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What size needle do you use for flu?

Published in Vaccine Needles 2 mins read

For flu shots given intramuscularly (IM), a 22–25 gauge needle is typically used. The appropriate injection site and needle length will depend on the person's age and body mass.

Understanding Needle Gauge and Length

  • Gauge: This refers to the diameter of the needle. A higher gauge number indicates a smaller needle diameter. For example, a 25-gauge needle is smaller than a 22-gauge needle.
  • Needle Length: This is the physical length of the needle. Different lengths are needed to ensure the medication is delivered into the muscle, rather than just under the skin.

Recommended Needle Gauge and Length for Flu Injections

For intramuscular (IM) flu injections:

Aspect Recommendation
Gauge 22-25 gauge
Injection Site & Length Chosen based on age and body mass

Factors Influencing Needle Selection

The choice of needle size and length is not one-size-fits-all. Here are some of the factors that influence the decision:

  • Age:
    • Infants and young children require shorter needles.
    • Adults require longer needles to reach the muscle tissue.
  • Body Mass:
    • Overweight or obese individuals may require longer needles to ensure that the injection reaches the muscle.
  • Injection Site:
    • The deltoid muscle (upper arm) is a common injection site for adults, and it often requires a shorter needle.
    • The vastus lateralis muscle (thigh) is often used for infants and young children.

Examples of Needle Length Recommendations:

  • Adults: Typically use a 1-1.5 inch needle for deltoid injections.
  • Children: Generally, a 5/8 to 1 inch needle is used for the thigh (vastus lateralis) or upper arm (deltoid) injection site.
  • Infants: A 5/8 to 1 inch needle may be used for injection in the thigh.

It is crucial for healthcare providers to follow the guidelines for each specific population.

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