Adverse Reactions to Accidental Forearm Injection of Bacille Calmette-Guerin Vaccine in Schoolchildren: 12-Month Cohort Follow-up
Author(s) -
Seth A. Gross,
Ernesto Kahan,
L. Vesterman,
Ofra Havkin,
Alex Leventhal
Publication year - 2004
Publication title -
clinical infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.44
H-Index - 336
eISSN - 1537-6591
pISSN - 1058-4838
DOI - 10.1086/392505
Subject(s) - medicine , vaccination , accidental , bcg vaccine , cohort , forearm , adverse effect , intradermal injection , tuberculin , surgery , dermatology , immunology , pathology , tuberculosis , physics , acoustics
This study examined the natural history of reaction after accidental intradermal administration of bacille Calmette-Guerin (BCG) vaccine instead of purified protein derivative (PPD) in 226 schoolchildren. At 18 days after vaccination, a local reaction with a diameter of 4.5-14 mm was found in 62% of the students, and ulceration with discharge was found in 26.6%; corresponding rates at 120 days were 72.3% and 38% and at 281 days were 73% and 6%. At 345 days, 85% of the students had a dry scar measuring 5-14 mm in diameter, and none had ulceration or discharge.
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