Which site is generally avoided for intramuscular injections in young children?

The dorsogluteal site is generally avoided for intramuscular injections in young children primarily due to safety concerns. In children, the gluteal muscles are still developing, and there is a higher risk of injuring the sciatic nerve or major blood vessels located in close proximity to this site. Additionally, the potential for fat deposits in the buttock area can lead to suboptimal absorption of the medication.

In contrast, the other sites listed, such as the ventrogluteal, deltoid, and anterolateral thigh, are considered safer and more appropriate for intramuscular injections in this age group. The ventrogluteal site is preferred as it is further away from major nerves and blood vessels. The deltoid is also a commonly used site but is limited in terms of volume for injection. The anterolateral thigh, known as the vastus lateralis, is particularly favored for infants and young children because of its size and accessibility, making it a reliable option for intramuscular injections.