We asked to deepen the topic vaccines for children with Neurolesions at Pier Luigi Lopalco, medical surgeon, specialist in hygiene and preventive medicine and full professor of hygiene at the Department of Translational Research and new technologies in Medicine and Surgery of the University of Pisa.


What are the major risks that a child with non-vaccinated neurolesions can run compared to a healthy child?

Children with chronic basic diseases are on average more fragile than other children if they are suffering from infectious diseases. The possible complications of a viral disease (such as pneumonia) may have on a child with even more severe neuroinjury effects. That is why these children have to be vaccinated with even greater priority than the others.

Is it better to have a unique administration of the vaccine or several times?

Combined vaccines offer the enormous advantage of reducing the number of administrations. This also means reducing the risk of adverse events related to vaccine administration: local reactions (redness, swelling, hardening) and general (fever, general malaise) are linked to the single injection, thus reducing the number of Injections, you reduce the risk of reactions.

Are there vaccines not recommended for healthy children, recommended instead to our babies?

The varicella vaccine is strongly recommended to all children and, for the reasons listed above, even more so for children with Neurolesions. The only vaccine in the pediatric area currently recommended only to children with chronic concomitant pathologies is the flu vaccine.

Are there cases where the correlation between vaccine and worsening of the health of the Cerebrolesus has been scientifically demonstrated?

No. On the contrary, the highest impact of infectious diseases on these children is demonstrated. Emblematic is the case of the influence for which there are many scientific evidences.

This is the page of the CDC where the most evidences are collected:


This is a Vaccine review that talks about the problem:

Are the active ingredients of some vaccines interfering with other therapies (e.g., antiepileptics, Cardioaspirin, etc.)?

No. The administration of other drugs does not counter the vaccination, except for immunosuppressants. In This case you have to wait for the end of immunosuppressor therapy to initiate vaccinations.

Is there a prophylaxis to avoid febrile reactions?

The problem of fever prophylaxis has been widely debated. The current tendency is not to administer anti-inflammatory drugs to prevent fever, but to administer these drugs at full doses at the first onset of fever. This seems to be the most effective strategy to avoid the risk of febrile seizures.

Are there any tests to assess beforehand whether a child is allergic to substances contained in individual vaccines?

No. There is no test of any kind that can make a vaccination hypothetically safer. Allergic reactions to vaccines are extremely rare and should be addressed when they arise. In a child who had an allergic reaction after a vaccination, subsequent vaccinations should be cautiously addressed and there may also be an occurrence (once the allergic reaction has been assessed and the necessary risk-benefit assessment is made) That the second dose of vaccine is not administered.