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Study Questions Guidelines on Immunizations


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Patients who got vaccinated in the shoulder with 1-inch needles would have overpenetration 61 percent of the time, the study reported. For two other recommended needle lengths, 5/8-inch and 7/8-inch, the rates of overpenetration were estimated at 11 percent and 55 percent, respectively.

The study authors recommended that the guidelines be changed to support the use of shorter needles in many cases, depending on the gender and weight of the child.

Dr. Joseph Gigante, an associate professor of pediatrics at Monroe Carell Jr. Children's Hospital at Vanderbilt, spoke to five nurses, and they all reported that "it's incredibly uncommon to have problems associated with the injections," he said. "Obviously, they hurt, but I don't know that changing needle length will change that."

Text Continues Below



The study does raise questions, though, Gigante said. He suggested that further studies should include interviews with medical staff who do immunizations to see how often overpenetration actually occurs.

More information

Learn more about immunizations from kidshealth.org.

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Copyright © 2008 ScoutNews, LLC. All rights reserved.
Last updated 10/3/2008

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SOURCES: William C. Lippert, graduate student, Tulane University School of Public Health and Tropical Medicine, New Orleans; Joseph Gigante, M.D., associate professor, pediatrics, Monroe Carell Jr. Children's Hospital at Vanderbilt, Nashville, Tenn.; September 2008, Pediatrics


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