Genpharm BCG Vaccine Dosage/Direction for Use

The vaccine is intended to be injected strictly via the intradermal route, avoiding the subcutaneous route.
The vaccination dose is 0.05 mL for children under one year of age including the new born and 0.1 mL for children over one year of age and adult of the reconstituted vaccine given intradermally. The skin should not be cleaned with antiseptic. The vaccine should be preferably given with a tuberculin syringe or 25 G/26 G or 27 G sterile needle and syringe.
Skin testing with tuberculin is not generally carried out before giving BCG, but when performed, those who are found to be positive reactors need not be immunized.
Intradermal Injection Technique: The skin is stretched between thumb and forefinger and sterile needle (25 G/26 G or 27 G) inserted bevel upwards for about 2 mm into superficial layers of the dermis (almost parallel with the surface). Raised blanched bleb showing tips of hair follicles is a sign of correct injection. The site of injection is at insertion of the deltoid muscle into the humerus. Sites higher on the arm are likely to lead to keloid formation.