Vaccine recommendations for children and youth for 2019/2020 influenza season Flashcards
Who should get influenza vaccine?
HIGH RISK
o children 6-59 months
o chronic health conditions, specifically:
cardiac or pulmonary (BPD, CF, asthma)
DM and metabolic diseases
cancer, other immune-compromising conditions
renal disease
anemia or hemoglobinopathy
neurological or neurodevelopmental conditions
morbid obesity (BMI >/= 40 kg/m2)
children and adolescents (6mo-18 years) undergoing prolonged treatment with ASA because of potential increase of Reye’s syndrome associated with influenza
o indigenous peoples
o chronic care facilities residents
o all pregnant women in all trimesters (for their protection and to protect infant after birth)
o adults >/= 65 years
CAPABLE OF TRANSMITTING TO HIGH RISK
- household contacts of newborns, infants <6 mo, high risk
- providing child care =<59 mo
- health care providers
- anyone serving high risk in confined settings (camps, cruise ships)
OTHER
- providing essential community services
- people in contact with poultry
Contraindications to LAIV ?
• < 2 years (increased rate of wheezing 2-4 wk post vaccination)
• immunocompromising conditions
• severe asthma (defined as current active wheezing or currently on oral or high-dose inhaled glucocorticosteroids, or medically attended wheezing within the previous 7 days)
• pregnancy
• those taking chronic ASA (risk of Reye’s syndrome)
• Pts taking antiviral agents within 48 hours
o if antiviral agent must be given within 2 weeks of receipt of LAIV, another dose of vaccine should be given at least 48 h after discontinuation of therapy or IIV should be given
• Nasal congestion - defer LAIV until congestion has resolved or IIV should be given
• Precaution that contacts with immunocompromised patient should avoid for 2 weeks following receipt of LAIV
SE of LAIV?
nasal congestion and rhinorrhea
contraindications to flu vaccine
- anaphylaxis to component (except egg allergy)
- onset of GBS within 6 wk of flu vaccine
