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Although the guidance is largely similar to that from previous seasons, additional updates include the availability of the intradermal formulation of Fluzone -- which was approved by the FDA in May -- and new recommendations regarding vaccination in individuals with egg allergy -- which were discussed at one of ACIP's meetings in June.
Included in the recommendations for vaccination in the presence of egg allergy:
•Those with a history of hives only after exposure to egg can receive influenza vaccine, but should receive the trivalent inactivated vaccine (TIV) rather than the live attenuated influenza vaccine (LAIV), should be vaccinated by a healthcare provider who is familiar with potential manifestations of egg allergy, and should be observed for at least 30 minutes following administration.
•People who have had more severe allergic reactions to egg should be referred to a physician with expertise in the management of allergies for further risk assessment.
•The vaccine should be administered in settings equipped for the rapid recognition and treatment of anaphylaxis.
The authors noted that a previous severe allergic reaction to influenza vaccine, regardless of the component causing the reaction, is a contraindication to getting the vaccine.
This is a bit of a pull-back from last year's "It's fine for EVERYONE, even those with egg allergy" advice. Hopefully many allergists will continue offering testing and split dosing with low-egg-protein lots.
Thanks for sharing this with us. Dr. Wood cleared DD for the flu vaccine at our visit in July. He left open who should administer the vaccine contingent on wthether the pediatrician would be comfortable administering.
Even with the recent studies and recommendations, in this area, I have a really hard time getting anyone to give me a flu vaccination, and I've only ever had mild egg reactions - hives and persistent eczema, and have some level of tolerance to baked egg.
Luckily my family doctor thinks that given the risk of a severe asthmatic getting the flu, she's willing to risk it - but I have to go in on a day that the doc is there and stay for at least a half hour afterwards.
I've been getting the flu shot for years - no problems. Seriously thinking about fibbing this year so that I can get it more inexpensively - but it makes me feel so guilty.
Me: Allergic to soy, egg, barley, tomato, orange, apple, cherry, peach, pear, nectarine, banana, canteloupe, watermelon, severe OAS to others, insect bites (severe to horseflies), way too many environmental allergens, and asthma.
Flu vaccination advice for 2011/2012 season - (Read 934 Times)
Posted: Aug 18th, 2011 at 07:19 pm
Hopefully many allergists will continue offering testing and split dosing with low-egg-protein lots.
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