Bcg vaccination where is it administered
PDF pdf icon — k. Many foreign-born persons have been BCG-vaccinated. BCG is used in many countries with a high prevalence of TB to prevent childhood tuberculous meningitis and miliary disease. The BCG vaccine should be considered only for very select persons who meet specific criteria and in consultation with a TB expert. BCG vaccination should only be considered for children who have a negative tuberculin skin test and who are continually exposed, and cannot be separated from, adults who.
Health Care Workers. BCG vaccination of health care workers should be considered on an individual basis in settings in which. BCG vaccination should not be given to persons who are immunosuppressed e. BCG vaccination should not be given during pregnancy. Even though no harmful effects of BCG vaccination on the fetus have been observed, further studies are needed to prove its safety.
Instead, the BCG vaccine is a liquid placed directly onto the skin of your upper arm. Then a multi-pronged needle device is used to prick the skin through the liquid to deliver the vaccine into the shallow layers of skin.
These needle sticks are not deep, but they will cause some soreness and minor bleeding. You may have flu-like symptoms for up to 2 days after you receive BCG vaccine. Call your doctor at once if you have a fever of degrees F or higher. Within 10 to 14 days after receiving this vaccine, you should see small red bumps on your skin where the vaccine and needle device were placed.
This red area will gradually grow larger after 4 to 6 weeks, and then scale and fade. After 6 months you will most likely have little to no scar. BCG vaccine contains a live form of tuberculosis bacteria, which can "shed" from your injection site.
This means that for a short time after you receive the vaccine, your vaccination sore will be contagious and could spread the bacteria to anything or anyone who touches it. Keep your vaccination sore loosely covered with clothing or a light gauze dressing for at least 24 hours. Tell your doctor if you have any unexpected skin changes or severe irritation, lesions, or oozing where the needle sticks were placed. These reactions could occur up to 5 months after you received BCG vaccine.
This vaccine is usually given as a single dose. You may need a repeat vaccine if your TB skin test is still negative 2 to 3 months after you received your first BCG vaccine.
Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat. Some side effects may occur up to 5 months after you receive BCG vaccine. Children less than 6 years old who have not previously been vaccinated with BCG and are household contacts of newly diagnosed Leprosy case. Infants with a body mass below 2,g.
Newborn children with suspected congenital immune deficiencies Persons who have had a tuberculin skin test TST reaction. Persons who have TB disease now, or have had TB disease in the past. Persons with HIV infection; including newborn children of mothers infected with HIV until this infection is ruled out in the child.
Newborn children of mothers treated in their third trimester with medications such as anti-TNF-alpha monoclonal antibodies. Persons with primary or secondary immune deficiencies including interferon-gamma deficiency and DiGeorge syndrome Persons who take anti-cancer or steroid drugs such as cortisone or immunosuppressive drugs including anti-TNF-alpha monoclonal antibodies such as infliximab or are undergoing radiotherapy Patients after bone marrow stem cell transplantation or organ transplantation Persons who have had a serious illness such as kidney disease.
Patients with malignant diseases e. Pregnant women Persons with serious diseases including severe malnutrition When should BCG vaccination be delayed? A scar usually remains at the site of the injection.
Children, particularly those under five years of age, who are travelling to countries with a high rate of TB infections. Some children should not get the BCG vaccine because the vaccine could cause complications. This includes those who:. Reactions to vaccines also called vaccine side effects sometimes occur. The ulcer is usually less than a centimetre in diameter, and may last from a few weeks to a few months before healing to a small, flat scar.
There are some rare side effects associated with the BCG vaccine. If any of the following occur, see your GP:. I've heard there is a shortage of BCG vaccine — will I be able to get the vaccine for my child?
In the past few years there has been a worldwide shortage of BCG vaccine. Your GP can refer your child to the clinic, but be sure to get the referral well before your intended date of travel. We acknowledge the input of RCH consumers and carers.
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