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    CDC announces 2016-17 flu vaccine changes


    Allergic reactions in individuals with egg allergies have historically been rare, according to CDC, with about 1.31 reactions per 1 million vaccine doses. Additionally, CDC cites a 2012 study that reviewed inoculation of 4,172 egg-allergic patients with the LAIV flu vaccine during which no anaphylaxis—only mild reactions—occurred. Other studies have demonstrated similar results.

    For this flu season, ACIP recommends that egg-allergic individuals whose reactions have been limited to hives may receive the influenza vaccine in the same manner as the general population. Those who have had more severe reactions—including anaphylaxis requiring epinephrine or other emergency intervention—may also receive the vaccine this year, but administration should occur in an inpatient or outpatient setting where a healthcare provider can monitor and treat the individual for a reaction, if necessary. Egg-allergic individuals should be monitored for at least 30 minutes, and the CDC even recommends that individuals without egg allergies be observed for at least 15 minutes to rule out any adverse effects to the vaccine, including syncope.

    Previous allergic reactions to the vaccine itself—rather than to eggs in particular—is a contraindication to the vaccine, according to the CDC.

    CDC recommends that all individuals over the age of 6 months are advised to receive the flu vaccine annually, especially senior citizens and those who are immunocompromised.

    AAFP urges compliance

    The American Academy of Family Physicians (AAFP) says it supports the updated recommendations and suggests that all adults, particularly seniors, comply with the guidelines.

    Next: Adjusting to virus changes

    Rachael Zimlich, RN
    Ms Zimlich is a freelance writer in Cleveland, Ohio. She writes regularly for Contemporary Pediatrics, Managed Healthcare Executive, and ...


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