19/02/2026
Eto ung minsan na problem sa clinic.
"Doc, d po kami binigyan ng penta at opv kasi daw kakarota lang ni baby
Dapat daw 1 month pa"
Kahit magletter ako addressed sa center na pwede naman based sa latest immunization guidelines since pareho silang ORAL, ayaw pa rin bigyan.
Live Vaccines given thru SQ or IM route may be given the same day or 1 month interval. SQ or IM route lang, oral pwede.
🦸♂️🦸♀️🦹♂️ BAKUNA NG BATA SERIES 🦸♂️🦸♀️🦹♂️
Oral Polio Vaccine (OPV) and Rotavirus Vaccine: NO Required Interval Between Them in the Philippines
🩶issues:
- Dati may mga parents na bumabalik from health centers dahil ayaw bakunahan ang anak nila after ko magbigay ng oral rotavirus vaccine.
- Some parents ay worried dahil sa nabasa sa kung saan saan.
🤓potential sources of confusion:
1. May mga countries daw recommending at least 2 weeks interval sa pagitan ng OPV and rotavirus. It is possibly from lab data showing some decreased effect sa response kapag less than 2 weeks interval. Wala raw change in response after two weeks.
❗However, lab data lang iyon. Sa studies on actual na tao, wala namang effect na nakita. "There is evidence that high level of efficacy against severe gastroenteritis is maintained."
2. May mga nalilito sa general rule na ang different live vaccines ay kailangan mabigay either same day or at least 4 weeks apart at hindi puwedeng few days apart.
❗That rule applies to injectable live vaccines and NOT to oral live vaccine.
ex. nagpainject today ng MCV sa health center, hindi puwede magpainject bukas ng j*p enceph sa private pedia
ex. nagoral rotavirus today sa private pedia... bukas puwede magoral polio vaccine kahit pareho silang live vaccines
👨🏻⚕solutions:
1. It is nice to try to broaden our knowledge by reading international publications pero double check if applicable sa Pinas ang nabasa. Several countries, including the Philippines, do NOT require any interval between OPV and rotavirus.
2. Kung may problems with health center, pedia can write letter saying na puwedeng ituloy ang center vaccines and that wala namang required interval between OPV and rota.
Dr. Zane Kevin Ko Gervacio
(Las Piñas pediatrician)
💚💚💚
💙💛❤️
yt - Zane & Dorps, MD
https://www.youtube.com/c/ZaneDorpsMD
Para matuto tungkol sa iba pang vaccine issues:
https://www.facebook.com/doczane/photos/a.339454020090213/574867699882176/?type=3&theater