Çocuk Sağlığı ve Hastalıkları Dergisi
2010 , Vol 53 , Num 1
Does prophylactic administration of analgesics affect febrile reaction incidence and vaccine responses?
Hacettepe Üniversitesi Tıp Fakültesi Pediatri Profesörü
Our aim was to review the literature examining the effect of prophylactic
administration of analgesics on febrile reaction incidence and vaccine responses.
MEDLINE, EMBASE and PubMed were searched to identify randomized
controlled trials on this subject. Use of prophylactic analgesics (acetaminophen
or ibuprofen) may reduce the incidence of febrile reactions in infants aged
2-6 months receiving DTwP (diphtheria-tetanus whole cell pertussis) vaccine.
At present, DTwP has been replaced with DTaP (diphtheria-tetanus-acellular
pertussis), and fever greater than 39.5°C is uncommon for the other childhood
vaccines not containing whole cell pertussis. Administration of prophylactic
paracetamol was shown to reduce antibody responses of several vaccines
significantly after both primary vaccination (pneumococcal vaccine serotypes,
protein D, anti-polyribosyl-ribitol phosphate, anti-diphtheria, anti-tetanus, and
anti-pertactin) and boosting (pneumococcal vaccine serotypes apart from 19F,
protein D, and anti-tetanus). In conclusion, prophylactic paracetamol should not
be given at vaccination, due to no evident benefit for moderate-severe adverse
events of vaccines, given the possible reduction in vaccine responses.
Anahtar Kelimeler :
parasetamol proflaksisi, analjezik, aşı yanıtı, febril reaksiyon.