Increasing the use of influenza vaccines in children with egg allergy

Question 1

What are the CPS recommendations?

Answer 1

1. All clinics that administer vaccines need to have the expertise and equipment to be able to deal with anaphylaxis, as per the Public Health Agency of Canada’s Canadian Immunization Guide.
2. All egg-allergic patients should be vaccinated with a full dose of TIV or QIV unless they have previously had anaphylaxis from influenza vaccine. There is no need for split doses or prevaccination skin testing.
3. Postvaccination monitoring should be the same as after any other vaccine.
4. LAIV should not be used in egg-allergic patients because there are insufficient data to support a recommendation.
5. The use and safety of LAIV should be studied in egg-allergic patients.