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Is hospital based MMR vaccination for children with egg allergy here to stay?
Hawkes, C P ; Mulcair, S ; Hourihane, J O B
Hawkes, C P
Mulcair, S
Hourihane, J O B
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Other Contributors
Date
2010-01
Date Submitted
Keywords
Other Subjects
Subject Mesh
Anaphylaxis
Child
Child, Preschool
Eggs
Female
Food Hypersensitivity
Hospitals
Humans
Immunization Programs
Immunization Schedule
Ireland
Male
Measles-Mumps-Rubella Vaccine
Practice Guidelines as Topic
Prospective Studies
Referral and Consultation
Child
Child, Preschool
Eggs
Female
Food Hypersensitivity
Hospitals
Humans
Immunization Programs
Immunization Schedule
Ireland
Male
Measles-Mumps-Rubella Vaccine
Practice Guidelines as Topic
Prospective Studies
Referral and Consultation
Planned Date
Start Date
Collaborators
Principal Investigators
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Article5304.pdf
Adobe PDF, 10.16 KB
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Abstract
Egg allergy is incorrectly considered to constitute a contraindication to MMR in the community, despite a long history of its safe administration to egg allergic children. The product insert perpetuates this misinformation but the Irish guidelines from the RCPI are unequivocal. We reviewed all paediatric cases vaccinated in our hospital in 2007-2008. Forty seven of 91 children receiving vaccinations in hospital, had been referred for MMR due to concerns regarding egg allergy. In 32% (n=15), GP referral for vaccination was made despite correspondence from the clinic advising routine vaccination in the community. Nineteen were second MMR immunisations, which should all have occurred in the community. Unnecessary hospital referral for MMR vaccination is an extra burden on hospital resources, and causes unwarranted anxiety amongst parents of children with egg allergy. A change in practice seems difficult to achieve, as many referrals happen despite individualised correspondence to GPs and other referring clinicians outlining the current guidelines.
Language
en
ISSN
0332-3102
eISSN
ISBN
DOI
PMID
20222388
