Table 2 Clinical features of BCG local adverse reactions.

From: Revaccination with Bacille Calmette-Guérin (BCG) is associated with an increased risk of abscess and lymphadenopathy

Injection site abscess

Any BCG dose

First BCG

BCG revaccinated

p value

n = 41

n = 10

n = 31

 

Clinical features

 Time to onset, days

20 (3–45)

27 (12–45)

16 (3–41)

0.008

 Maximum size, cm

2 (1.5–5.0)

2.5 (1.5–5.0)

2 (1.5–4.5)

0.12

 Abscess with discharge

41 (100%)

10 (100%)

31 (100%)

 

 Abscess with persistent discharge (>2w)

24 (59%)

5 (50%)

19 (61%)

0.39

 Abscess with pain/tenderness at site

40 (98%)

10 (100%)

30 (97%)

 

Management

 Observation

34 (83%)

7 (70%)

27 (87%)

 

 Maximum size, cm

2 (1.5–5.0)

2 (1.5–5.0)

2 (1.5–4.0)

 

 Time to resolution, days

27 (2–243)

28 (8–81)

22 (2–243)

0.43

 Antimicrobial only

5 (12%)

2 (20%)

3 (10%)

 

 Topical antibiotic (mupirocin)

1

0

1

 

 Maximum size, cm

2.5

2.5

 

 Time to resolution, days

28

28

 

 Oral antibiotics (cephalexin/flucloxacillin)

2

1

1

 

 Maximum size, cm

3.5

5.0

2.0

 

 Time to resolution, days

15 (8–21)

8

21

 

 Oral isoniazid

2

1

1

 

 Maximum size, cm

4.3 (4.0–4.5)

4.0

4.5

 

 Time to resolution, days

131

113

149

 

  Fine needle aspiration + cephalexin

2 (5%)

1 (10%)

1 (3%)

 

 Maximum size, cm

2.0 (2.0–2.0)

2.0

2.0

 

 Time to resolution, days

43 (30–56)

56

30

 

Lymphadenopathy

Any BCG dose

First BCG

BCG revaccinated

p value

n = 48

n = 18

n = 30

 

Clinical features

 Time to onset, days

6 (1–56)

6 (1–56)

6 (1–42)

0.29

 Maximum size, cm

1.8 (0.5–4.0)

1.8 (0.5–4.0)

1.5 (0.5–3.0)

0.46

 No. (%) with pain/tenderness at site

30 (63%)

14 (78%)

16 (53%)

0.13

 Time to resolution, days

4 (1–30)

6 (1–30)

3 (1–14)

0.47

  1. Categorical variables are reported as number (%), continuous variables are reported as median (range).