Category Archives: Nursing

Influenza Vaccination in Patients with Egg Allergy


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


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.

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 boardCSL Behring; Horizon Pharmaceuticals

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. (

Centegra earns Magnet designation for nursing excellence

It is with tremendous pride that we announce that Centegra Health System has achieved Magnet designation as part of the American Nurses Credentialing Center’s (ANCC) Magnet Recognition Program. This hospital recognition program is considered the highest honor an organization can receive for nursing care and professional nursing practice.

Centegra Health System is just the second health system in Illinois to earn this prestigious recognition. This means our patients will receive the same level of excellent nursing care at every Centegra hospital. Fewer than 400 hospitals worldwide have this status and Centegra is just the second health system in Illinois to receive this designation.

Nurses, Associates and leaders from throughout Centegra gathered at our hospitals this morning to listen to a conference call with the ANCC. During this call Centegra Health System’s nurses were praised for their dedication to advancing their profession. The enthusiasm of our nurses, their pride and the organization’s outstanding support of nurses were all praised during the call. Perhaps the best part about our journey was that our joyful spirits were evident every step of the way. To see a video of the thrilling Magnet designation announcement, please visit Centegra’s Facebook page!

We have been on the Journey to Magnet Excellence for four years. Our efforts have resulted in better patient care and a more engaged nursing workforce. This journey would not have been successful without the efforts of the nurses, Associates and Physicians who contributed their time and talents.

Congratulations to each of you on this remarkable achievement. We are grateful for your efforts, and we are thrilled to now say we are a Magnet-designated health system!


Jason Sciarro, President and Chief Operating Officer
Neil Murphy, Senior Vice President and Chief Nursing Officer
Trisha Musich, Director of Professional Practice

Fall Nursing Symposium lecture recording case studies in ID

The following is a recording of the fall nursing symposium lecture presented on Sept 13th 2013 at McHenry County College for Centegra Health System.


  1. CDC site on Rocky Mountain Spotted Fever
  2. Infectious Disease Society of America Guidelines for the Diagnosis and Treatment of Asymptomatic Bacteruria in Adults
  3. Clinical Practice Guidelines for Clostridium Difficile Infection in Adults, 2010

Centegra Nursing Magnet Application Accepted

On July 11th Centegra Nursing received notice that their 2013 Magnet designation application document was accepted.

The application shares how the system provides nursing care for our patients, our community and each other. It It describes the processes we use to make decisions and allocate resources. Most importantly, it provides insight into Centegra’s unique culture of compassionate caring and reflects how we truly aim to serve with joyful spirits. This Magnet document reflects the richness and depth of Nursing at Centegra

The next step in our journey to Magnet designation will be a site visit by Magnet surveyors. We expect the visit to take place in October and to last less than one week. During the visit, surveyors will witness first-hand Centegra’s culture and how our dedicated Nurses incorporate evidence-based practices into the care we provide every day. They will be thoroughly examining our interdisciplinary approach to care while visiting multiple sites, so every Associate will play an important role.

Thank you to everyone who has helped lead Centegra down our journey to Magnet designation so far. The upcoming site visit is an important component of our Magnet application and is our chance to shine! We look forward to your continued support.

-Neil Murphy, Senior Vice President and Chief Nursing Officer

-Trisha Musich, Director of Professional Practice

Magnet timeline

  • January 2010 – Hired Magnet Coordinator – Trisha Musich
  • Gap Analysis was started at that time.
  • May 2010 – Gap Analysis submitted to Mike Eeasly
  • June 1, 2013 – Application accepted!
  • April 1, 2013 – Document Submitted
  • July 11, 2013 – Documented Accepted and site visit was granted.
  • October 2013 – Site Visit will take place.

A lecture on outbreaks in extended care facilities

This is the screen cast of a lecture titled “Outbreaks in extended care facilities (ECF)” given by Irfan Hafiz MD on April 19th 2013 at Centegra McHenry Hospital. It was co-sponsored by Centegra Health System and the McHenry County Dept. of Health.

Topics included in the lecture include:

  • Identifying current and emerging infectious disease common to long term care facilities (LTCF).
  • Describe preventive interventions for infectious disease in the context of LTCF.
  • Describe the unique challenges facing LTCF in the context of infectious diseases.

For upcoming lectures please look at the calendar and filter by “Education Events”.