Is the ventrogluteal site suitable for intramuscular injections in children under the age of three?
Makaleler > Tam Makale · 2015
Yazarlar: Ülkü GÜNEŞ, Burcu CEYLAN, Petek BAYINDIR
Journal of Advanced Nursing, SCI Expanded İndekslerine Giren Dergi, Uluslararası, Wos, 2015, cilt 72, ss 127-134
DOI: 10.1111/jan.12813
Özet
AIM: This study was conducted to determine whether the ventrogluteal site could be used for intramuscular injections in children under the age of 3 and to compare the subcutaneous and muscle layer thickness at the anterolateral, deltoid and ventrogluteal site in the different age groups and in both sexes. BACKGROUND: Although recent literature has reported that the ventrogluteal area can be an alternative site for intramuscular injections in children ≤12 months of age, little research-based evidence has been found for the use of the ventrogluteal site in infants and toddlers. DESIGN: A descriptive study which took place between November 2013-August 2014. METHOD: A total of 142 children between the ages of 1-36 months were selected by random sampling and ultrasound measurements were made of subcutaneous and muscle thicknesses in the anterolateral, deltoid and ventrogluteal areas. Measurements were analysed using one-way anova and independent samples t-test. RESULTS: The subcutaneous tissue thicknesses in the deltoid, anterolateral and ventrogluteal areas in children between 1-12 months old (n = 56) were 5·20, 6·62 and 7·26 mm respectively, while in children between 13-24 months old (n = 42), these measurements were 4·35, 6·72 and 7·98 mm; in children between 25-36 months old (n = 44), the measurements were 5·92, 7·97 and 13·5 mm. The muscle thicknesses in the deltoid, anterolateral and ventrogluteal areas in children 1- 12 months old were 5·86, 9·10 and 8·17 respectively, while in children between 13-24 months old, the measurements were 7·71, 12·92 and 17·32 mm; in children 25-36 months old, the measurements were 9·28, 18·81 and 19·62 mm. CONCLUSION: This study found that the muscle in the ventrogluteal site is adequately developed, even in infants between the ages of 1-12 months and that in particular, in children 12-36 months old, the ventrogluteal site is even thicker than the anterolateral.