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[Intramuscular vaccine in infants. Suck or not suck?]
1Escuela Universitaria de Enfermería del Mar. jleyva@parcdesalutmar.cat
Insights
Aspiration before childhood vaccination does not prevent needle injuries but increases pain. Evidence suggests rapid vaccine administration without aspiration is preferable for children.
Area of Science:
- Pediatrics
- Immunization Practices
Context:
- Vaccine administration is a common source of pain for children.
- Healthcare professionals often perform aspiration before injection, fearing intravascular administration.
Purpose:
- To review existing literature on the necessity of aspiration before vaccine injection in children.
- To determine if aspiration impacts pain and safety during vaccination.
Summary:
- A review of two clinical trials and two systematic reviews found no side effects from not aspirating.
- Children experienced higher pain levels when vaccines were administered after aspiration.
Impact:
- Findings suggest that aspiration before vaccination is an unnecessary step that increases pain.
- Promotes evidence-based practices for less painful and more efficient childhood immunizations.
Introduction:
The administration of vaccines has been and remains one of the most painful medical techniques for children in primary care consultations. When administering vaccines most professionals still breathing before injecting the vaccine for fear of injection into the bloodstream.
Objective:
To explore the literature to clarify the need to suck or not before injecting a vaccine.
Method:
Literature review.
Results:
two clinical trials and two systematic reviews were reviewed. No side effects were associated with the action of no-aspiration, however pain was higher among those children who received vaccination after aspiration.
Conclusions:
This technique has been described in the literature as responsible for increasing the pain of the child and the mentioned risk is not scientifically proven. Although there is little literature on the subject, evidence suggests that the administration of vaccines must be made quickly and without hope.
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