Thursday, December 15, 2016

How To Reduce Pain Vaccination in Infants

For infants under the age of one year, cream lidocaine, combined with feeding a little sugar in the mouth will calm the baby when vaccination. Lidocaine is a local anaesthetic that causes loss of sensation of pain in the body. The combination can help reduce pain during routine vaccination, according to a study in CMAJ ( Canadian Medical Association Journal ), this December.

"Vaccines cause acute distress to the baby and the parents. So that contributes to avoiding vaccination," said Dr Anna Taddio, a pharmacist and a senior scientist at the Hospital for Sick Children (SickKids). Distress is a subjective state of perceived unpleasant. Professor Leslie Dan Faculty of Pharmacy, University of Toronto, Ontario, Canada, said necessary knowledge to reduce that stress.

"However, there is a knowledge gap about what the best way to ease the pain during vaccination," he said. To address this gap, researchers conducted a controlled trial randomised 352 healthy infants from 3 outpatient clinics of children, including 7 doctors' offices, which vaccinations are scheduled during the first year of their life.

infants were randomly divided into 4 groups: placebo control; video instruction to parents on how to calm their babies; video plus the provision of a solution of sugar in the mouth; and video, a solution of sugar in the mouth plus lidocaine applied on the skin.

"We found that, when used consistently during the injection of the vaccine in the first year of life, only liposomal lidocaine combined with video instruction parents and intake of sucrose (sugar) that shows the benefits of ease the pain when compared with placebo, video on how to soothe and video plus sucrose, " the authors write.

"the effects proved to be consistent reduces pain management Berke Banga NYA pre-procedural anxiety (fear), hypersensitivity to pain. Therefore, this is the most appropriate way with the vaccination procedure in the future, " they recommended.

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