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| GUIDELINES FOR INJECTION OF BCG VACCINE SSI |
| It is generally accepted that the best method of BCG vaccination is intradermal injection with use of a syringe and a needle. This is the most accurate method because the dose can be measured precisely and the administration can be controlled. Hereby the rate of adverse reactions can be minimized. |
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BCG (Bacillus Calmette-Guérin) VACCINE SSI
is a live freeze-dried vaccine for intradermal use.
- The vaccine is stored at 2° to 8° C
- The vaccine is reconstituted with DILUTED SAUTON SSI
- Use a sterile 1.0 ml syringe fitted with a short bevelled needle (25 or 26 G)
DO NOT FREEZE ! |
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Reconstitution of BCG VACCINE SSI
(10 dose vial)
- Transfer exactly 1.0 ml Sauton to the vial using a sterile syringe fitted with a long needle
Do not remove the rubber stopper
- To suspend the vaccine turn the vial gently
upside down a few times –
DO NOT SHAKE
- The suspension should be homogenous, slightly opaque and colourless
Any reconstituted vaccine not used should be
discarded after max. 4 hours. |
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The site of injection
The recommended site of injection (all age groups) is the deltoid region of the arm, about one third down the upper arm over the insertion of the deltoid muscle.
Dosage of BCG VACCINE SSI
- For infants <12 month 0.05 ml of the reconstituted vaccine is recommended
- For children >12 month and adults 0.10 ml of the reconstituted vaccine is recommended
- Gently swirl the vial before drawing up each dose
- Draw up slightly more than one dose and remove any air bubbles and extra vaccine
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Injection technique
- The skin should not be cleansed with antiseptic before the injection
- Jet injectors or multiple puncture devices should not be used
- The skin is stretched between the thumb and forefinger
- The needle should be almost parallel with the skin surface and the bevel of the needle facing upwards
- The needle should only be inserted approximately 2 mm into the superficial layers of the dermis
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Injection technique (continued)
- The vaccine is given slowly
- You will feel a slight pressure as you press the plunger, and a small flat swelling will appear (very similar to a mosquito bite)
! If the skin does not swell or you feel you can press the plunger too easily, then the vaccine is probably given too deeply. You can try to draw back the needle into correct position and give the rest of the vaccine. |
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After injection
- The swelling will disappear within 10-15 minutes
! If there is no swelling never give a second dose of vaccine. Vaccination given too deeply gives adequate results in turns of clinical protection. However a larger scar, an abscess or enlarged lymph nodes may result from a vaccination given to deeply.
Make a note on the person’s chart for careful follow-up. |
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