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Published on: February 2, 2014
Ventrogluteal area--a suitable site for intramuscular vaccination of infants and toddlers
1Discipline of General Practice, School of Medical Practice and Population Health, University of Newcastle, Callaghan, NSW 2308, Australia. drifcook@bigpond.com
Insights
Buttock vaccination, specifically the ventrogluteal area, offers a safe and effective alternative for infant and toddler immunizations. This site demonstrates similar effectiveness to other common vaccination sites with potentially lower side effects.
Area of Science:
- Pediatric Vaccinology
- Anatomical Studies
Background:
- Buttock vaccination is often avoided due to safety concerns, stemming from historical use of neurotoxic agents, not vaccines.
- The ventrogluteal area is anatomically suitable for safe intramuscular injections.
Purpose of the Study:
- To establish the ventrogluteal area as a viable site for intramuscular vaccination in infants and toddlers.
- To develop age-specific anatomical templates for accurate injection site identification.
Main Methods:
- Measurements were taken from 642 children aged 2-18 months to create age-specific templates.
- An ultrasonographic study of 57 children (2-18 months) compared ventrogluteal tissue composition with the anterolateral thigh site.
Main Results:
- The ventrogluteal area was clearly defined by the developed templates, confirming its suitability for intramuscular injection.
- Ultrasonographic analysis validated the tissue composition of the ventrogluteal site for vaccination.
Conclusions:
- The ventrogluteal area is a safe and suitable site for intramuscular vaccination in infants and toddlers.
- This study provides evidence to support the use of the ventrogluteal site, potentially improving vaccination strategies.
Abstract:
Buttock vaccination has lower reactogenicity and similar immunogenicity to the two other recommended paediatric vaccination sites (deltoid and anterolateral thigh). Safety concerns about buttock injection derived from injections with neurotoxic agents, like penicillin but not vaccines, have become entrenched. However, the ventrogluteal area is considered safe for intramuscular injection. This study outlines the development of the ventrogluteal area as a suitable site for intramuscular vaccination of infants and toddlers. Measurement was made in 642 children, aged 2-18 months and age-specific templates were prepared. These were used in an untrasonographic study of 57 children aged 2-18 months to determine the tissue composition of the ventrogluteal area compared with the recommended anterolateral thigh vaccination site. The ventrogluteal area was found to be clearly defined by the template and suitable for intramuscular injection. Subsequent vaccination studies with the area showed that it was:
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