Adverse Reaction:
Lymphodenoptahy, osteomyelitis, lupoid reactions, disseminated BCG infection and death ( very rare), occur in chilldren with impaired immune response.
Contra-Indications:
Persons with impaired immune response
Special precautions-
Aseptic technique- Tice BCG contains live bacteria, use with aseptic technique. handle and dispose of all equipment supplies, and receptacles in contact with BCG vaccine as bio-hazardous.
Allergic reactions- assess the possiblity of allergic raections Lymphodenopathy- occasionally lymphadenopathy of the regional lymph node which spontaneously resolves itself is seen in young children.
Warnings- Do not inject IV ,Sc or intradermally. Use percutaneous administration with multiple puncture disc.
Immune deficiency syndrome- do not use in infants, children or adults with severe immune deficiency syndrome.
Pregnancy- give to a pregnant woman only of clearly needed.
Lactation- decide whether to discontinue the drug or discontinue nursing taking into account the importance of the drug to the mother.
Children- take precautions with respect to infants vaccinated with BCG and exposed to persons with active tuberculosis.
Pregnancy and lactation:
Pregnancy-
Give to a pregnant woman only of clearly needed.
Lactation-
Decide whether to discontinue the drug or discontinue nursing taking into account the importance of the drug to the mother.
Children-
Take preacutions with respect to infants vaccinated with BCG and exposed to persons with active tuberculosis.