## UIP Schedule at 6 Months **Key Point:** At 6 months of age, the infant is due for the second dose of primary immunisation series. The current UIP schedule (as per 2023 guidelines) includes: ### Vaccines at 6 Months (DPT-2 visit) | Vaccine | Dose | Route | Notes | |---------|------|-------|-------| | DPT | 2nd dose | IM | Diphtheria, Pertussis, Tetanus | | IPV | 2nd dose | IM | Inactivated Polio Vaccine (replaces OPV-2) | | Hepatitis B | 2nd dose | IM | Recombinant vaccine | | PCV | 2nd dose | IM | Pneumococcal Conjugate Vaccine | | Rotavirus | 2nd dose | Oral | Oral rotavirus vaccine | **High-Yield:** The UIP has transitioned from OPV to a mixed schedule: OPV-0 at birth, then IPV from 6 weeks onwards. This is the **IPV-dominant schedule** to eliminate polio while maintaining herd immunity. ### Contraindications to Vaccination **Clinical Pearl:** Recent diarrhoea (even 2 days ago, now resolved) is **NOT a contraindication** to oral Rotavirus vaccine. The vaccine can be administered even if the child has had recent gastroenteritis, provided: - The acute illness has resolved - The child is feeding normally - There is no ongoing severe diarrhoea **Warning:** Do NOT defer vaccines for minor illnesses like mild diarrhoea. This is a common misconception and leads to delayed immunisation. ### Why Not Defer? Mild illness, even gastrointestinal, is an **acceptable condition** for vaccination. Deferral is only indicated for: - Severe acute illness (with fever >38.5°C) - Severe gastroenteritis with ongoing fluid loss - Immunocompromise - Recent receipt of live vaccine (not applicable here) **Mnemonic:** **DEFER vaccines only for:** **S**evere acute illness, **E**ncephalopathy, **V**accine allergy, **E**ncephalitis, **R**ecent live vaccine Mild diarrhoea does not fit any of these criteria.
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