![]() Vaccines containing adjuvants (a component Others must be given intramuscularly (IM)? Vaccinations given subcutaneously (SC) while More information on injection technique is in the ACIP "General Best Practices Guidelines for Immunization", available at Why are some A ⅝-inch needle length should be used for all ages. Subcutaneous injections may be administered into the upper-outer triceps area of an infant if necessary. Subcutaneous injections are administered at a 45-degree angle, usually into the thigh for infants younger than age 12 months and in the upper-outer triceps area of people age 12 months and older. The anterolateral thigh also can be used.įor men and women who weigh less than 130 pounds (less than 60 kg), a ⅝-inch needle is sufficient to ensure intramuscular injection in the deltoid muscle if the injection is made at a 90-degree angle and the tissue is not bunched.įor men and women who weigh 130–152 pounds (60–70 kg), a 1-inch needle is sufficient.įor women who weigh 152–200 pounds (70–90 kg) and men who weigh 152–260 pounds (70–118 kg), a 1- to 1½-inch needle is recommended.įor women who weigh more than 200 pounds (more than 90 kg) or men who weigh more than 260 pounds (more than 118 kg), a 1½-inch needle is recommended.įor subcutaneous injections (use a 23- to 25-gauge needle for all ages): For injection into the anterolateral thigh, most adolescents will require a 1-1.5-inch needle.įor adults age 19 years and older, the deltoid muscle is preferred. The anterolateral thigh can also be used. In this case the needle length should be 1 inch to 1.25 inches.įor adolescents 11 through 18 years, the deltoid muscle is preferred. The deltoid muscle can be used if the muscle mass is adequate.įor children age 3 through 10 years, the deltoid muscle is preferred the needle length for deltoid site injections can range from ⅝ to 1 inch on the basis of technique. The needle should be at least 1 inch long. For the majority of infants a 1-inch needle is sufficient.įor toddlers age 12 months through 2 years the anterolateral thigh muscle is preferred. ![]() The anterolateral thigh is preferred for infants younger than age 12 months. ![]() A ⅝-inch needle usually is adequate to penetrate the thigh muscle if the skin is stretched flat between the thumb and forefinger and the needle is inserted at a 90-degree angle to the skin. Please refer for details to the handouts on administering intramuscular and subcutaneous vaccines to children and adults at and to adults only at A summary of needle length and site selection by age is below.įor intramuscular injections (use a 22- to 25-gauge needle for all ages):įor neonates (first 28 days of life) and preterm infants the anterolateral thigh should be used. Most injected vaccines are administered by the intramuscular route. Vaccines should not be done in the same areaĪctivities should be done in a separate area.Īppropriate anatomic site and needle lengthįor intramuscular and subcutaneous vaccine injection?Īppropriate site and needle length depends on age, route of injection, and body mass. Nurses' station where vital signs and otherīe administered in a patient care area. Pregnant healthcare personnel may administer any vaccine except the ACAM2000 smallpox vaccine. Personnel were not to administer live vaccines to others. ![]() Told by a colleague that pregnant healthcare Note: Specific information about the administration of most vaccines is included in the Ask the Experts set for that vaccine.
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