Incidence and Pattern of Adverse Events in Pentavalent Vaccine Recipients in Pune, India

Authors

  • Barun Bhai Patel Department of Community Medicine, Armed Forces Medical College, Pune
  • Kapil Harish Pandya Department of Community Medicine, Armed Forces Medical College, Pune
  • Bikal Shrestha Nepalese Army Institute Of Health Sciences
  • Raj Kumar Armed Forces Medical College, Pune,
  • Atul Kotwal Armed Forces Medical College, Pune

DOI:

https://doi.org/10.3126/mjsbh.v16i1.17304

Keywords:

pentavalent, AEFI, tertiary centre

Abstract

Introduction: Safety monitoring of vaccines used in routine programmes on immunization is important in all settings. There is a lot of debate in the country about the relevance of the pentavalent vaccine in general and the Hib component in particular, in view of reports of deaths in children following immunization. This study was conducted to evaluate the incidence and profile of AEFI in children receiving pentavalent vaccine. 

Methods: A cohort study was conducted between May to Oct 2012, in a tertiary care hospital, Pune. Exposed groups received pentavalent vaccine, while the control received DPT or DPT + Hep B. Both the groups were followed up telephonically after 24 hr, 48 hr, 72 hr and 7 days following vaccination. 175 children in both groups were studied. Convenient sampling was done recruiting consecutive vaccinees till the sample size was achieved. Frequency, percentage, mean difference (T test) and chi square test was used to find association

Results: 100 % children were institutional delivery. In controls, 80 % received DPT and Hep B, rest received only DPT. Fever was present in 76.2 % among exposed and 26.7% among non-exposed. Presence of fever after 1 day following immunization was significantly associated with exposed group (P=0.003). In 19 % exposed group fever continued for 2nd day. Other side effects included swelling (4.8 %) and reduced appetite (4.8 %) among exposed.

Conclusion: Pentavalent vaccine does not increase the probability of deaths among the vaccines vis-a-vis nor receivers. The profile of AEFI among both the groups, except fever, is similar as far as frequency and severity is concerned.

 


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Author Biographies

Barun Bhai Patel, Department of Community Medicine, Armed Forces Medical College, Pune

Community Medicine Specialist

Kapil Harish Pandya, Department of Community Medicine, Armed Forces Medical College, Pune

Community Medicine Specialist

Bikal Shrestha, Nepalese Army Institute Of Health Sciences

Assistant Professor

Raj Kumar, Armed Forces Medical College, Pune,

Deparment of Community Medicine

Professor

Atul Kotwal, Armed Forces Medical College, Pune

Department of Community Medicine,

Professor

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Published

2017-08-21

How to Cite

Patel, B. B., Pandya, K. H., Shrestha, B., Kumar, R., & Kotwal, A. (2017). Incidence and Pattern of Adverse Events in Pentavalent Vaccine Recipients in Pune, India. Medical Journal of Shree Birendra Hospital, 16(1), 8–13. https://doi.org/10.3126/mjsbh.v16i1.17304

Issue

Section

Original Articles