A 6-week-old infant is brought for immunization. The mother reports the child had a seizure 2 days after the first DPT dose given at birth. What is the correct action regarding further pertussis-containing vaccination?

• A Continue DPT as scheduled since seizure is not a contraindication
• B Contraindicate all further pertussis-containing vaccines
• C Defer all further vaccinations permanently
• D Give DT instead of DPT for remaining doses ✓

Explanation

A seizure within 72 hours of a pertussis-containing vaccine is a precaution. The recommendation is to use DT without pertussis for subsequent doses. Option B applies only if encephalopathy occurs within 7 days. Option A is incorrect because a seizure is a significant adverse event requiring a change in schedule. Option C is too restrictive and not recommended.

Reference: Park's Textbook of Preventive and Social Medicine, 27th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.