• Which of my "egg-allergic" patients can receive influenza vaccine?
Decision making related to TIV depends on the type of prior reaction the patient had. Those with mild reactions, defined as hives alone, may receive TIV followed by a 30-minute observation period. Use the same vaccine for those who require a second dose, if at all possible. Consult an allergist for those with severe reactions including cardiovascular changes, respiratory and/or gastrointestinal tract symptoms, or reactions that required the use of epinephrine. An algorithm is available from the CDC that can be used to guide decision making in such cases.
Dr. Jackson is the chief of infectious diseases at Children’s Mercy Hospitals and Clinics in Kansas City, Mo., and professor of pediatrics at the University of Missouri–Kansas City. She said she has no relevant financial disclosures. E-mail her at pdnews@elsevier.com.