QUP

Question

My child is 1 year 7 months old. A few days ago Nurse invited to the vaccination against measles, rubella, mumps. Read the instructions to the drug “Priorix”. In the “Special Instructions” is written: “For children who received immunoglobulin or other blood products, human vaccination is carried out not earlier than 3 months, due to the possible failure as a result of the impact of inaction on antibody vaccine viruses of measles, mumps and rubella.”
1.5 months ago a child was sick and viral infection on the orders of the district pediatrician took “Nazoferon.” I remember your words: “Interferon – a blood product,” read the instructions in “Nazoferon – the drug, based on – recombinant human interferon alpha-2b».Draw the conclusion that the vaccine should not do it now, you have to wait another 1.5 months.
I understand that the clinic vaccination would have done. It turns out that nobody cares what she might have turned out to be ineffective!
I suppose that our pediatrician is no exception to the rule, and pay no attention to it, if not all, many pediatricians, guided by the principle of “no harm, the inefficiency is only possible, but do need vaccinations – a” tick “in the magazine” . And then the opponents of vaccination trumpeting: “Vaccinations are not needed, vaccinated children still get sick.”
But perhaps I made the wrong conclusions, and nazoferon – this is not the drug, which is written in “Special Instructions” manual?

Answer
Conclusions have you really done wrong.
Yes, in the blood of most adults (which, strictly speaking, are the donors of the blood used to prepare immunoglobulin and other drugs), usually have antibodies to measles, rubella, mumps, and these antibodies can definitely make vaccinations ineffective (or not enougheffective). Hence, in the manual and the section “Specific instructions”, you studied in detail.
Nevertheless, recombinant interferon has no relation to medications, which are prepared from human blood. Production of recombinant products is carried out by specific biotech and no contact with human blood in the production process there. There is not only the recombinant but also human leukocyte interferon (one that drip into the nose), but in this preparation are whatever antibodies (immunoglobulins) are absent. The conclusion is – the use of drugs on the basis of leukocyte and recombinant interferons has no influence on the conduct of immunization, ie, vaccine in this situation and do possible, and necessary.

Please note: we are not discussing the question whether in principle the use of interferon preparations for SARS, we simply fix the attention on the fact that these drugs is no direct connection with the vaccination does not have

Question

I read online about a cough and could not find my desired response. 5 days ago led his daughter out of the garden with snot, but in no way treated the ventilation and walks. Two days later, the night began dryly can say even rude to cough and breathe the diagnosis of SARS pediatrician appointment: ACC, Biseptol, geksoral and inhalation of saline on the second day of treatment, the cough was very productive, but this morning early so dry cough does not stop every 10 minutes and attacks, I did lazolvanom inhalation, coughing, a dry and frequent throughout the day. New factors that may cause cough (allergens repair new toys from neighbors, etc.) no air vents are open, the floors washed, slept through the night with an open window. From this dry cough and painful. Now she barely slept, and again this cough her way.

Reply
The above situation and your site, and in the book “ARI” is mentioned repeatedly.
If a child with a lesion of the upper respiratory viral infection (!!!) respiratory tract, so why use drugs that activate the work of the glands of the mucous membranes of the lower respiratory tract (!!!). When your child gets the banal SARS strongest mucolytics acetylcysteine ​​(ACC), he (the child) has a lot of phlegm, that was not enough, apply a second strongest mucolytics Ambroxol (Mucosolvan), sputum became even greater as a result – painful cough. This raises the question, perplexity, “the new factors that can trigger cough … no, from this dry cough and painful?”.
The answer obvious: a cough from the treatment. Treatment of upper respiratory tract infections mucolytics – the most “reliable” way to provoke a cough. In passing, I note that the treatment of SARS biseptol also a good way to provoke a bacterial complication.
To confirm my words and retain information sincerely advise: next time you have it (my mother) will be cold, take acetylcysteine ​​and ambroxol do with inhalation. The chances of a sleepless night with a painful cough will increase significantly.
And now the most sensible – to immediately stop using the drugs mentioned, rinse your nose with saline and quickly go for a walk.

Question

Our child will be vaccinated, which include live vaccines.
Our family lives of HIV-positive. We have heard that some live vaccines are contraindicated if you live in a house together people with HIV. Not for a healthy baby, who will be vaccinated, and for HIV-positive adults. That live vaccines can cause HIV-positive disease, against which vaccination.

Questions:

1 – Is this correct information?
2 – whether a family member with HIV at the time isolated from a child?
3, if so, how long?
4-what vaccinations are dangerous in this case?

Thank you very much for your answers. In the children’s clinic does not distribute such information.

Answer
Yes, indeed, some live vaccines can be dangerous for people with HIV, even if such a vaccine would not immunized by the patient or carrier of the virus, and the people with whom he has a household contact. As a rule, it is only used on one of the CIS vaccine – about oral polio vaccine (OPV), because the close contact with vaccinated HIV-infected can develop VAP (vaktsinassotsiirovanny polio) – a disease caused by vaccine strains of polio which identifies grafted some time after vaccination. In this regard, OPV is highly recommended to replace the inactivated vaccine (IPV) for immunization of both the HIV-infected children and those who are in contact with them. Ie if the polio vaccine is indicated for immunodeficient patients or their family members, you should enter only IPV.

As for other live vaccines (measles, rubella, mumps), then they may well be to vaccinate children who are in contact with HIV-positive. Grafted a vaccine the child is not contagious and is not dangerous to others. In some cases (except in cases of severe immunodeficiency) with live vaccine against measles, mumps and rubella vaccinated and infected with HIV themselves.

QUESTION
How harmful or helpful to such a device as ”kengurushka”, i.e. knapsack, in which thebaby is hanging on my mother, and there is no need to carry a wheelchair. At what age should it be used?
ANSWER
By kengurushkam I’m calm but wary. I think that the convenience of mothers is obvious.Again, I think that creates a premature kengrushka vertical load on the spine, whichcould haunt later (with all sorts of sciatica) - but this is only my guess. But the fact that the answer to the question of the harmfulness or usefulness of this device is not ready - is obvious. The experiment continues.

QUESTION
Have you noticed any tendencies how age of a child depends on illnesses?

ANSWER
There are some trends. For example: the first labour is often very heavy, so the firstborn has neurological problems associated with the heavy delivery.  Parents make many errors thanks to fear for the health of the baby and the fear of liability. As a consequence – overfeeding, overheating, the search of disease, excessive medication. They will avoid so many errors with a second child. Many, but not all. Some parents terrified by the experience with the first child will  ”save” the second even more actively.

QUESTION
Please explain whether you can use to remove secretions from the nose, various assistive devices – nasal aspirators, etc. And our pediatrician and the ENT doctor said that it is possible. But I often hear from friends is an opinion that is impossible. What can be something somewhere to tighten and cause otitis media. Allow me, please, my doubts.The child is 1 year and 1 month old.

ANSWER
It is clear that underage child can not fully (consciously) blow his nose. Hence the theoretical and the practical feasibility of using assistive devices – pears, pipettes, syringes, mechanical and electrical suction, attachments for a vacuum cleaner, vatok, sticks, my mother’s, grandmother’s fingers, etc.
The danger of all these devices is a significant likelihood of mechanical damage: on one hand not every adult is able to control their own motion, on the other – there are few children who can lie quietly and not turn my head during the manipulation of the nose.Another point concerns only the use of aspirators: any such unit at the wrong (inaccurate) the application can stick to the mucosa of the nasal passages and seriously injure her, up to nosebleeds.
Summary: vacuum cleaners can be used, but it is better not to use available means and devices specially designed for removing mucus, which have smooth soft edges, constraints that prevent deeper introducing them into the nasal passages. Necessarily with the absence of shaking hands and understanding that such a sense of proportion.
However, starting the suctioning snot remember the main point: liquid snot can easily leak yourself (from the nose to the outside or on the back of the throat – inside). Thick mucus, you can not “get” or with the help of aspirator, or using other available tools.Therefore, every effort should be to ensure that reduce the need for Aspirator – support in the nursery the optimum parameters of temperature and humidity, use of saline for dilution (to avoid drying out) snot.

Question
How to treat a baby crying? A child screams, what parents should do?
Answer
Understand that the baby crying always (!) Has a cause. Or unmet physiological needs (eating, drinking, peeing, shitting, breathing), pain or discomfort. The main thing – to find the cause and fix … And you will be happy. Search and find the cause – are trained pediatricians, but the search capabilities of monitoring the parents a lot more, though, because much more time for observation and experimentation. If at the time of observation and add some knowledge, so find out the cause of crying is not difficult. Well, for each specific cause is quite certain how to fix it.
Summary. What do parents? Search and attack the causes. Study. In complex and obscure cases involve children’s doctors. Study again. Read a book. Listen to audiobooks. Use a computer – you even made a special training program …

Question
What should breastfeeding mother do at the first sign of cold? 

Answer
Under a cold, you will likely mean the manifestation of respiratory viral infection: stuffy nose, cough and mild fever. Immediately it should be noted that from the standpoint of civilized medicine to stop the development of viral infection can not be any honey or lemon, or garlic. Therefore, when the first signs of infection should dress warmly, but to ensure the regime of cool moist air, often dripping in saline nose drops (normal saline), drink plenty of warm fluids (mineral water, tea, juice, etc.). Approaching the child to use a gauze mask. Mentioned salt solutions to drip as a child, it can protect it from viruses. Another way to protect – are regularly ventilated room, since viruses are killed instantly in the moving air.

Question
What is the temperature at cold (nozzle flow) for the 6-month-old baby is considered to be critical (for example, to conclude – the kid really seriously unwell)? And what needs to be treated at this critical temperature?

Answer

The common cold – is a disease associated with hypothermia. At six-month child colds usually does not happen, but the snot flow due to viral infections. And no such thing as a “critical temperature” does not exist. For the first year children temperature up to 37.2 C (measured in the armpit) are usually considered normal. Important thing to understand: do not treat fever, a disease that causes this temperature. You have to remember that “heat treat” does not mean to give antipyretics. Curing temperature – this means creating conditions under which the child will be able to lose enough heat: do everything he needs to breathe clean cool moist air, dress warmly, limit the amount of food and drink to intensify. Can not mention specific numbers on the thermometer when it is necessary to use antipyretics. Nevertheless, if the child does not tolerate the temperature, if it is above 39 C, if the room is hot, if not breathing nose – this is a real testimony to the use of antipyretic drugs.