To the Editor.—
The coverage of current controversies surrounding the use of diphtheria, tetanus, pertussis (DTP) vaccine in the MEDICAL NEWS section (1982;248:12) was timely and generally excellent. How very unfortunate, however, that an article concerned with the complications of immunization procedures contained a photograph that depicts a dangerous and obsolete technique of intramuscular (IM) injection. The risk of sciatic nerve injury associated with gluteal injections in young children is substantial.1 It is my impression that it is now universally accepted that infants should receive IM injections only in the anterolateral aspect of the midthigh. I am surprised and concerned that the Centers for Disease Control, Atlanta, provided such a photograph.
Silber DL. Injection Technique in Infants. JAMA. 1983;249(8):1007. doi:10.1001/jama.1983.03330320015016