Importance of injecting vaccines into muscle

doi:10.1136/bmj.322.7282.364

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Parenteral vaccines must be given subcutaneously in patients with congenital bleeding disorders

J R C Seale (jim.seale@nww-tr.wales.nhs.uk), haemophilia centre director

North West Wales NHS Trust, Ysbyty Gwynedd, Bangor LL57 2PW
Academic Centre for Travel Medicine and Vaccines, Royal Free and University College Medical School, London NW3 2PF

EDITOR—I am surprised that in her editorial on the importance of injecting vaccines into muscle Zuckerman omitted to mention that intramuscular injection is absolutely contraindicated in patients with congenital bleeding disorders.1 Her own institution contains one of the largest …