17/08/2018
by Science Editor
What can happen if you do not follow the guidelines on waiting times after some
Injectables/Vaccinations prior to getting a tattoo.
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Title: |
Smallpox Autoinoculation Via Tattoo in a Soldier.
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Abstract: |
The Authors: "present the case of a soldier with smallpox autoinoculation, who reported receiving a tattoo directly over his inoculation site 4 days after vaccination. Initial scattered flesh-colored papules evolved over several days to classic umbilicated lesions with additional fevers, chills, myalgias, and suspected secondary infection". |
Industry Significance Rating: |
Medium - Industry wide monitoring is recommended. |
Publication: |
Military Medicine. 2018 Jul 31. doi: 10.1093/milmed/usy180. |
Authors: |
Carius BM, Dodge PM, Randles JD. |
Links: |
Article Link |
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Pdf Link |
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Discussion: |
The authors report a case of a 21 year old African American Soldier who had body art tattooing over the site of a smallpox vaccination 4 days after receiving the vaccination with live vaccinia virus. The soldier began experiencing symptoms a short time after having a tattoo refresh procedure over the site of the vaccination, he subsequently developed a papular rash which evolved into pustular crusting within 7 days post tattooing and he became febrile.
The authors noted that "Current US Army Public Health Command (USAPHC) guidance mandates no new tattoos for 30 days post-inoculation, Military Vaccine Agency notes that this period may be extended to a window of greater than 60 days on a case-by-case basis" and that this recommendation had not been followed in this particular case.
The article contains an excellent time series of photographs of the affected area of skin.
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Recommendations: |
All tattooists should note there are risks associated with providing tattooing on or near the site of prior vaccinations but particularly during the 30-60 days after vaccination therapy when the risk of autoinoculation (transfer and reinoculation of the vaccine by the tattoo needle) is highest. For this reason it is advisable to avoid collocating a tattoo at the site of prior vaccination therapy regardless of the age of the vaccination/tattoo. As emphasised by the authors "Providers should continue to make every effort to avoid collocating sites of tattoos and smallpox inoculation regardless of tattoo age"..
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Keywords: |
Scientific Report,
Smallpox, Autoinoculation, Tattoo, Body Art, Soldier, vaccination
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Education Team here at
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