📋 Indications & Clinical Dosage
*immunization against tuberculosis:*
BY INTRADERMAL INJ: Adult & Children above 1yrs: 0.1 ml, to be injected at insertion of deltoid muscle onto humerus (keloid formation more likely with sites higher on arm); tip of shoulder should be avoided.
Children 1-11 months: 0.05 ml, to be injected at insertion of deltoid muscle onto humerus (keloid formation more likely with sites higher on arm); tip of shoulder shouldbe avoided.
⛔ Contraindications
Generalized septic skin conditions, cancerous conditions & leukaemia, severe chronic visceral disorders; chronic nephritis, lipoid nephrosis, uncorrected cardiopathy, immunosuppression
⚠️ Precautions & Warnings
A lesion-free site should be used to administer BCG vaccine to patients with eczema. BCG can be associated with infantile vaccines; no other vaccination should be given for at least 1 month.
⚠️ Adverse Reactions / Side Effects
Prolonged ulceration at the injection site, subcutaneous abscess at the injection site. Rare: Disseminated complications, osteitis, osteomyelitis
📚 Official Regulatory & Clinical References
- Drug Regulatory Authority of Pakistan (DRAP): Drug Registration, S.R.O. Price Gazettes & National Essential Medicines List (NEML).
- World Health Organization (WHO): Collaborating Centre for Drug Statistics Methodology (ATC/DDD Index).
- Formulary Standards: British National Formulary (BNF) & Pakistan National Formulary (PNF) guidelines.