Volume 5, Issue 3, September 2019, Page: 133-141
Vaccination Related Pain: Randomized Controlled Trial, Comparison of Pain of Two Injection Techniques
Mitesh Chawda, Resident Secondary DNB Pediatrics, Jawaharlal Nehru Hospital & Research Center, Bhilai, Chhattisgarh, India
Guruveerajeyasingh Malini, Department of Pediatrics, Jawaharlal Nehru Hospital & Research Center, Bhilai, Chhattisgarh, India
Subodh Kumar Saha, Department of Pediatrics, Jawaharlal Nehru Hospital & Research Center, Bhilai, Chhattisgarh, India
Shantilal Chawda, Pediatrics, Rt. Chief Medical & Health Officer, Govt. of Chhattisgarh, Korea, Chhattisgarh, India
Ganpat Jha, Resident Secondary DNB Pediatrics, Jawaharlal Nehru Hospital & Research Center, Bhilai, Chhattisgarh, India
Ashish Wanare, Resident Secondary DNB Pediatrics, Jawaharlal Nehru Hospital & Research Center, Bhilai, Chhattisgarh, India
Ravi Prakash Pandey, Resident Secondary DNB Pediatrics, Jawaharlal Nehru Hospital & Research Center, Bhilai, Chhattisgarh, India
Hitav Someshwar, Resident Neurophysiotherapy, K. J Somaiya College of Physiotherapy, Mumbai, Maharashtra, India
Received: May 8, 2019;       Accepted: Jun. 24, 2019;       Published: Aug. 6, 2019
DOI: 10.11648/j.ajp.20190503.19      View  15      Downloads  15
Abstract
Background: Immunisations is one of commonest cause of iatrogenic pain among healthy infants though several authorities have recommended that no aspiration is required before injecting into the anterolateral thigh, it is still a commonly followed procedure. Method: 202 healthy infants of either sex of age group 6 weeks to 6 months receiving routine intramuscular pentavalent vaccine were selected randomly by computer generated numbers and divided into two groups “standard” group and “pragmatic” group with 101 infants in each group. Two methods of vaccination conventional and pragmatic are used. In both cases pre vaccination and post vaccination pain was accessed by using FLACC scale and modified behavioural pain scale as well as cry time was noted. Results: The pre vaccination mean FLACC score in standard group is 2.07 (±1.17) while that in pragmatic group is 1.79 (±1.28). Post vaccination mean FLACC score in standard group is 8.5 (±0.82) while that in pragmatic group is 7.79 (±1.25). The pre vaccination mean MBPS in both standard & pragmatic group is 2.16 (±1.07). The post vaccination mean MBPS in standard group is 8.13 while that in pragmatic group is 8.16. Conclusions: Our study revealed that there was significant difference in perception of pain among the two groups. The Pragmatic group being a better technique for vaccination.
Keywords
Vaccination Pain, Infant Vaccination, Different Technique
To cite this article
Mitesh Chawda, Guruveerajeyasingh Malini, Subodh Kumar Saha, Shantilal Chawda, Ganpat Jha, Ashish Wanare, Ravi Prakash Pandey, Hitav Someshwar, Vaccination Related Pain: Randomized Controlled Trial, Comparison of Pain of Two Injection Techniques, American Journal of Pediatrics. Vol. 5, No. 3, 2019, pp. 133-141. doi: 10.11648/j.ajp.20190503.19
Copyright
Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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