2022, Number 1
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Bol Clin Hosp Infant Edo Son 2022; 39 (1)
BCG vaccine overdose in neonates and its management
Yalaupari-Mejía JP, Arellano-Galindo J, Mancilla-Ramírez J, Rojas-Escobar V, Reyes-Gómez U, Reyes-Hernández KL
Language: Spanish
References: 15
Page: 15-18
PDF size: 171.16 Kb.
ABSTRACT
Tuberculosis has a high prevalence around the world, in México tuberculosis occurs in 6.63% of people under 20 years of
age. BCG vaccine prevents against meningeal and ganglion tuberculosis, although its extended use, local and widespread
adverse effects have been reported in low frequency, and lymphangitis is the most common. Our objective was to describe
the clinical evolution of five newborns who accidentally received overdose of BCG vaccine. Description of cases: Five
newborns were vaccinated accidentally with twice the doses of BCG vaccine. They were evaluated at 11 and 41 days and
then, at 3, 6, 9 and 12 months after vaccination. Clear and accurate information was provided to parents. After 52 weeks,
no patient had adverse effect attributable to vaccination. The reactogenicity of BCG vaccine remains low and it depends
of severe factors such as the patient immune status, dose, route of administration and the strain of vaccine. Good communication
to parents of patients is indispensable.
REFERENCES
Global tuberculosis Report 2020. [En línea]. WorldHealth Organization. p. xiii-xiv. Disponible en:www.who.int/publications/i/item/9789240013131
Anuario de Morbilidad. Dirección General deEpidemiología. [En línea]. Secretaría de Salud,México 2019. Disponible en: www.gob.mx/salud/acciones-y-programas/anuarios-de-morbilidad-1984-a-2020
Hurtado OC, Matías JN. Historia de la vacunaciónen México. Rev Mex Puer Ped. 2005; 13(74): 47-52.
Centro Nacional para la Salud de la Infancia y laAdolescencia. Manual de vacunación 2008-2009.[En línea]. México: Consejo Nacional de Vacunación;2008. Disponible en: www.gob.mx/salud/documentos/manual-de-vacunacion-2008-2009-12768
Rodrigues LC, Diwan VK, Wheeler JG. Protectiveeffect of BCG against tuberculous meningitis andmiliary tuberculosis: a meta-analysis. Int J Epidemiol.1993; 22(6): 1154-8.
Committee on Infectious Diseases. American Academyof Pediatrics. Tuberculosis in: Pickering LK,Baker CJ, Kimberlin DW, Long SS. Red Book: 2013.Report of the Committee on Infectious Diseases 29thEd Elk Grove Village, IL: American Academy of Pediatrics;2013. p. 736-59.
Goraya J, Virdi V. Bacille Calmette-Guérin lympahdenitis.Postgrad Med J 2002; 78(920): 327-9.
Dhanawade SS, Kumbhar GS, Gore DA, Patil NV.Scar formation and tuberculin conversion followingBCG vaccination in infants: A prospective cohortstudy. J Family Med Prim Care. 2015; 4(3): 384-7.
Rani SH, Sumil K, Lakshmi KA, Suman LB, MurthyKJ. Cell mediated immunity in children withscar-failure following BCG vaccination. Indian Pediatr.1998; 35(2): 123-7.
Al-Maqbali AA, Al-Maani AS. The Adverse Events,Signs, and Management of Neonatal Bacillus Calmette-Guérin Vaccine Overdose. Oman Med J.2016l; 31(4): 315-7.
Campins MM, Méndez L, Ramos F, Moreno N, AltetN, J. Vaqué J. Sobredosis accidental de vacuna BCG.Vacunas. 2003; 4: 53-5.
Cuberos S, Sáenz RC. Sobredosificación accidentalde vacuna con bacilo de Calmette-Guérin. Rev PediatrAten Primaria. 2011; 13: 241-5.
Deeks SL, Clark M, Scheifele DW, Law BJ, DawarM, Ahmadipour N, et al. Serious adverse events associatedwith Bacille Calmette Guerin vaccine in Canada.Pediatr Infect Dis J. 2005; 24(6): 538-41.
Yaşöz G, Belet N, Şensoy G. Overdose and intramuscularadministration of Bacille Calmette-Guerinvaccine in a 2-month-old infant. Turk J Pediatr.2014; 56(6): 669-72.
Ritz N, Tebruegge M, Streeton J, Curtis N. Too muchof a good thing: management of BCG vaccine overdose.Vaccine. 2009; 27(41): 5562-4.