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1 May 2026Potentially dangerous, obsolete, or ineffectiveSource update: December 2024

Diphtheria-tetanus-pertussis vaccine (DTP)

DTP vaccine guidance retained as a replaced reference, with primary and booster schedules and standard precautions.

This guide page is for structured reference only and does not replace a clinician, pharmacist, or emergency review. Dose choice, route choice, interactions, and safety decisions still need professional judgment.

Use restrictions

This vaccine has been replaced by the pentavalent DTP/Hepatitis B/Hib vaccine.

Indications

Prevention of diphtheria, tetanus and pertussis in children under 7 years (primary vaccination and booster dose).

Composition, forms, route of administration

Trivalent vaccine combining diphtheria toxoid, tetanus toxoid and whole-cell or acellular pertussis vaccine.

Suspension for injection in multidose vial, for IM injection into the anterolateral part of the thigh in children under 2 years and in the deltoid muscle in children 2 years and over.

Dosage and vaccination schedule

Child: 0.5 ml per dose.

  • Primary vaccination: 3 doses 4 weeks apart, preferably before the age of 6 months.
  • It is recommended to administer the first dose at 6 weeks of age, the second dose at 10 weeks of age and the third dose at 14 weeks of age.
  • If a child has not been vaccinated at 6 weeks of age, start vaccination as soon as possible.
  • Booster: one dose between 12 and 23 months.

Contra-indications, adverse effects, precautions

  • Do not administer in the event of allergic reactions to a previous dose of DTP vaccine or evolving neurological disease such as encephalopathy or uncontrolled epilepsy.
  • Vaccination should be postponed in the event of severe acute febrile illness; minor infections are not contra-indications.
  • May cause mild local reactions at the injection site, fever, fatigue, malaise, and rarely anaphylactic reactions or seizures.
  • Respect an interval of 4 weeks between each dose of primary vaccination.
  • If administered simultaneously with other vaccines, use different syringes and injection sites.

Source

MSF Essential drugs practical guidelines (January 2026)

This page reproduces the structured reference information for this batch while leaving out the Storage and Remarks sections.

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