Seeking advice - Nurse gave infant adult vaccine.
🧐 Research Wanted 🤔
My wife took our child in for a 1 month appointment. They asked my wife if she wanted to give the child the RSV antinbody shot and she agreed. Later that day the doctor called and said the nurse mistakenly gave a full dose of the adult RSV vaccine. I don't what to do. Im tracking down what brand they gave and what lot number, ill update asap.
Unless the brand you are familiar with is not the only brand of RSV vaccine available, and other manufacturers are not producing single-use vials like that. Vaccines traditionally have been produced in vials containing a volume equating to a set number of adult doses per vial. 10 doses per vial is a common volume for many vaccines.
And I understand the difference between antibodies and vaccines, but I see no reason (other than safety) why an antibody infusion would be manufactured in different vials than vaccines, especially since they're marketing it as an 'RSV vaccine', not an 'RSV antibody infusion'. Single use vials are definitely safer in order to prevent the type of mistake made by the OP's pediatrician, but single use vials are also a lot more expensive per dose to produce. Some companies may take the hit to their profit margin in the name of safety, but I'd bet that not all of them do.
There are a few new antibodies being used in children for rsv. From reviewing package inserts etc it appears most are single use. But you are right if they are using multi dose vials they could easily screw up the dose.
There *shouldn't be any multi-use vials. It is one of the safety standards most hospitals and clinics follow per TJC. However the vial May not be being reused, but depending on patients weight, the whole vial may not be utilized. See my comment to u/BWolf79 and doing double verify.