Community Medicine (PSM) · Immunization and Vaccines (Cold Chain, NIS Schedule, Open Vial Policy)

A nurse prepares to give BCG vaccine to a 2-week-old neonate at a health centre. What is the correct dose and route of administration?

  • A 0.1 mL intradermally over the left deltoid
  • B 0.05 mL subcutaneously over the left deltoid
  • C 0.05 mL intradermally over the left deltoid
  • D 0.1 mL intramuscularly over the anterolateral thigh
Correct answer: C. 0.05 mL intradermally over the left deltoid

Explanation

Under the National Immunization Schedule, infants below 12 months receive BCG 0.05 mL intradermally at the insertion of left deltoid using a 26G needle. Children aged 12 months or older receiving BCG (for example during catch-up) get 0.1 mL intradermally. Subcutaneous or intramuscular injection increases the risk of local complications such as abscess and lymphadenitis and gives inadequate protection.

Reference: Park's Textbook of Preventive and Social Medicine, 27th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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