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Influenza vaccination of the egg-allergic individual

Raymond J Mullins and Michael S Gold
Med J Aust 2011; 195 (1): 52-53.

To the Editor: Australian influenza notification and hospitalisation rates are highest in children aged under 5 years,1 the group most commonly affected by egg allergy (estimated to affect 8.9% of infants aged 12 months in a recent Melbourne study).2 The ability to safely vaccinate egg-allergic individuals is thus an important public health i

Raymond J Mullins, Adjunct Professor1
Michael S Gold, Associate Professor2
1 University of Canberra, Canberra, ACT.
2 University of Adelaide, Adelaide, SA.
Article References: 
Reference Text: 
Australian Government Department of Health and Ageing. Australian influenza surveillance report. No. 44, 2010, reporting period 30 October 2010 – 5 November 2010. http://www.health.gov.au/internet/main/publishing.nsf/Content/cda-ozflu-no44-10.htm/$File/ozflu-no44-2010.pdf (accessed Apr 2011).
Reference Order: 
1
PubMed ID: 
Reference Text: 
Osborne NJ, Koplin JJ, Martin PE, et al; HealthNuts Investigators. Prevalence of challenge-proven IgE-mediated food allergy using population-based sampling and predetermined challenge criteria in infants. J Allergy Clin Immunol 2011; 127: 668-676.
Reference Order: 
2
PubMed ID: 
21377036
Reference Text: 
Australasian Society for Clinical Immunology and Allergy. Guidelines for medical practitioners. Influenza vaccination of the egg-allergic individual. September 2010. http://www.allergy.org.au/images/stories/pospapers/ascia_guidelines_influenza_vaccination_egg_allergic_individual_2010.pdf (accessed Apr 2011).
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Reference Text: 
Mullins RJ, Kemp A, Gold M. Influenza vaccination of the egg-allergic individual. Med J Aust 2010; 193: 254-255.
Reference Order: 
4
PubMed ID: 
20819039
Reference Text: 
Nicklas RA, Oppenheimer J, Portnoy JM, et al. Administering influenza vaccine to egg allergic recipients: a focused practice parameter update. Ann Allergy Asthma Immunol 2011; 106: 11-16.
Reference Order: 
5
PubMed ID: 
21195939
Reference Text: 
Kelso JM. Administration of influenza vaccines to patients with egg allergy: update for the 2010–2011 season. J Allergy Clin Immunol 2010; 126: 1302-1304.
Reference Order: 
6
PubMed ID: 
21134575
Reference Text: 
National Health and Medical Research Council. The Australian immunisation handbook. 9th ed. Canberra: Commonwealth of Australia, 2008. http://www.health.gov.au/internet/immunise/publishing.nsf/ Content/Handbook-home (accessed Apr 2011).
Reference Order: 
7
PubMed ID: 
Reference Text: 
Owens G, MacGinnitie A. Higher-ovalbumin-content influenza vaccines are well tolerated in children with egg allergy. J Allergy Clin Immunol 2011; 127: 264-265.
Reference Order: 
8
PubMed ID: 
21094520

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