On 15 october 2023, baobao was born in the hope of the family. On the day of birth, he was vaccinated against hepatitis b and bcg. After the full moon, he was successfully vaccinated against the second dose of hepatitis b. After the day after the vaccination, she suddenly found the baby left. There's a red-swollen area and it's a little soft in the middle, like a white pus. Mom is a little worried: did you get the b vaccine yesterday? As a result, he called the doctors of the health department and learned that hepatitis b vaccinations were administered to the right upper arm after the baby's birth and the full moon, that the bcg had agreed that it would be administered to the left upper upper arm, and that most of the babies would react in a partial manner three to four weeks after the vaccination, with some relief. After a week, the puss got bigger, softer in the middle, accidentally grazed by the clothes, some yellow puss came out, and they were strewn。
This is a little bit of a worry for mom: is this normal? Should we get rid of all the saps under the skin? How do you care for the baby
Now let's see what happened after the bcg vaccination。
On 1 december 2023 (six weeks and five days), the staves were released, local red and red were visible and some sept was released. (care advice: if the pus flows to the surrounding normal skin, it needs to be rinsed with sterile gauze or tampons, it can also be rinsed with tampons of 75% alcohol, clean the surrounding normal skin, but do not squeeze or disinfect the pus
In the afternoon of that day, the skin was cut off. (care advice: wear soft, loose little clothes for the baby; clothes contaminated with septics are thoroughly cleaned, dryed and disinfected
The ulcer below looks a little scary. (care advice: maintain local cleaning and drying, do not disinfect with alcohol or iodine, do not rub medicine or bandage, and take care not to pollute in the shower
On 2 december 2023 (6 weeks and 6 days), ulcer tends to shrink from yesterday. (care advice: need not be addressed, wait and see
On 3 december 2023 (7 weeks), the ulcer continued to improve, with a thin layer of skin on it. (care advice: without treatment, dry local skin in time for bathing
On 4 december 2023 (7 weeks, 1 day), the skin fell twice, and the swelling decreased significantly。
On december 10, 2023 (8 weeks), the ulcer was almost ready, and mom was much more relieved。
On 12 december 2023 (eight weeks and two days), the local red colours moved deeper and closer to normal skin。
On 20 december 2023 (9 weeks, 3 days), the scar was formed, with a diameter of about 5-6 mm, the colour of which was essentially the same as that of the normal skin, and the mother was completely relieved。
Why does this special local reaction occur when the baby is vaccinated against bcg? What kind of vaccine is bcg? Let's have a look at your mom and the doctor。
Q1
Mom: what kind of vaccine is bcg? What kind of disease can it prevent
Preventive health doctor: bcg is primarily used to prevent tuberculosis and is also an effective cytological immunostatic. It is a live seedling made of a leachate of detoxin-type tuberculosis, which has lost its toxic effects on the human body through special artificial cultivation, but which has retained sufficient antigens to make bcg a common vaccine against tuberculosis, after which it is primarily designed to prevent tuberculosis meningitis in children and stale tuberculosis in children, effectively reducing post-disease mortality. Bcg is part of the immunization programme in the country, and newborns are vaccinated in maternity wards。
Q2
Mom: why does bcg baby have a pus on her arm
Preventive health doctor: bcg needs an internal injection, a detoxification vaccine, which is followed by a local reaction after the vaccination of bcg as a pathogen irritating body that produces a large number of oscillating cells, which are concentrated in the bcg vaccination area and consumes a large amount of basil. But the pus is sterile and a normal immunization response after bcg vaccination, and mothers need not worry too much。
Q3
Mom: what do you care when you take care of the baby at home
Preventive health care doctors: 2-4 weeks after the bcg vaccination, there will be red swollen, gradually softening, white puss formed, small ulcers formed after the puss broke, discharges out of the puss, and it will take between 1 and 2 weeks for many babies to quench, followed by a visible scar, which is a normal reaction after the bcg vaccination, which will not normally require special treatment. Where there is a partial pusture or ulceration, there is no need for a scrub or a bandage, and if the pus comes out, it can be cleaned lightly with an sterile gauze or tampons, and it cannot be squeezed, or warmed, to keep the local dry clean and to prevent secondary infections. When the puss break, when bathing the baby, care is taken not to wash the inoculations and surroundings, much less to bathe in order to avoid infection. Waiting for the skin to come off when it's too late. If the local response is heavy, the baby should be taken to the hospital in a timely manner。
Q4
Mama chongbao: what happens after the bcg has been vaccinated
Physician: after vaccination of bcg, most of the baby's puss can last two to three months, from forming, bursting, strangulation to the formation of the scar, and if after three to four months the puss are not naturally healed, they are repeated, or the lymphoma in the lower part of the armpit continues to grow and even break, a situation that requires the baby to be brought to a hospital in a timely manner。
Q5
Mom: which part does bcg normally hit? Is there any other vaccine in this arm after bcg
Preventive health practitioners: bcg is generally inoculated in the upper left arm and cannot be vaccinated in the same arm within four weeks of the vaccination; it is recommended that after four weeks, if the local response is still apparent, other vaccines should be administered to the other arm or other part。
Q6
Mom: didn't i hear some moms say that they had no puss on their arms after the bcg, and that they didn't have scars? Need to replant
Preventive health care physicians: if the baby is physically immune, it is not obvious that the positive effects may occur after the vaccination, but only red spots are raised in the vaccination area, which will soon disappear without sepsis and normal. Other babies have smaller pockets of puss, which are absorbed directly without a break, and already have scarred by the full moon. In any case, after successful vaccinations, no bcg need to be replenished, although there are no large puss or no scar on the arm. In other words, there is no need to mark successful bcg vaccinations with puss or scars。
Q7
Ma: if the baby is not vaccinated at the time of birth, how can it be followed up
Physician: if a baby is not vaccinated against bcg for health or other reasons, it can replant directly if < march age > ; if a child is between the ages of march and 3 years of age, a skin test is required to see the results of a test of a pure protein derivative of tuberculosis fungus or of a cagillic protein derivative, and if the result is negative, then replanting bcg; if the child is 4 years of age, no replanting is required。
Seeing the scar form of the baby and the questions and answers of the mother and the health doctor, i hope that the mother will be able to figure out how to deal with the scar of the baby。
Here's a special thank you to scar's little model and to her mother, who has carefully observed and documented the changes in the scar。
Planning: national cdc awareness platform
