Tag Archives: influenza

Influenza Vaccination in Patients with Egg Allergy

Guideline Watch | GENERAL MEDICINE, INFECTIOUS DISEASES

January 11, 2018

Influenza Vaccination in Patients with Egg Allergy

David J. Amrol, MD reviewing Greenhawt M et al. Ann Allergy Asthma Immunol 2018 Jan .

All available flu vaccines are safe in all egg-allergic patients.

Sponsoring Organizations: American Academy of Allergy, Asthma, and Immunology (AAAAI); American College of Allergy, Asthma, and Immunology (ACAAI)

Target Audience: All providers who administer influenza vaccines

Background

Historically, patients with egg allergy have been told to avoid flu vaccines, because most flu vaccines are produced in embryonated chicken eggs; the concern was that a vaccine might contain residual egg protein, which could lead to anaphylaxis. Many studies have shown that flu vaccines are safe for egg-allergic patients, but many physicians still have been hesitant to vaccinate such patients. This updated practice parameter incorporates recent data on flu vaccine safety in egg-allergic patients, including children.

Key Recommendations

  • Flu vaccines should be administered annually to patients with egg allergy of any severity, with no need to ask recipients about egg-allergy status and no special precautions beyond those recommended for administering any vaccine to any patient. This recommendation applies to both injected and intranasal formulations (although the latter should not be used in the 2017−2018 flu season).
  • Non−egg-containing vaccines can be used but are not necessary or preferred over standard vaccines.
  • The intranasal live attenuated flu vaccine also might be used, if it’s shown to be efficacious and is approved for use.
Comment

Egg-allergic patients can be vaccinated safely with any available age-appropriate flu vaccine, with no special precautions, regardless of egg-reaction history (including anaphylaxis). Concern for egg allergy only adds another barrier to universal flu vaccination, and this practice parameter concludes by stating the following: “Vaccine providers and screening questionnaires do not need to ask about the egg allergy status of recipients of influenza vaccine.”

Editor Disclosures at Time of Publication

Disclosures for David J. Amrol, MD at time of publication

Consultant / Advisory board CSL Behring; Horizon Pharmaceuticals
Citation(s):

Greenhawt M et al. Administration of influenza vaccines to egg allergic recipients: A practice parameter update 2017. Ann Allergy Asthma Immunol 2018 Jan; 120:49. (http://dx.doi.org/10.1016/j.anai.2017.10.020)

Flu Season Guidelines from IDSA

Flu season is up us. Please see these guidelines for this season from Infectious Disease Society of America for current updates.

Weekly Flu Activity – CDC

Oral and Nasopharyngeal Specimen Collection


This is a brief list of oral and nasopharyngeal specimen collection procedures.

MRSA

  • Location: Anterior nares
  • Swab: Routine cotton culture swab

Top

Influenza

  • Location: Posterior nasopharynx
  • Swab: Routine cotton culture swab
  • Wear a surgical mask, protective eye wear and gloves while collecting the specimen
  • Place the patients head on the bed pillow or against a wall so that they do not move backwards
  • The swab will go straight backwards like placing an NG tube, it should go the distance between the nostril and the ear into the throat.
  • The swab is rotated for a bout 5–10 seconds to get enough epithelial cells on it
  • Remove the swab and place it in the transport media and sent it to lab

Top

Pertussis

The PCR assay reuires a special swab, made of aluminum with a nylon tip. Traditional cotton tip swabs interfere with the test

  • Location: Posterior nasopharynx
  • A special transport media is needed- call the lab for it
  • Wear a surgical mask, protective eye wear and gloves while collecting the specimen
  • Place the patients head on the bed pillow or against a wall so that they do not move backwards
  • The swab will go straight backwards like placing an NG tube, it should go the distance between the nostril and the ear into the throat. This is different from a nasal swab for MRSA or influenza
  • The swab is rotated for a bout 5–10 seconds to get enough epithelial cells on it
  • Remove the swab and place it in the transport media and sent it to lab

Pertussis-2

Here is a video on specimen collection

Top

Mumps

  • Location: Specimen is collected from the parotid duct secretions preferrably within 9 days of symptoms.
  • Swab: Routine cotton swab. Specimen is sent in a viral transport media.
  • Steps
    • Massage the parotid gland for 30 seconds. Note that it is just in front of the ear lobe. CDR742039
    • Specimen should be collected from the parotid duct opening just next to the second molar.
      mumps-cavity

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Visitor restriction lifted

As the incidence of influenza has markedly diminished, effective Wednesday, March 19, 2014, we will be lifting our current flu precaution visitor restrictions. This was the second year we implemented additional restrictions to our visitation policy in order to safeguard our patients, Associates, Physicians and visitors. Thank you all for supporting the temporary restriction.

Thank you for your cooperation

-Rachel Sebastian, Vice President and Site Administrator, Centegra Hospital-McHenry
-Sheila Senn, Vice President and Site Administrator, Centegra Woodstock Hospitals
-Dr. Irfan Hafiz, Vice President of Medial Affairs 

Influenza update

On Jan. 9, we instituted a visitor restriction policy for the safety of hospital patients, visitors and Associates during this flu season. I’d like to remind you that the policy includes no visitors under the age of 14 years old on any inpatient unit (including visitors of Associates, physicians and volunteers). It limits visitation to immediate family members over the age of 14 in obstetrics and pediatrics. There also is a limit of two visitors per patient at a time on all units. In addition, the policy pertains to outpatient areas of the hospitals as well. These restrictions help reduce the transmission of influenza within the hospital.

Those who are feeling sick with a runny nose, sore throat, or fever, should not visit friends or loved ones in the hospital. Hospital visiting hours are 8 a.m. to 8 p.m. daily.

 

Visitor Restrictions in effect Jan 9th – Influenza

Visitor Restrictions

Centegra Health System is experiencing increased cases of influenza and flu-related hospitalizations. For the safety of hospital patients, visitors and Associates during this flu season, We are asking for your cooperation once again with the implementation of our visitor restriction policy.

This policy will go in to effect Thursday, Jan. 9, 2014:

  1. No visitors under the age of 18 years old
  2. Limited visitation for significant others in obstetrics and pediatrics.
  3. No visitors who are sick with a runny nose, sore throat, or fever

This is the second year we have implemented additional restrictions to our visitation policy. As an organization we believe it our responsibility to make every effort to reduce the spread of this illness. Please reinforce with your patients, and other with whom you interact in our facilities, our intentions to with these temporary restrictions.

Mandatory Medical Staff Vaccination

Vaccination is mandatory for all Associates and medical staff. To schedule your vaccination, please call Associate Health at 815-759-4372. Verification of vaccination is required and can be faxed to any of the numbers below:

  • CHM Medical Staff Office Fax: 815-759-8098
  • CHW Medical Staff Office Fax: 815-334-3856
  • Associate Health Fax: 815-759-4425

We would like to remind all clinicians of the importance of hand washing, masks and other appropriate measures to prevent the spread of flu. Likewise, for the safety of your other patients, consider expeditious discharge as soon as appropriate to prevent risk of infection to them as well as their families. Your cooperation is greatly appreciated and your patients will appreciate it as well.

 

Influenza update 2013-14 season

Remember

  • Think of influenza in patients presenting with respiratory illness
  • Test those who are admitted with respiratory illness
  • Use droplet precautions for those with respiratory symptoms
  • It is still not too late to get vaccinated

Have you gotten your flu vaccine? It's not too late! It's National Influenza Vaccination Week.