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Expert Opinion
Q. Which hib strains are prevalent in India? Is there any vaccine specific to it? Is there any advantage of hib pro over sihib in serum?
Post Date : 26 Apr 2026
Expert Opinion:
In India, as in many countries, there is a lack of local Hib disease burden data. In India, a number of hospital-based studies have shown that, as in other parts of the world, Hib is generally the most common endemic cause of bacterial meningitis in children.
As per the WHO, all Hib vaccines are equally effective.

Q. I have a female infant patient whose problem started when she was 5-6 months she started having arch.......
Post Date : 19 Apr 2026
Expert Opinion:
Yes, mosapride may be useful. If GER is significant and child has FTT, then surgery may be considered.

Q. A preterm VLBW newborn (30 weeks of gestation, weight 1.30 kg) on day 8 has good sucking and is accepting 15 ml EBM RTF 3 hourly. Can we go for breastfeeding at 30 weeks of gestation?
Post Date : 12 Apr 2026
Expert Opinion:
Generally, as a rule of thumb, babies don`t have the energy and knowledge of sucking till 33 or 34 weeks of gestation. But every rule has an exception! Some babies, especially those with IUGR, behave more maturely. At 1.30 Kgs, if the baby is doing well with NO RDS, there is no reason NOT to try breastfeeding. But it needs to be attempted at the NICU with experienced nursing supervision to prevent aspiration pneumonia!

Q. What should be the standard symptomatic treatment for cough without fever in a child of less than 6 months of age and less than 2 years of age due to suspected viral infection?
Post Date : 04 Apr 2026
Expert Opinion:
No cough syrups are recommended in children less than 2 years of age. Paracetamol as antiinflammatory is useful even if there is no fever.


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