BCG Vaccinations and TB testing at CityDoc
UK’s Premier BCG Clinics
CityDoc is a trusted provider of expert medical services at our clinics throughout the UK. Established in 2006 we have over 150K registered clients.
Tuberculosis (TB) is an infectious disease caused by the bacteria Mycobacterium tuberculosis complex and remains one of the top infectious disease killers worldwide. TB is found in most countries of the world, but the highest incidences are in Africa and Asia. In 2014, 9.6 million people fell ill from TB and 1.5 million people died (WHO data). It is estimated that one third of the world’s population has Latent TB (have infection, but no symptoms of disease).
Only TB infection of the lung is contagious and is spread from person to person by coughing or sneezing. Normally, prolonged contact with the infected person is required.
One of three things can happen if you acquire TB infection:
- You develop symptoms if the initial infection, based on site and either it is treated or your immune system eliminates the infection.
- You acquire the infection, but do not develop symptoms. The infection persists for life and cause symptoms later on. This is Latent TB
- You develop Active infection, which can over weeks or months, potentially leading to death or disability. Children, those with pre-existing severe medical conditions and immune compromise are more likely to develop Active TB
TB can affect any organ of the body and symptoms relate to the infected organ.
The commonest form, especially in adults is lung TB. This can give a persistent cough with phlegm that may be blood tinged. Additionally, there is often symptoms of night sweats or daily fever, weight loss, poor appetite and feeling tired.
Infants and children and anyone with a compromised immune system tend to get TB of other sites, especially TB meningitis (infection of the lining of the brain).
TB is a curable disease and also a preventable one. However, treatment requires a combination of medications taken for at least 6 months, whereas, prevention is much simpler with a single dose of BCG vaccine, which can be given form birth.
BCG Vaccination- Supply Available at CityDoc Moorgate (Tuesday and Friday) /Oxford Circus (Monday-Saturday) and Canary Wharf (Wednesday)
At CityDoc, we have been providing BCG vaccinations since 2006 at our CQC registered clinics in City of London (Moorgate), Central London (Oxford Circus).
BCG Vaccine £75. Telephone Reservation Required. Limited Availability due to National Shortage.
You will require require evidence that you have had no previous exposure to TB prior to vaccination. This takes the form of a Mantoux Skin Test.
The BCG Vaccine
The BCG vaccine is a live vaccine, which means that it contains a weakened strain of actual TB bacteria, Mycobacterium bovis.
Indications for BCG vaccine
The BCG vaccine can be given from birth and is indicated for the following individuals:
- All infants born and living in areas of the UK with high incidence of TB.
- Infants or children with a parent or grandparent from a country with high incidence of TB.
- Certain groups of travellers to high incidence countries.
- Anyone at risk of TB due to their occupation, such as healthcare workers.
|Birth to 1 year||0.05mls single dose|
|Age of 1 and over||0.1mls single dose|
The vaccine is administered into the skin of the upper arm, normally the left side.
|BCG||NO BOOSTERS REQUIRED|
There is no need for further doses of the BCG vaccine- it should be given only once in a lifetime.
Exclusions to BCG vaccine
The BCG must not be given in the following situations:
- If you have already had the BCG vaccine
- If you have a past history of TB infection
- If you have a positive TB skin test (Mantoux test)
- If you have had a previous allergic reaction to any of ingredients in the vaccine (see FAQ section for ingredients)
- If you have a weakened immune system such as due to diseases like leukaemia, lymphoma, sever HIV infection or due to medications, such as oral steroids, cancer therapies and immunosuppressants.
- If you have a illness with a high fever (greater than 38.5 degrees Celsius) on the day of the vaccination.
The BCG vaccine should not be given during pregnancy, due to the risk of a live vaccine.
The BCG vaccine should not be given to breast feeding mothers.
Although there have been no harmful effects demonstrated when the vaccine has been given to breast feeding mothers, it is best that vaccination is avoided unless absolutely necessary.
Common Side Effects
NORMAL REACTION to the Vaccine
In the vast majority of those vaccinated, a blister forms at the injection site between 2 to 6 weeks later. The blister then becomes a open sore, which may leak fluid. The sore will eventually crust over and heal to leave a flat scar. This process may take months to occur.
- Localised side effects, such as pain, redness, bruising and swelling are common with the BCG vaccine.
- Uncommon side effects (occurring in 1 per 100-1 per 1000 individuals) include fever, headache, loss of appetite, irritability and enlarged lymph gland near the injection site (in the armpit or the neck). These are normally short-lived and get better by themselves.
- Rare side effects include allergic reaction to the vaccine and skin abscess.
Interaction with Other Vaccines
It is important that following BCG vaccination to the arm, no other vaccine is administered in that arm for 3 months.
The vaccine can be given at the same time or any time before or after the following vaccines:
- Chicken pox
- Diphtheria, Tetanus, Polio, Pertussis vaccine (part of childhood immunisation programme)
- Haemphilus Influenza Type B
- Meningitis B and Meningitis ACWY vaccines
- Oral Rotavirus vaccine
- Hepatitis B vaccine
- Any travel vaccines, such as Hepatitis A, Typhoid an Yellow Fever.
Frequently Asked Questions
At CityDoc, we offer both the Mantoux test and the cutting edge, Quantiferon Gold TB test.
Available at CityDoc Moorgate (Tuesday and Friday) /Oxford Circus (Monday-Saturday)
The Mantoux test is the most popular screening test for TB. It is generally performed prior to giving the BCG vaccination.
Part of the protein from the TB bacterium is injected under the skin of the forearm. After 48-72 hours, the arm is checked to see if there has been a reaction. If there is latent (non active) TB, moderate redness and swelling is often seen at the site-a positive Mantoux test. If this reaction is more severe active TB is more likely. A mild reaction can also occur if you have had the BCG vaccination. Further investigation may be required either through Quantiferon Gold blood test and/or Chest X-ray in the case of positive Mantoux test results depending on the reaction and any symptoms.
Cost £70 incudes consultation
Quantiferon Gold Test (Available at Canary Warf, Moorgate, Oxford Circus)
This is a blood test, which determines if a person is infected with the tuberculosis bacteria by measuring the immune response to TB proteins in blood. It can be used instead of the Mantoux test or performed if the Mantoux test is positive. Unlike the Mantoux test, it is not affected by the BCG vaccination.
Cost £140 includes consultation
Visit One Of Our Vaccine Specialists
CityDoc is a trusted provider of expert medical services at our clinics throughout the UK, with nearly 50 travel clinics in London.