{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T00:05:09Z","timestamp":1756339509512,"version":"3.44.0"},"reference-count":19,"publisher":"BMJ","issue":"12","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2023,12,4]]},"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:p>Tuberculosis is a common cause of morbidity and mortality especially in low-income and middle-income countries like India. BCG vaccination is recommended for all neonates after birth in areas with a high tuberculosis disease burden. Here, we describe a case where a neonate received two doses of the BCG (Chennai strain) vaccine within a span of 4\u2009days after birth due to a vaccination error. Parents were informed about the event. The infant was managed conservatively and followed up till 12 months of life for any possible complication. There were no serious adverse effects apart from the localised reaction and a double scar on the left arm. Measures to avoid any such error in the future and the need for reporting medication error has been highlighted. Parental concerns are frequent in such scenarios and should be actively addressed.<\/jats:p>","DOI":"10.1136\/bcr-2023-256766","type":"journal-article","created":{"date-parts":[[2023,12,28]],"date-time":"2023-12-28T12:10:35Z","timestamp":1703765435000},"page":"e256766","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Double BCG vaccination in a neonate: implications, management and prevention"],"prefix":"10.1136","volume":"16","author":[{"given":"Chinmay","family":"Chetan","sequence":"first","affiliation":[{"name":"Neonatology, Himalayan Institute of Medical Sciences, Dehradun, Uttarakhand, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9413-4696","authenticated-orcid":false,"given":"Saikat","family":"Patra","sequence":"additional","affiliation":[{"name":"Neonatology, Himalayan Institute of Medical Sciences, Dehradun, Uttarakhand, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shailendra Kumar","family":"Singh","sequence":"additional","affiliation":[{"name":"Neonatology, Himalayan Institute of Medical Sciences, Dehradun, Uttarakhand, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Girish","family":"Gupta","sequence":"additional","affiliation":[{"name":"Neonatology, Himalayan Institute of Medical Sciences, Dehradun, Uttarakhand, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2023,12,28]]},"reference":[{"key":"2025082708222432000_16.12.e256766.1","doi-asserted-by":"crossref","DOI":"10.1016\/S2666-5247(22)00359-7","article-title":"WHO\u2019s global tuberculosis report 2022","volume":"4","author":"Bagcchi","year":"2023","journal-title":"Lancet Microbe"},{"key":"2025082708222432000_16.12.e256766.2","first-page":"53","article-title":"History of BCG vaccine","volume":"8","author":"Luca","year":"2013","journal-title":"Maedica (Buchar)"},{"key":"2025082708222432000_16.12.e256766.3","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2018.03.009."},{"key":"2025082708222432000_16.12.e256766.4","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/cit790"},{"key":"2025082708222432000_16.12.e256766.5","doi-asserted-by":"publisher","DOI":"10.3310\/hta17370"},{"key":"2025082708222432000_16.12.e256766.6","doi-asserted-by":"crossref","DOI":"10.1136\/bmj.g4643","article-title":"Effect of BCG vaccination against Mycobacterium tuberculosis infection in children: systematic review and meta-analysis","volume":"349","author":"Roy","year":"2014","journal-title":"BMJ"},{"key":"2025082708222432000_16.12.e256766.7","unstructured":"World Health Organization (WHO) . 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Bolet\u00edn Cl\u00ednico Hospital Infantil Del Estado de Sonora 2022:15\u20138."},{"key":"2025082708222432000_16.12.e256766.17","doi-asserted-by":"crossref","first-page":"5562","DOI":"10.1016\/j.vaccine.2009.07.043","article-title":"Too much of a good thing: management of BCG vaccine overdose","volume":"27","author":"Ritz","year":"2009","journal-title":"Vaccine"},{"key":"2025082708222432000_16.12.e256766.18","doi-asserted-by":"crossref","first-page":"208","DOI":"10.1016\/j.pedneo.2017.07.004","article-title":"The management and outcome of Bacillus Calmette\u2013Gu\u00e9rin vaccine overdose","volume":"59","author":"Wei","year":"2018","journal-title":"Pediatr Neonatol"},{"key":"2025082708222432000_16.12.e256766.19","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2003-1124-L"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2023-256766","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T15:22:32Z","timestamp":1756308152000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2023-256766"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,12]]},"references-count":19,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2023,12,28]]},"published-print":{"date-parts":[[2023,12]]}},"alternative-id":["10.1136\/bcr-2023-256766"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2023-256766","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2023,12]]}}}