Is it possible to make Mantu at a temperature: advice from doctors

The DPT vaccine (adsorbed pertussis-diphtheria-tetanus) is administered in several doses throughout childhood.
In general, the vaccine is well tolerated, as evidenced by the words of doctors and favorable reviews from parents. However, everyone’s immune systems are different, as well as their anatomical and physiological characteristics, so it would be wrong to talk about the complete safety of the vaccine. Various side effects are possible, especially if the vaccine is of insufficient quality or contains harmful impurities. Elevated temperature after DTP develops in 5-15% of cases, according to various sources. Typically, the thermometer readings do not exceed 37.5 degrees, the reaction duration is from 1 to 3 days.

What is DPT?

This is the standard vaccination against whooping cough, diphtheria and tetanus. Used three times: at 3, 5, 6 months. Revaccination is also carried out three times: at 1.5, 6, 14 years, although the timing is individual and may vary within a year.

An increase in body temperature is considered a relatively common reaction to the administration of the drug.

Unfortunately, the drugs produced in Russia for vaccinating the population contain many impurities that do not carry a useful load: formaldehyde and merthiolate (mercury compound). This greatly increases the likelihood of side effects. But, due to their cheapness, they use them. For what purpose are such dangerous compounds added to medications? To prevent the return of pathogenic microorganism activity. This is a proven outdated technology, however it is still used in production.

If you have a choice, it is better to focus on foreign analogues with the following names: Infanrix in various modifications (IPV, Hexa), Pentaxim.

Can a child have a cough after DPT vaccination?

The DPT vaccine is considered one of the most reagent. The pertussis component in its composition mainly causes all the adverse reactions. This vaccination is given to children 4 times. The first 3 are given to infants, starting from 3 months of age and then with a break of about 1.5 months.

The last fourth vaccination with this vaccine is given at 1.5 years. This scheme allows you to obtain lasting immunity to these diseases. In the future, revaccination is carried out with ADS or ADS-M, which no longer contain whooping cough components and do not cause such violent reactions in the body.

Sometimes parents choose an imported analogue of this vaccine - Pentaxim, which protects against 5 diseases at once. The pertussis component in its composition has an acellular form, therefore it does not cause such strong “side effects” as DTP.

When vaccinated with DPT, the body's reaction usually manifests itself in the first two days. Observed:

weakness;
lack of appetite;
prostration;
drowsiness or insomnia.

Sometimes the temperature may rise. But if it does not exceed 38 °C, this reaction is considered normal and does not require any action. If the temperature is too high, it is recommended to give the child antipyretic drugs.

If such symptoms appear, as well as for preventive purposes, it is recommended:

limit physical activity;
give only healthy food;
do not overfeed;
drink more.

Usually all negative phenomena disappear after 2 days. But on the third day, the child may develop snot and cough, which can also cause a fever. This is not an adverse reaction to DTP, but is directly related to vaccination.

Normal body reaction to vaccination

The most adequate reaction to any vaccine, including DPT, is the complete absence of any reaction. This is possible under two conditions:

Finding a person in completely favorable, greenhouse conditions.
The highest quality vaccine with a minimum of impurities.

The first is impossible due to the aggressiveness of the external environment: constant contact with pathogenic and opportunistic microorganisms, viruses, fungi, changes in humidity, temperature, intensity of solar radiation, etc. The second also, for the reasons already mentioned.

Therefore, there are risks of increased body temperature and other adverse events. But you shouldn't be afraid of them. Vaccinations rarely lead to death or severe disability, despite many high-profile cases. It should be understood that only isolated moments appear on screens and in periodicals, but everyone is vaccinated, there are millions of them. The share of “unlucky” people ranges from 0.2 to 0.5%, according to unrefined data.

What accompanying signs accompany body temperature after administration of the drug? This:

Moodiness. Appears during the initial administration of the vaccine. The child constantly cries and does not sleep.
Redness of the skin. As a result of the development of an allergic reaction, hives (rash) may appear. This is a warning sign and you should consult a doctor immediately.
Diarrhea, digestive disorders, frequent regurgitation.
Redness of the injection site.
Swelling of the limb.

The temperature after DTP rises to 37-37.5 degrees Celsius. Rarely is it higher, but these cases require medical intervention.

Older patients can formulate complaints more precisely:

Headache, dizziness, nausea, weakness, drowsiness due to intoxication of the body.
Feeling hot or chilly.
Abdominal pain, rumbling.
Disruption of the digestion process.

Such manifestations do not reach a high degree of intensity. After a few days everything returns to normal. Do you need a doctor's help? In most cases, no.

But, if after DTP vaccination the temperature rises above 38 degrees, especially in a small child, you should call an ambulance.

Why does the temperature rise after the DTP vaccine?

The temperature reaction develops for several reasons; often there is a combination of a group of factors:

Entry of microbes into the body. They are identified by the body as foreign agents or antigens. Depending on the intensity of the immune response, there will be no temperature at all or it will increase within a certain limit. The proportionality is direct: the stronger the body’s defenses, the higher the indicator. Penetrating into the brain structures, antigen complexes stimulate special parts of the hypothalamus (the thermoregulation center in the brain), which provokes an increase in the thermometer.
Allergic reaction to the administered vaccine. DTP has different tolerance, not least due to the presence of harmful impurities in the composition. The result is a slight increase in body temperature. But it can’t be 38 degrees, this is no longer an allergic reaction.
Coincidence. The temperature after DPT vaccination may be a simple coincidence of the moment of vaccine administration and the onset of the infectious-inflammatory process. One may be conditioned by the other: the immune system is busy fighting the imaginary threat from vaccination. If it is weakened, then there is no strength left to eliminate real bacterial or viral pathogens.
Infection of the wound surface. When scratching the injection site, pathogenic flora may penetrate into the skin layers, from where microbes can spread throughout the body. Therefore, mechanical impact on the area is prohibited.

Temperature after vaccination against tetanus, diphtheria, whooping cough occurs as a multifactorial process. In this case, you need to fight the root cause, while simultaneously eliminating the symptom.

Temperature readings after DTP

Depending on a combination of factors, the thermometer may show the following values:

37-37.5 is a classic situation.
A temperature of 38 after DTP is also possible. This is a borderline indicator.
After DTP, a temperature of 39 is a rare occurrence, but possible. Indicates the development of complications and requires calling an ambulance.

High fever after DPT always requires medical evaluation. Especially if it is above 38 degrees Celsius. In relatively mild cases, consultation with a pediatrician or pediatric dermatologist is sufficient. In other clinical situations, you cannot do without calling an ambulance.

An urgent call to the brigade is also necessary in the following cases:

Lack of effect after taking antipyretic medications. Stability of the pathological condition.
The presence of cramps - painful muscle spasms.
Impaired consciousness such as fainting or stupor. If you can get out of the first child on your own, then you won’t be able to get out of the second on your own.
Redness of the skin, shortness of breath or suffocation, mechanical asphyxia due to swelling of the throat.

It shouldn't come to this. At one point, serious complications do not arise, not counting anaphylactic shock.

How long does the temperature last after DPT?

Typically, the duration of the temperature reaction is 2-3 days. The temperature from DTP vaccination rises after 15-40 minutes and remains stable throughout the day. In the morning it is lower or absent, and in the evening it rises.

How many days does the fever last after DTP vaccination in the presence of a concomitant infectious-inflammatory process? On average, from 5 to 14 days without complex treatment. In this case, manifestations of fever after administration of the drug are lost against the background of general signs of a pathogenic condition.

The principles of treatment, however, are identical. If the thermometer remains consistently high, you should contact a pediatrician or dermatologist.

How to avoid high fever after vaccination?

To reduce the risk of developing hyperthermia to the maximum, it is necessary to vaccinate only a healthy baby.

Acute respiratory infections, acute respiratory viral infections, fever, allergies are reasons for temporarily refusing immunization. Before visiting the manipulation room, be sure to measure the baby’s temperature and show it to the doctor to exclude the presence of contraindications for vaccination.

1-2 days before vaccination, it is necessary to give the baby Suprastin in the dosage prescribed by the doctor. The use of antihistamines will reduce the likelihood of developing allergies. After vaccination, you should not take your baby outside or bathe him for 1-2 days.

If necessary, wipe the child with wet wipes. It is also necessary to avoid staying in crowded places, communicating with infected people and introducing new foods into the baby’s diet.

Temperature after revaccination

Revaccination, that is, repeated administration of the drug, is carried out three times after the main course of vaccinations: at 1.5, 5-6, 14-15 years. Usually repeated procedures are easily tolerated. Temperature after DPT revaccination has two exceptions:

Poor quality vaccine or drug from another manufacturer.
Allergic reactions that have already formed before.

In the first case, there is an individual reaction of the body to a new drug. If something else was previously administered, it is difficult to say how the body will react to a drug with a different chemical composition.

In the second case, a paradoxical reaction of the body to drugs appears: after the first vaccinations, intolerance is formed, the body responds accordingly.

Moreover, temperature is not the only symptom. The process is accompanied by a runny nose, lacrimation, itchy skin, itching in the nose, eyes, nasal congestion, urticaria, papular rash as with chickenpox and other phenomena.

Therefore, each subsequent vaccination, even though it has already been carried out before, requires consultation with an immunologist-allergist.

To avoid pathological responses of the body, in no case should you vaccinate a child in the following cases:

Allergic reaction of a polyvalent nature (to many drugs).
Acute infectious and inflammatory process in the body.
Teething.
Endocrine pathologies in the medical history, exacerbation or decompensation phase.

In a word, a fever may occur after the second DPT vaccination and subsequent ones; you need to prepare for this.

Is it necessary to lower the temperature during DTP?

The answer to this question depends on the temperature indicator itself. The general rule is this: if the child’s thermometer readings rise to 38.1 degrees, the indicator needs to be brought down.

What temperature should I lower after DTP? 38.1 and above!

But, if you have been vaccinated with DTP and the temperature rises, plus threatening symptoms are added: hives, breathing problems, then you need to not only stop the fever, but also call an ambulance.

Relieving fever yourself should be done with caution.

How to lower the temperature after DTP?

A child’s temperature after DTP is reduced by several groups of antipyretic drugs:

Ibuprofen-based products (Ibuprofen, Nurofen). These are the most suitable drugs that have a minimum of side effects and a maximum of beneficial effects.
Medicines based on paracetamol (classic Paracetamol or Panadol). But the medicine should be used in strictly specified dosages, because it significantly affects the liver.

Other medications, such as metamizole sodium (Analgin, Pentalgin) or especially acetylsalicylic acid, should be excluded from the list. They pose a significant risk and are not intended for children.

The temperature after DTP in a baby is reduced only by Panadol in the form of a suspension.

If the temperature does not drop after DTP, then you need to call an ambulance.

How to eliminate hyperthermia in a child

To reduce the likelihood of allergic reactions in a child after DTP, the pediatrician may advise taking an antihistamine the day before. If the child still has a fever after the DTP vaccination, it is necessary to reset it.

To eliminate hyperthermia, pediatricians recommend:

Panadol, Eferalgan, Tylenol, Cefekon and other medications based on paracetamol. Antipyretics for children are usually available in the form of suppositories or syrups. Antipyretic syrup can be given to the child at night on the first day after vaccination to prevent hyperthermia;
Ibuprofen, Nurofen, Burana syrups, as well as other non-steroidal anti-inflammatory drugs should be used if the temperature rises above 38°C;
if neither paracetamol nor ibuprofen help, you can give the child a stronger drug - Nimesulide (Nise, Nimesil, etc.);
You can wipe your child with a vinegar solution the old fashioned way. There is no need to use vodka for this, which dries out the skin.

Under no circumstances should a child be given aspirin or aspirin-containing medications.

The syrup is given to the baby using a dispenser syringe, which is usually included in the box. The baby needs to be held and the medicine carefully administered as close to the root of the tongue and to the pharynx as possible - then it will be much more difficult to spit it out.

To avoid catching an infection during the recovery period after vaccination, you do not need to walk in crowded places for several days. Although the walks themselves will be very useful, provided there is no temperature. When there is a fever, you do not need to wash the child; just wipe him with a sanitary napkin.

Possible complications of vaccination

Side effects are relatively rare, even when using Russian drugs. Possible consequences include:

Long-term headache. It is a consequence of intoxication of the body.
An allergic reaction, the formation of a pronounced immune response to the vaccine. Usually appears after the first or second administration of the drug. May reveal itself during revaccination. Requires a change in drug for subsequent administration and use of first-generation antihistamines.
Injection site infection.

In advanced cases, severe disability or even death occurs. As a rule, this is on the conscience of doctors who vaccinate without preliminary diagnosis and without determining the quality of the child’s health. Therefore, before carrying out the procedure, the parents themselves must insist on assessing the condition of their child.

Why does the temperature rise after DPT and polio vaccination?

Medical practice confirms that of all vaccines, DTP is the most difficult for children to tolerate; this fact worries parents. Side effects appear within the first day after administration of the drug and can persist for up to three days. This is a normal reaction of the body, which fights pathogenic organisms that have entered it and develops immunity. If after vaccination there are no changes at all, then this condition is considered abnormal and requires a thorough examination of the child’s body.

Table. Functionally acceptable reactions to the vaccine.

Child's reaction	Short description
Slight redness and swelling at the injection site	A child's skin is very delicate and actively reacts to various injuries. During the injection, the needle irritates the skin, which inevitably causes it to redden. The same reaction of a child’s skin is observed after ordinary scratches or other damage - it swells a little and turns red. The symptom goes away on its own by the end of the first day. Of course, during vaccination, the doctor must strictly follow the rules of disinfection and not introduce pathogenic organisms.
Slight decrease in appetite, lethargy and apathy	The internal forces of the body are thrown into the fight against viruses, which requires a lot of effort. Accordingly, the child feels uncomfortable, moves less, and sleeps more often. Loose stools may appear.
Temperature increase	This is a consequence of the fact that the vaccine has begun to work, the body is trying to cope with the pathogens. A completely natural reaction, but only when the temperature does not go beyond the established norms. Which ones exactly – we’ll talk about this in more detail below.

Conclusion

The combined vaccination against whooping cough, diphtheria, and tetanus is relatively safe. In urban life, it is difficult to encounter tetanus, like other pathologies, but it is better to be fully prepared. The temperature after the vaccine often does not pose any threat. However, you should carefully monitor the child’s condition, and in case of any deviations, consult a doctor.

Author of the article: Artem Shimansky, practicing physician. Graduated from Saratov Medical University. Since 2008 he has been practicing in Wroclaw (Poland). Specialization: urologist-andrologist.

When to see a doctor

Parents should consult a doctor in all controversial and doubtful situations. If a child has a fever, and antipyretic drugs easily bring it down, then there is no reason to worry. When parents see that the child’s condition is worsening regardless of the temperature, it is better to consult a pediatrician.

Indications for contacting a doctor after immunization:

spots, rashes or other signs of allergies appear on the body;
the temperature does not drop well, and antipyretics do not help for long;
the baby has white fever and convulsions;
4-5 days after vaccination the patient’s well-being does not improve or continues to deteriorate;
The child caught a cold immediately after vaccination.

Fever after vaccination is normal. Only isolated cases require immediate medical attention. After immunization, parents should monitor the baby’s well-being, and if in any doubt, consult a local pediatrician.