Instruction
1
Immediately after the introduction of the vaccine at the injection site is possible the appearance of small bumps. After 1-2 days it completely goes and the place of administration of BCG does not must be different from the surrounding skin.
2
Normal local reaction to vaccination in newborns develops only after a month and a half after vaccination. The reaction usually lasts up to 4.5-5 months. Initially, the injection site of BCG occurs papule (nodule) with a size of 5 to 10 mm. It is dense in consistency. The skin at the injection site may become pink, red, bluish, dark blue and even purple. However, the discoloration of the skin is localized and redness should not spread to surrounding tissue.
3
Then in the center of the knot is formed the bubble, which, as a rule, filled with purulent contents. The vial may extend slightly above the surface of the skin. Sometimes the bubble breaks and it implies the pus. This is a normal reaction, you should not be afraid of it. No need to grease the wound with antiseptics, ointments, cover with antibiotics and put a bandage on. Streamed pus you can just carefully remove from skin with a sterile cloth. Also you can't squeeze pus from the wound. In some children the abscess is not formed, and the contents of the bubble is red. The skin around the ulcer should remain a normal color and not be swollen.
4
Then the bubble surface is covered with a crust. It is impossible to tear or comb. Sometimes this place can form a small ulceration with a diameter of 5-8 mm.
5
Completed grafting reaction is the formation of scar. Its normal diameter should be from 5 to 10 mm. If the hem is very small or non-existent, this suggests that immunity is not formed. Sometimes the injection site BCG formed a keloid scar (it has a red color and slightly bulges above the skin). Currently, this is also considered to be the norm.
6
BCG is sometimes itchy. Itching at the injection site normal may be at all stages of the formation of the grafting reaction, but the comb BCG is highly undesirable. Young children in the period of active itching you can wear anticorpi or blouse with long sleeves.
7
Fever after vaccination and during the vaccination reaction, as a rule, remains normal. Permissible temperature rise after vaccination and during the formation of the response of neonates to 37.5 degrees.