

C, in combination with deterioration of general condition. A strong reaction manifests itself in a significant increase in body temperature above 38.5

With serious impairment of the child's condition.

In rare cases, the DTP vaccine can provoke a rise in temperature even up to 40oC, which stubbornly persists for two to three days, despite attempts to lower it with the help of medications. In such a situation, the following vaccinations are administered without the pertussis component, continuing to vaccinate the child only against diphtheria and tetanus (DT).

In the case of DTP, a temperature reaction can develop after any vaccination. Some children have the strongest reaction to the initial dose of the vaccine, while others have the strongest reaction to the third dose.

How to behave after vaccination?

Complete formation of immunity to infection after vaccination occurs within 21 days, so the child’s condition should be monitored for two weeks after vaccination. Let's look at what needs to be done at various times after the vaccine is administered, and what to pay attention to:

The first day after the vaccine is administered Typically, it is during this period that most temperature reactions develop. The most reactogenic is the DTP vaccine. Therefore, after the DTP vaccination, before bedtime at night at a body temperature not exceeding 38oC, and even against a background of normal temperature, it is necessary to give the child a suppository with paracetamol (for example, Panadol, Efferalgan, Tylenol and others) or ibuprofen.

If the child’s temperature rises above 38.5oC, then it is necessary to give antipyretic drugs with paracetamol in the form of syrup, and analgin. Analgin is given in half or a third of the tablet. If the temperature does not decrease, stop giving your child antipyretics and call a doctor.

To relieve hyperthermia, Aspirin (acetylsalicylic acid) should not be used, which can lead to serious complications. Also, do not wipe the child’s body with vodka or vinegar, which will dry out the skin and aggravate the situation in the future. If you want to use rubbing to reduce body temperature, use a soft cloth or towel moistened with warm water.

Two days after vaccination If you have been vaccinated with any vaccine containing inactivated components (for example, DPT, DPT, hepatitis B, Haemophilus influenzae, or polio (IPV)), be sure to give your child the antihistamines recommended by your doctor. This is necessary to prevent the development of allergies.

If the temperature continues to persist, bring it down with the help of antipyretic drugs that you were given from the very beginning. Be sure to monitor the child’s body temperature and do not allow it to rise above 38.5oC. Hyperthermia over 38.5oC can provoke the development of convulsive syndrome in a child, and in this case you will have to consult a doctor.

Two weeks after vaccination If you have been vaccinated against measles, mumps, rubella or polio (drops in the mouth), then it is during this period that you should expect reactions to vaccination. In the period from 5 to 14 days, hyperthermia is possible. The rise in temperature is almost never strong, so you can get by with antipyretic suppositories with paracetamol.

If the vaccination was done with any other vaccine, then an increase in temperature during this period does not indicate a reaction to the drug, but a child’s illness. Hyperthermia is also possible during teething.

What to do if the temperature rises?

First, prepare the necessary medications in advance. You may need antipyretics with paracetamol (for example, Panadol, Tylenol, Efferalgan, etc.) in the form of suppositories, medicines with ibuprofen (for example,

Burana, etc.) in the form of syrups, as well as nimesulide (Nise,

Nimid, etc.) in the form of solutions. The child needs to be given plenty of water, for which use special solutions that replenish the loss of essential minerals that will be lost through sweat. To prepare solutions you will need the following powders -

Regidron

Gastrolit, Glucosolan and others. Buy all these medications in advance so that they are at home, if necessary, at hand.

Hyperthermia in a child of more than 37.3oC after vaccination (as measured by the armpit) is a signal to take antipyretic medications. You should not wait for a more serious temperature, which is much more difficult to bring down. In this case, adhere to the following simple rules regarding the necessary medications:

1. When the temperature rises to 38.0

Use rectal suppositories with paracetamol or ibuprofen, and it is always better to use suppositories before bed.

2. With hyperthermia more than 38.0

Give your child ibuprofen syrups.

3. If suppositories and syrups with paracetamol and ibuprofen have no effect on the temperature, and it remains still elevated, then use solutions and syrups with nimesulide.

In addition to the use of antipyretic drugs after vaccination, it is necessary to provide the child with the following optimal conditions against the background of hyperthermia:

• create coolness in the room where the child is (the air temperature should be 18 - 20oC);
• humidify the air in the room to a level of 50 - 79%;
• reduce the baby's feeding as much as possible;
• let's drink a lot and often, and try to use solutions to replenish the fluid balance in the body.

If you cannot bring down the temperature and control the situation, it is better to call a doctor. When trying to reduce body temperature, use the antipyretics listed. Some parents try to use exclusively homeopathic medicines to reduce fever, but in this situation these medicines are practically ineffective.

Remember the importance of contact between parents and child. Take the baby in your arms, rock him, play with him, in a word - pay attention, and such psychological help will help the child cope with the reaction to the vaccine faster.

If the injection site is inflamed, the temperature may rise and persist precisely because of this. In this case, try applying a lotion with a solution of novocaine to the injection site, which will relieve pain and inflammation. A lump or bruise at the injection site can be lubricated with Troxevasin ointment. As a result, the temperature can decrease on its own, without the use of antipyretic drugs.

ATTENTION! The information posted on our website is for reference or popular information and is provided to a wide range of readers for discussion. Prescription of medications should be carried out only by a qualified specialist, based on the medical history and diagnostic results.

Parents are faced with the need to give their baby the DTP vaccine, which is “famous” for its difficult tolerability due to possible complications and severe fever in the vaccinated baby. Some mothers refuse vaccination, forgetting that the consequences in case of illness will be much more severe than adverse reactions to the vaccination itself. However, building immunity against serious diseases such as diphtheria or whooping cough is an important task for every parent. A possible increase in temperature after DPT vaccination should not be a reason to refuse vaccination.

Elevated temperature on the first day after vaccination is a normal reaction of the body

What is DTP, and why is this vaccination needed?

DTP is a purified vaccine, the action of which is aimed at protecting the child’s body from three serious diseases at once - whooping cough, diphtheria and tetanus. After its administration, a person produces antibodies and T-lymphocytes that fight foreign infectious microorganisms. The vaccination can be done provided that the child is completely healthy and there are no signs of colds. At the age of up to one year, vaccination is carried out three times (at 3 months, at 4.5 months and at six months), then revaccination is carried out every 10 years. Sometimes a polio or hepatitis vaccine is added to the first injection.

Vaccination will help your child avoid the serious consequences of diphtheria, whooping cough and tetanus. Diphtheria most often affects unvaccinated children aged 3-8 years. The insidiousness of the disease lies in the fact that the body is poisoned by toxins produced by the causative agent of diphtheria. As a result, the nervous system is affected (up to paralysis of the respiratory muscles and loss of limb mobility) and the heart (myocarditis develops).

The second disease, whooping cough, is predominantly a childhood disease. The causative agent of whooping cough affects the mucous membranes of all parts of the respiratory system and disrupts respiratory function. As a result, hypoxia (oxygen starvation) begins and blood supply to the vessels of the brain is disrupted.

The AFSC vaccine protects against dangerous diseases such as diphtheria, tetanus and whooping cough.

Tetanus affects the nervous system and causes numerous severe seizures. If not treated in a timely manner, death is possible. In terms of mortality, tetanus is in second place among all existing infectious diseases, therefore, for the safety of children, it is necessary to vaccinate in a timely manner.

Possible adverse reactions to vaccines

Vaccination against polio and DPT has side effects that can appear within 24 hours after the vaccine is administered and last up to 3 days. This is considered to be a normal reaction, which shows that the vaccine has begun to “work” and the body is responding to the introduced pathological organisms.

Acceptable body reactions to DPT and polio vaccine:

• local redness and swelling of the skin in the puncture area;
• loss of appetite, lethargy and apathy;
• loose stools, nausea and single vomiting;
• increase in body temperature to 38.5 ºС.

How long does the painful condition last after vaccination? On average, symptoms can last for 2 days - this should not cause much concern for parents. Sometimes the temperature may not rise above 37 ºС at all (see also: what to do if a 2-month-old baby has a temperature of 37?).

The first vaccination in a three-month-old child most often takes place without side effects, as well as BCG vaccination, and with each subsequent DPT vaccination the reaction intensifies.

There are symptoms that should alert parents and require emergency medical attention. They occur extremely rarely, but you need to be prepared for their possible occurrence. These are complications caused by the DPT and polio vaccine:

• Anaphylactic shock is an allergic reaction accompanied by a drop in blood pressure and heart rhythm disturbances. The child loses consciousness. It appears within the first hour after vaccination and requires urgent resuscitation.
• Quincke's edema is an allergic reaction manifested by swelling of the mucous membrane of the nasopharynx and swelling of the larynx. Urgent medical attention is required.
• Convulsions that occur against the background of normal body temperature due to irritation of certain areas of the brain. This is a deep damage to the nervous system that requires serious treatment.
• Encephalopathy is brain damage. Develops within a month after vaccination.

Why does the temperature rise and how long does it last?

An increase in body temperature after vaccination with “whooping cough-diphtheria-tetanus and polio” is the body’s response to foreign particles entering it. How long after receiving the DTP vaccine is it possible to develop a fever?

If convulsions appear against the background of fever, you should immediately seek qualified medical help.

The temperature rises already on the first day to 38-38.5ºС and can last up to 2-3 days. The indicator is not reduced to 38ºС, and a temperature above 38ºС requires the use of antipyretics. If convulsions occur against a background of fever, it is recommended to call an ambulance. If there are no seizures, and the thermometer is actively falling after taking an antipyretic medication, then there should be no reason for concern among parents.

How to relieve a baby from a high temperature? Suppositories, syrups and other antipyretics

Antipyretic drugs for pediatric use are available in various forms. They are widely used to relieve fever during colds, after vaccination (hepatitis, BCG, DPT). At a temperature of about 38ºC, you can use rectal suppositories Panadol or Cefekon D, made on the basis of paracetamol (more details in the article: review of suppositories based on temperature). They are allowed for children from 2 months of age. The active substance of the drug in this form is absorbed into the blood through the intestines, which reduces the toxic effect of paracetamol on the liver (compared to tablets and syrups).

If the temperature has risen to 39ºC, then for a faster effect, antipyretics in the form of syrups are recommended. They help bring down a high fever within an hour. These can be suspensions based on paracetamol (Calpol, Panadol) or based on ibuprofen (Nurofen). The syrups have a sweet, fruity taste and are easily accepted by even the smallest patients. How much of the drug to give to a child is indicated in the instructions and depends on the baby’s body weight. Such drugs are allowed to be taken no more than 4 times a day (every 6 hours), without a doctor’s recommendation - no more than 3 days.

If the temperature is not brought down by medications based on paracetamol and ibuprofen, then Nimesulide, which has an anti-inflammatory and antipyretic effect, can be given once. Older children are allowed to use drugs in tablet form, while syrups and suspensions are recommended for children. If you have difficulties selecting and calculating dosages, it is better to consult your doctor.

Comfortable conditions in the children's room

To make the child feel better, it is necessary to provide comfortable conditions in his room - regularly ventilate the room, providing the baby with an influx of fresh air. The nursery should not be hot, the optimal temperature is 18-22ºС. Drafts are not allowed. Loud noise and bright light from the lamp will prevent the child from relaxing and falling asleep, so you should ensure silence and twilight.

Drinking regime

In case of fever after DTP, BCG and injections for hepatitis, it is recommended to give the baby plenty of fluids, due to which toxins are removed from the body. It is best to drink clean warm water in small sips - this way the liquid evenly enters all organs and systems and flushes out toxic substances. In addition to water, you can give your child warm herbal tea, homemade fruit juice or compote.

In what cases should an increase in temperature in a child cause concern?

Fever in a child is normal after vaccination with pertussis-diphtheria-tetanus vaccine, when it is controllable and goes away within 2-3 days.

A high temperature should alert parents if:

• rose above 39ºС and lasts a long time (more than 3 days);
• does not decrease with antipyretic drugs or decreases slightly and immediately quickly rises up to around 39-40ºС;
• accompanied by repeated vomiting and profuse diarrhea;
• convulsions and fainting develop;
• the heart rhythm is disturbed and interruptions in the functioning of the heart occur.

This condition of the child indicates the development of complications and inflammatory processes. It is necessary to immediately consult a doctor (call an ambulance) and strictly follow all the instructions of specialists.

How many days after Prevenar vaccination can a child have a fever?
Can a reaction to a flu shot occur within a week?

Good day and good mood to you. The topic today will be a sharp, caustic one, affecting all mothers without exception, as it concerns vaccinations. You diligently get all your children’s vaccinations, right? Does everything always go smoothly and without consequences? I think not always. The reaction to the vaccine can sometimes be unpredictable. Everything is purely individual.

One baby is just being naughty, another may develop a rash and pain at the injection site, and a third may develop a fever. Does this mean that the child’s body resists vaccination? And most importantly, what should you do if your child’s fever persists for a long time after vaccination? You will learn about this by reading today’s publication to the end.

Heat heat discord

It is believed that fever after vaccination is an absolutely normal reaction. This is an indicator that the body has accepted the vaccine and began to interact with it, producing antibodies to a particular infection that the vaccine contained in a microdose. Is it so? And when can the temperature be considered normal?

Let's start with the fact that what numbers the temperature has risen to is not so important. Much more telling is how long it lasts. High values, 38-39 degrees, of course, alarm any mother, but if the next day the baby is already cheerful and cheerful, then there is nothing to worry about.

But if the temperature around 37 degrees does not go away for a week or more, then you should consult a doctor. Perhaps, before getting vaccinated, you did not take into account that the baby was sick (snot, cough) or had a chronic disease, which caused such a reaction. Previously, we discussed the topic "". Refresh your memory. The same contraindications must be taken into account with any vaccination.

What if the baby doesn’t have a fever at all?, you ask. It turns out that there is no benefit from the vaccination, because the body did not react in any way. It's not like that. Everything is completely individual for each baby. Some people may get sick after the vaccine, while others, apart from the injection itself, do not experience any unpleasant sensations.

"Reactive" vaccinations

Usually babies have a fever after the following vaccinations:

Prevenar. Serves to produce antibodies against pneumonia. It is usually given to children from 2 months to 5 years old in accordance with the vaccination calendar. May cause slight fever as well as redness at the injection site. Both pass pretty quickly.

Hepatitis B. Immediately after birth, the baby encounters this vaccine for the first time. Slight fever, weakness and tightness at the injection site are common. It shouldn't cause concern.

BCG. It is also done for the first time in a maternity hospital. While developing immunity from tuberculosis, it can cause adverse reactions. Newborns can have a fever for several hours.

And the vaccine is initially administered every year and a half. A possible reaction to it may be not only fever, but also a rash.

. If your child has ever had a flu shot, you should know that the flu is a mild form with all the associated symptoms.

Call "03"

Now, pay attention! We have approached the temperature that is abnormal during vaccination. Do you know how long a fever lasts as a reaction to polio? More precisely, for a vaccine against it. So remember: normally - not at all! It shouldn’t even reach low-grade levels. This vaccination should be asymptomatic for the child's body. Moreover, it is not administered by injection, but injected into the mouth. The temperature can rise to 37.5 degrees only two weeks after vaccination. But if it rises immediately, you need to see a doctor and find out what the reason is.

Also abnormal is a significant increase, above 38 C. Any mother should know what temperature to lower. If it goes off scale to 38.5 or even 40, you need to give an antipyretic. After 4 hours, take a control measurement. If the fever persists, go to the hospital or call an ambulance.

With DTP, a sharp jump to high numbers is possible, but it does not last long. If the fever does not go away, but increases, start sounding the alarm. But an allergic reaction to the tetanus component of the vaccine should not worry you. It will go away on its own, or you can give your baby an antihistamine.

I am sure that each of you has a vaccination calendar at home. In addition to this, I recommend having a notebook in which you will note how the baby reacts to a particular injection. It's very convenient and useful. For example, during repeated vaccinations, you can look there and see how your child reacted last time, whether there was a rash, weakness, fever, or lack of appetite.

Before the next vaccination, the pediatrician and immunologist usually tell the mother about possible side effects and complications. Since vaccination has become voluntary, you have the right to refuse it altogether. However, it is better to be on the safe side and “get over” the vaccine than to become seriously ill later.

Do not do that

You can reduce your fever if it has not reached 38 degrees using physiological methods. There is no need to wrap up the baby; on the contrary, dress him in clothes made from natural light fabrics, it is advisable to ventilate the room. Tea with raspberries or herbal teas made from chamomile and linden are also suitable. If your baby is sweating, quickly dry him with a napkin and change his clothes.

We must not forget about the drinking regime. In addition to tea, you need to give your child regular drinking water, at least a sip per hour. This is to replenish the body's loss of moisture. The injection site, if it is swollen and painful, should be treated with novocaine and then lubricated with troxevasin.

I beg you, do not make mistakes, and under no circumstances try to reduce the temperature like this:

- bathe the baby in a warm bath (this will only worsen the situation)

- Go for a walk. Fresh air is wonderful, but for now you can’t walk at all. Be content with airing the room where your child sleeps

- wipe the baby’s body with vodka or alcohol. Alcohol, evaporating from the surface of the body, although it can reduce the fever, it will also have time to be absorbed into the blood. Just imagine the harm you will cause to your own child!

- give aspirin. This is an “adult” medicine with a lot of side effects, and it should not be given to children at all. Among antipyretics, pediatricians prescribe only Paracetamol or Ibuprofen.

- force feed. Now the baby’s body has devoted all its strength to the work of the immune system. In addition, the child is not feeling well, and you are trying to stuff him with soup and cereals. There will be no benefit from eating without appetite. Wait until the baby asks to eat, and then serve it.

Most often, complications in the form of a fever that does not go away and exhausts the child do not occur after vaccinations. But just in case, you should wash in standby mode in order to react in time and contact a specialist. That’s why I devoted a whole separate topic to “temperature post-vaccination phenomena.”

If you have anything to add, for example, how your child tolerates different vaccines, write in the comments. The more “living” life examples we have before our eyes, the better. And don’t be greedy, that is, share the publication on social networks. There are also many mothers who “live” there and who may benefit from our conversation today. I wish you, dear mothers and babies, never to get sick, neither after vaccinations, nor, especially, for no reason. I say goodbye to you, but not for long. See you soon!

In the modern world, childhood vaccination is an integral part of pediatric medicine. The national vaccination calendar is quite busy and our babies have to visit the vaccination office almost every month in the first year of life. And preschool children are given booster vaccinations several times.

The introduction of foreign agents into the body, a necessary condition for developing immunity against dangerous diseases, is almost always accompanied by a local or general reaction. The strength and degree of its manifestation depends on many factors, primarily on the type of vaccine and the individual characteristics of the body. One of the most common reactions is a child’s fever after vaccination. She made every parent worry at least once in her life. Why does the temperature rise, is it necessary to bring it down and in what cases is it necessary to consult a doctor? We will try to answer these and other questions in as much detail as possible in this article.

Why does the temperature rise after vaccination?

Any vaccine is an aggressive agent foreign to the body. It can be a live, weakened virus or bacterium, or maybe just a fragment of them - a protein substance of the cell, a polysaccharide, a toxin produced by the bacterium, and so on. All these biological substances in immunology have one common name - antigen. That is, this is the structure to which the body responds by producing immunity, including antibodies.

Once in the body, the antigen triggers a series of complex reactions. And if the temperature rises after vaccination, this means that the child’s body has turned on protective mechanisms.

Each vaccine has its own reactogenicity - the ability to cause reactions and complications. The strongest reaction is caused by live vaccines based on weakened bacteria and viruses, and the more of them, the more pronounced the reaction. Also, so-called cellular vaccines - those that contain whole cells of killed bacteria - have a fairly strong effect. For example, the DTP vaccine contains whooping cough bacteria, which provoke post-vaccination complications in children. According to some data, an increase in temperature after DTP vaccination is observed in 90% of children. A weaker reaction is given by drugs containing only fragments of viruses and bacteria, their toxins, as well as products of genetic engineering. Thus, it was noted that French, which includes an acellular pertussis component, causes adverse reactions several times less frequently than DPT.

Mechanism of development of hyperthermia

Any vaccination means the entry of foreign bodies into the body. After the vaccine is administered, no infection occurs because the infectious bodies are weakened or killed. But the body responds to them by forming a full-fledged defense that lasts for a long time. Therefore, you should not be surprised at the occurrence of fever. This is an absolutely normal reaction that does not require intervention to a certain extent.

After vaccination against whooping cough, a child’s temperature usually rises within 2–3 days. After administration of the measles vaccine, fever may occur 5–8 days later. Foreign bodies of the vaccine (microbes or viruses, other substances included in its composition), entering the body, cause an immune response. In addition to the production of specific protective bodies against infection, mechanisms for the production of substances that reduce heat transfer (prostaglandins, cytokines, interferon, interleukins, etc.) are triggered. Why does the body cause an increase in temperature? The fact is that most bacteria and viruses are vulnerable to high temperatures, and the human body produces antibodies better during hyperthermia.

Why do some children develop hyperthermia in response to a particular vaccine and others do not? It depends on the individual characteristics of the child. Some children suffer the same infection with a temperature of 37–37.5 °C and minor intoxication, while others lie with a fever of up to 39.0 °C and severe symptoms.

There are some dependencies in the occurrence of a temperature reaction:

• the younger the child, the less likely the occurrence of hyperthermia or it manifests itself to a lower degree;
• with each subsequent vaccination of the same type (for example, DPT), the probability and degree of temperature increase increases.

Why is this happening? When immune bodies first invade, after the body’s response, so-called memory cells remain, which are responsible for developing protection in the event of re-infection. After the second vaccination, the protective reaction occurs much faster and stronger, and the likelihood of side effects increases.

What vaccines cause fever?

As already mentioned, each vaccine has its own degree of reactogenicity. These are the vaccines that most often provoke a rise in temperature in a child.

A child should not normally have a fever after a Mantoux injection, because this is not really a vaccination. The Mantoux reaction is a diagnostic procedure. The reaction to the component should only occur locally. Why might the temperature increase after the Mantoux reaction? It can be:

• individual reaction to tuberculin;
• child's allergies;
• the onset of any disease;
• teething or other inflammation;
• poor-quality administered drug;
• infection during injection.

So, the temperature reaction to the vaccine in most cases is considered normal by doctors and does not require medical intervention.

Is it necessary to lower the temperature after vaccination?

After DPT, some doctors recommend giving the baby the usual antipyretic drug once at night for preventive purposes. Another question is how useful the medications will be for your child? If the temperature rise is low and the baby is feeling well, it is better to leave everything without outside intervention.

What temperature should be lowered after vaccination? It is necessary to give an antipyretic for any rise in temperature, if it exceeds 37.3 °C, when measured in the armpit. It is better to take care in advance that it does not rise too high.

How to reduce fever after vaccination

To reduce body temperature, you can wipe your baby with cool water or a weak solution of table vinegar.

Here's what you shouldn't do:

• wipe with vodka - it dries the baby’s skin;
• give your child aspirin - it is prohibited for use in children under 12 years of age due to the risk of side effects;
• bathe the baby;
• walk outside;
• feed abundantly, change the diet, introduce new foods into complementary foods.

• "Regidron";
• "Hydrovit";
• "Glucosolan".

To prevent the development of allergic reactions, consult your pediatrician about prophylactic administration of antihistamines.

Temperature in infants

What temperature should be lowered after vaccination in a baby? Everything that is said about post-vaccination reactions above also applies to children under six months of age. The only thing that needs to be taken into account is that your baby’s normal temperature at this age can be up to 37.2 °C. This is due to the peculiarities of infant thermoregulation.

Often in infants, the temperature is measured using a pacifier in the mouth or rectally (in the anus). It is taken into account that in the oral cavity the body temperature will be half a degree higher, and in the rectum - by one degree, than in the armpit or inguinal fold.

Body temperature in infants normally increases after exercise, bathing, feeding or massage. After these procedures, you must wait 15–20 minutes to obtain reliable information.

What is the best way to bring down a baby’s fever after vaccination? Use suppositories or syrup with antipyretic drugs “Ibuprofen” or “Paracetamol” (“Efferalgan baby”, “Panadol baby”, “Nurofen”). Start lowering the temperature if it has exceeded 37.5 °C; do not wait for more - it rises very quickly in infants. Do not forget about the permissible daily dose of antipyretics, and also that you can re-give the medicine only after 4 hours.

Remember that Paracetamol and Ibuprofen, without a pediatrician’s prescription, should be given no more than 4 times a day and no more than 3 days in a row.

Do not give your baby medicine simply because the time has come - measure the temperature and use antipyretics only if it is elevated.

It is prohibited to use methods of physical influence on children under one year of age - wiping, wrapping in a wet sheet.

When to see a doctor

Although it is common for a child to have an increase in body temperature after vaccination, it is necessary to monitor the baby's condition and immediately consult a doctor if symptoms indicating an abnormal reaction are present.

To make it easier for your baby to endure adverse reactions after vaccination, create the most favorable conditions for him: optimal heat and humidity in the room, ventilate the room more often in the absence of the child, do not feed him too often and generously, pay more attention.

To summarize, we can say that an increase in temperature after vaccination occurs very often after the DPT vaccine and other pertussis vaccinations. This happens less often from vaccination against other diseases. An increase in body temperature is considered a normal reaction to the introduction of a foreign antigen. It is not necessary to endure such manifestations - pediatricians recommend giving your baby antipyretics (Ibuprofen, Paracetamol) in the form of rectal suppositories or syrups. If the temperature rises above 38.5 °C, or if it does not respond to medication, you should seek medical help.

Many mothers of young children have a negative attitude towards vaccinations precisely because of the unpleasant consequences and reactions of the body to vaccination. But not everyone knows the fact that an increase in temperature is the norm. Why is temperature observed in most cases after DTP? This is due to the fact that particles of living microorganisms are introduced into the child’s body, which help activate the baby’s immune system. The body secretes appropriate substances, thanks to which immunity to infection is formed in the future. A reaction to the DPT vaccine is a common phenomenon, since this vaccine is also multicomponent (for whooping cough, diphtheria and tetanus). In cases where, during the first vaccination, the temperature rose to 40°C and it was problematic to lower it using conventional antipyretics, it is possible to vaccinate next time with ADS instead of DPT, which does not contain a pertussis component. Depending on the individual characteristics of the child’s body, the purity and quality of the vaccine, hyperthermia may not occur, which is also the norm and should not alert parents.

How to properly prepare your baby for vaccination to avoid unpleasant consequences?

Many pediatricians focus on the child’s condition only on the day of vaccination and quite often do not convey to parents the information that they should prepare for vaccination in advance. These measures do not completely guarantee that a reaction to DTP and other vaccinations will not occur, but they reduce the risk of complications after vaccination.

Parents need to remember the following:

• the indication for vaccination is the absence of painful conditions over the last two weeks or month, as well as normal body temperature on the day of vaccination;
• You should not introduce new foods into your diet 7 days before vaccination (the same rule should be followed after vaccination);
• if the child is prone to allergic reactions, a few days before the planned administration of the vaccine, it is necessary to start giving antihistamines, which continue to be used in the first days after vaccination;
• Your home medicine cabinet should contain antipyretics containing paracetamol and ibuprofen, which will help you take the necessary measures if your temperature rises. An ointment for local external use will also not hurt if swelling, redness or bruising appears at the injection site. The attending physician will tell you which remedy to choose;
• on the day of vaccination, a careful examination by a pediatrician is mandatory, which will exclude possible symptoms of an incipient disease, which may cause the postponement of vaccination in a particular case for some time until the child recovers;
• If you have chronic diseases, before getting vaccinated, you should undergo the necessary tests to monitor the condition of the baby’s body.

On the day of vaccination, the child should be given a gentle regimen: refrain from swimming and walking, so as not to put additional stress on the body, the work of the immune system of which is aimed at producing antibodies, which in the future will enable the body to resist possible infections.

Contraindications to the administration of DTP vaccine

Before vaccination with the multicomponent DTP vaccine, it is necessary to take into account contraindications to vaccination, which are:

• allergy to vaccine components;
• immunodeficiency states;
• developing pathologies of the nervous system;
• exacerbation of chronic diseases;
• severe conditions after previous vaccinations against whooping cough, diphtheria and tetanus, when convulsions, disturbances in the functioning of the nervous system and high temperature were noted after DPT vaccination (in this case, DPT vaccination is done without whooping cough).

These and any other factors that may affect the child’s condition after vaccination are determined only by a highly qualified specialist who has been observing the child for a long time.

Temperature after DTP: is it worth sounding the alarm?

The first time after the vaccine is administered, parents need to carefully monitor possible changes in the child’s body. When vaccinated against whooping cough, tetanus and diphtheria, indicative reactions occur on the first day.

Hyperthermia is normal as long as the temperature does not exceed 38.5 °C. Despite the recommendations of doctors during illness not to lower the temperature below this level, after vaccination you should immediately give antipyretics to avoid complications. Considering the multicomponent nature of this vaccination, elevated temperature after DTP is observed quite often. In some children it occurs after the first vaccination, in others such a reaction occurs after the third DPT vaccination. Each child's body reacts differently to vaccinations. Some children may have a temperature within normal limits, but this fact does not mean that immunity to infectious diseases such as tetanus, diphtheria and whooping cough is not developed.

Also, the cause of an increase in body temperature may be an inflammatory process at the injection site. In this case, as soon as the redness and swelling are relieved using the medications prescribed by the doctor, the temperature will subside on its own.

Many people are interested in how long the temperature lasts after DPT? It depends on how the immune system reacts to the introduced microorganisms. An increase in temperature to 38.5 °C within five days after vaccination is no exception. Many experts argue that a better vaccine causes fewer adverse reactions. If a child is prone to hyperthermia due to any changes in the body, it is recommended to give preference to a vaccine from an imported manufacturer. This could be the imported vaccine Pentaxim or Infanrix.

After vaccinations against measles, mumps or polio, the temperature may rise 10-14 days after vaccination. In the case of vaccination with DTP vaccine, such a symptom is a sign of the onset of the development of the disease, but does not indicate complications after vaccination.

What to do if a child’s temperature rises after DTP vaccination?

On the first day after vaccination, the child is given an antipyretic drug. If the temperature rises after DPT, use rectal suppositories based on paracetamol or medications in the form of syrup containing ibuprofen. A normal temperature before bedtime is not a reason to refuse candles, since at night the child’s condition may worsen and the temperature may rise sharply.

Sometimes they combine the use of medications containing various active ingredients: suppositories can be with ibuprofen, and for oral administration it is worth using drugs with paracetamol. Such actions will be justified when the action of only one means does not produce results.

In rare cases, the temperature may rise above 38.5°C. How long the temperature lasts after DTP vaccination, which exceeds the norm, depends on the child’s body. It also happens that the temperature below 40°C cannot be brought down within 2-3 days. As soon as it becomes higher than 38.5°C, and antipyretic drugs do not help, you must immediately call an ambulance.

Any medications that help cope with hyperthermia should be given strictly according to instructions to avoid overdose.

Non-medicinal methods will also help with fever:

• it is necessary to create an optimal temperature regime in the child’s room and a sufficient level of humidity, and periodically ventilate the room;
• leave a minimum amount of clothing so as not to overheat the baby;
• limit food intake, as this can cause nausea and vomiting, which will further weaken the body;
• provide plenty of fluids, including special preparations that restore mineral balance (Regidron, Electrolyte, Glucosolan, etc.).

The following actions by parents aimed at reducing the temperature at home would be incorrect:

• use of Aspirin for hyperthermia, which has a number of contraindications and can lead to the development of complications;
• alcohol or vodka rubdowns, since alcohol is absorbed through the skin, which negatively affects the child’s condition;
• bathing can cause a rise in temperature due to the fact that the baby will be in warm water for some time;
• Walking will aggravate the situation, as it will deplete the body even more.

Timely and correct assistance from parents will alleviate the child’s condition after vaccination.

If the temperature has risen sharply or does not respond to the medications used, you should call a doctor who can choose the best means to reduce it.

You can apply a lotion with novocaine to the inflamed injection site. Possible allergic reactions are prevented with the help of antihistamines. Antipyretics help not only cope with hyperthermia, but also relieve pain at the site of vaccine administration.

Taking antiallergic drugs and drugs that reduce fever does not affect the functioning of the immune system and does not prevent the body from producing the necessary antibodies to certain infectious diseases.

After the DTP vaccine has been given, the reaction in children can manifest itself as complications such as: increased body temperature, allergies, nausea and vomiting, febrile convulsions (if the temperature is too high), redness and swelling at the injection site, anaphylactic shock, etc. .

Competent and timely consultation with a doctor, as well as the correct actions of parents in accordance with the above recommendations will help to avoid the unpleasant consequences of vaccination.