by Doctor
Categories:
- Allergy treatment
Be very careful with Russian measles, mumps and rubella vaccinations. due to an allergy to chicken protein, we received a domestic vaccination, as a result, within 4 hours the child was covered in a rash (according to the doctors, ordinary urticaria), became excitable, did not eat well, and on the 14th day diarrhea, fever and snot began... many diagnoses were made, but the tests refuted them, then 5 months, lymphocytes 86, runny nose and loose stools against the backdrop of a strict diet, bifidobacterins and finestil with Zyrtec, after all the examinations we were diagnosed with allergic rhinitis as a reaction to the vaccine, Zyrtec, calcium with zinc in powders and now a month As we almost recovered, the card contains a medical exemption from vaccinations with a live vaccine.
If your baby is allergic to chicken protein, then all vaccines that are made on the basis of a chicken embryo are contraindicated for such a patient. Foreign preparations of measles and mumps vaccines are prepared on chicken embryos and therefore they are not administered to persons with anaphylactic reactions to chicken protein (immediate shock reaction or swelling of the tissues of the face and larynx). Domestic measles and mumps vaccines are prepared using Japanese quail eggs, although this contraindication does not directly apply to them; the possibility of cross-allergic reactions should be kept in mind. Thus, a reaction to chicken egg white is a contraindication for the use of imported vaccines (since they are prepared using chicken embryos), but in this case you can get a Russian vaccine. Conversely, in case of a reaction to quail eggs, it is better to vaccinate with an imported vaccine.
Hello, dear readers. Today we will talk about the specifics of vaccinating children with allergies.
Are vaccinations really necessary? Are there special rules for vaccinating children with allergies, and what are they?
Flu prevention
Specific prevention of influenza is carried out annually; it includes mass immunization of children with vaccines containing special strains of the virus that are most likely to cause an epidemic in the current season. Such influenza prevention is carried out with the consent of parents for children, from an early age to teenagers. The goal of such influenza prevention is to create a sufficiently active immunity against the influenza virus, which will protect against the disease or make its course mild and devoid of serious complications. However, if a child suffers from allergies, especially if there is egg white intolerance, specific flu prevention can become a significant problem. The thing is that the vaccine is created on the basis of cultivating the virus on chicken egg embryos and a small part of the protein may be present in the composition of the drug. For children suffering from an immediate allergy to this substance, administration of the vaccine may cause problems.
Vaccine administration: allergy
When a flu vaccine is administered, a small amount of viral particles enters the body, which activate the immune system and stimulate the production of protective antibodies against the virus. Vaccination can have both desirable results and some negative consequences - it depends on the characteristics of the children’s body. Thus, the most basic and desirable result is the development of a sufficient titer of antibodies to protect against influenza, but among the undesirable effects, an allergy to the vaccine may form or some other negative reactions may occur. However, influenza is a dangerous and insidious disease, and vaccination against it is highly recommended for children to protect them from serious complications.
Allergy to the administration of the drug in children who are prone to similar reactions is a known phenomenon. It often occurs in children who suffer from food allergies, especially to chicken egg whites. For the reaction to develop, preliminary sensitization is necessary, that is, primary contact with the allergen. This usually occurs when eating eggs or when a vaccine is given for the first time. That is, a reaction is possible only with repeated administration of the drug. If children calmly eat chicken eggs, but during vaccination they experience allergic reactions, then the problem is not in the proteins of the chicken egg.
Important to remember
- For children with allergies, vaccinations are necessary because they protect the child from serious infections.
- There are certain rules, if followed, vaccination will be well tolerated.
- Vaccinations for children with allergies are carried out under the supervision of an allergist. If necessary, they are prescribed an antihistamine course before and after vaccination.
See you in the next article!
What vaccinations cannot be given if you are allergic to eggs? And if the allergy is not severe, your cheeks turn red, has anyone gotten the vaccine?
Comments
— If you’re interested, there’s a pediatrician’s page on Instagram; you can read the article using the hashtag annamama_vaccinations
— There are a lot of vaccinations based on chicken embryos, let the allergist assemble a commission and determine which vaccinations you can have and which ones you cannot. If my cheeks are red, I don’t vaccinate. Due to allergies, we only have 3 hepatitis and 1 pentaxim.
— We have all the vaccinations up to a year. Measles, rubella, mumps - one contains chicken protein, the other quail. We are allergic to both. We'll go to the pediatrician next week and find out what to do about it.
— @m700, in very rare cases, we have perfectly clean skin. Red cheeks if PPC, i.e. exacerbation of allergies is a reason for medical withdrawal. And then, for a couple of weeks, until there is an exacerbation. So, we have all the vaccinations
— Measles is still not worth it, because there was a medical discharge due to an egg allergy. It is not advisable to use the Russian tick treatment, only import and we were not advised to use the flu in principle.
— @elenkastep, there seems to be only the Austrian one for ticks, it’s the most expensive. You can't treat the flu
— @lady-avto, we were told that this year there is no import of ticks at all, the country did not purchase them.
— @elenkastep, maybe there are paid ones? Call the new hospital they used to do there
— @lady-avto, I haven’t looked into this issue yet. For now I’m just writing what the allergist said
— @elenkastep, my eldest was allergic to chicken protein. Last year, the allergist called/clarified the manager, they said it was the purest vaccine, there should be no reaction to it, I can rip off the manufacturer, prolactin brain - I remember the most expensive
— After the first dose of the yolk, we developed a rash. They canceled the eggs and that’s it. There is no vaccination. Just don't give any eggs. There's nothing wrong with that)))
— As far as I know, there are no medical outlets for allergies and you can get vaccinated without any problems)
— @lady-avto, thank you, I’ll know. I want to install a tick, but later. First you need measles
— @ekaterina18_07, only if you are allergic to chicken protein, there is a medical outlet; you cannot vaccinate with it. In this case, everything is selected individually with an immunologist - allergist.
Doctor
Children with allergies: rules for administering vaccines
The flu vaccine itself is a hypoallergenic drug. It can influence the development of allergies only if the child has hypersensitivity to one of the components of the drug. An allergy occurs due to the fact that the body perceives a protein as foreign and triggers the production of histamine and other active substances. If children are healthy and do not have a negative reaction to any substances, the vaccine will not cause allergies in them. If children have previously had reactions to food or similar components of other drugs, the vaccine may cause an exacerbation or worsen the course of the allergic process. Such children need preparation for vaccination and administration of a vaccine that does not contain an allergenic component.
Myths about vaccinations
Dr. Komarovsky collected all the most common horror stories about vaccinations and explained in detail why they are far from the truth.
Myth No. 1. Vaccinations are not necessary, since most diseases have already disappeared due to improved sanitary and hygienic standards
Yes, many diseases for which vaccinations are given are no longer diagnosed. But this is not due to the fact that their pathogens have disappeared. And with herd immunity.
Vaccinated people act as a kind of barrier to infection and prevent its spread. But the fewer vaccinated people in a society, the higher the likelihood of long-forgotten diseases emerging.
An example of this is outbreaks of measles and polio in some regions.
Maintaining good hygiene helps protect against some diseases, but many diseases spread regardless of cleanliness.
Myth No. 2. Vaccinations can be fatal because vaccines cause harmful and long-term side effects
Each vaccine undergoes many studies for safety; it cannot be dangerous.
Minor local and general reactions that appear after vaccination are a normal reaction of the immune system to the penetration of foreign biological material into the body.
The risk of getting serious complications from the diseases against which vaccinations are given is much higher than from the vaccine itself.
Polio often leads to paralysis and disability; measles often leads to blindness and encephalitis. Some diseases are very difficult to cure, leading to death.
To avoid the development of severe side effects and severe complications, it is necessary to properly prepare the child for vaccination.
The basic rule is that the baby must be absolutely healthy; an examination by a pediatrician, and in some cases by a neurologist, is mandatory. Take the time to do a general blood and urine test.
Myth No. 3. Associated vaccines DPT and polio provoke the development of sudden death syndrome in infants
Sudden child death syndrome is a pathology that has not been fully studied. But a causal relationship between vaccination and SIDS has not been established.
It’s just that DPT and the polio vaccine are given at an age when the risk of developing SIDS is quite high.
These 2 events may coincide in time, but are in no way interconnected.
Myth No. 4. Many childhood diseases for which vaccinations are given are simply an unfortunate reality of life, you just need to get over them
Diseases that are controlled through mandatory vaccinations cannot in any way be classified as annoying childhood diseases.
Measles, mumps, and rubella are quite dangerous diseases that often cause serious complications not only in children, but also in adults.
Dangerous consequences of “frivolous” childhood diseases:
- severe forms of pneumonia;
- encephalitis, meningitis;
- complete or partial loss of vision;
- persistent diarrhea;
- ear diseases;
- mumps can cause male infertility.
Rubella during pregnancy in unvaccinated women is a common cause of intrauterine fetal death and the development of pathologies in the child.
Myth No. 5. The simultaneous administration of several vaccines can lead to the development of severe side effects.
Numerous studies have shown that when several drugs are administered simultaneously, the child’s immune system does not experience excessive stress. Because every day children are exposed to a huge number of substances that cause an immune reaction.
With the simultaneous administration of several drugs, the number of visits to the clinic, where children often pick up various infections, is significantly reduced. Multicomponent vaccines reduce the number of injections.
Myth No. 6. There is no need to get a flu vaccine
Flu is a dangerous disease, especially for children, since their immune system does not work at full capacity. More than 300 thousand people die from influenza every year.
Preparing for vaccinations for allergy sufferers
Influenza is usually predicted between December and February-March, and vaccination against it is carried out in advance so that the body has time to produce a sufficient number of antibodies and full preparation for vaccination can be ensured. This is especially true for allergy sufferers, since vaccination for them is carried out according to special rules.
Hemorrhoids kill the patient in 79% of cases
The vaccine is administered only during the period of remission of the disease; if there is the slightest rash on the skin or other manifestations, vaccination is postponed until they completely disappear. Ideally, preliminary allergy tests should be carried out to rule out an allergy to chicken egg white. If it is a food allergy, two weeks before vaccination, children are transferred to a hypoallergenic diet with the exclusion of potential provoking foods.
Before being vaccinated, children must undergo a mandatory examination by a pediatrician, and, if necessary, consult an allergist. He will give parents recommendations on how to behave correctly during and after vaccination. Allergy sufferers are shown only monocomponent vaccines; various polyvalent drugs are not suitable for them.
If children have had a cold, you need to wait at least a month to get vaccinated. On the recommendation of an allergist, a short course of antihistamines may be indicated before vaccination. After the vaccine is administered, you should not visit crowded places with your child, take long walks, or expose your child to heavy loads.
Contraindications for flu vaccination: Who should wait to get vaccinated in 2020
Not everyone can get a vaccine that is useful and especially needed in 2020, and not always.
Photo: Ivan MAKEEV
In September 2020, mobile first aid stations will begin operating in Moscow, where everyone can get a free flu vaccination. Vaccination will become available not only in clinics, but throughout the city. Cars in which people can get vaccinated will be located near metro stations, and medical tents will be deployed in shopping centers. It is better to get vaccinated even for those who usually neglect the vaccine, relying on the strength of their immunity. In the coronavirus year, no one needs the flu at all. Therefore, at the first opportunity, inject yourself.
But first remember if you have any contraindications to the flu shot. Vladimir Beketov, candidate of medical sciences, general practitioner, and pulmonologist at Sechenov University, who should postpone vaccination
In the coronavirus year, no one needs the flu at all. Therefore, at the first opportunity, inject yourself.
Photo: Ivan MAKEEV
It is important to remember that all absolute contraindications to any vaccination drug are always specified in the instructions, the expert notes. Therefore, it is enough to enter the names of the modern most used vaccines for the prevention of influenza into a search engine on the Internet (these are “Grippol”, “Vaxigrip”, “Flu-M”, “Ultrix”, “Sovigripp”) to read about what diseases and conditions There is no need to get vaccinated.
— For our Russian scientific and medical community, for pulmonologists and virologists, great pride is that a very good and competitive, effective and high-quality vaccine “Flu-M” has appeared in Russia, the use of which began successfully last fall, and I am sure that the vaccine will also be actively used this season, since its set of strains corresponds to the current epidemiological situation in the world,” says general practitioner and pulmonologist Vladimir Beketov.
In September 2020, mobile first aid stations will begin operating in Moscow, where everyone can get a free flu vaccination.
Photo: Ivan MAKEEV
WHO SHOULD NOT TAKE INJECTIONS
An absolute contraindication is individual intolerance to the components of the vaccine, which manifested itself in previous vaccinations.
— We are talking about a serious negative reaction to the vaccine. Not redness of the injection site or a short-term increase in temperature, or poor health for a day or two, but really serious reactions up to anaphylactic shock, loss of consciousness, or the development of other life-threatening conditions,” clarifies the general practitioner, pulmonologist Vladimir Beketov.
Vaccination will become available not only in clinics, but throughout the city.
Photo: Ivan MAKEEV
WHO CAN, BUT WITH RESERVATIONS
If acute allergic reactions to the vaccine have not happened to you, and you previously tolerated vaccination normally, then the following may be a reason to postpone vaccination until you recover:
- increased body temperature;
- catarrhal phenomena, that is, any inflammation of the mucous membranes or intestines, which lead to severe symptoms of mucus discharge. Essentially, these are snot, pharyngitis - diseases associated with inflammation of the throat; tonsillitis - inflammation of the tonsils (especially with purulent plugs);
- diarrhea;
- bacterial or fungal inflammations, such as cystitis.
— You need to be quite careful when vaccinating people with chronic diseases, especially rheumatoid and autoimmune diseases. Because their treatment is aimed at reducing immunity. This is not so much dangerous as it makes vaccination pointless - the formation of the necessary protective antibody titer will not happen, explains Vladimir Beketov.
Cars in which people can get vaccinated will be located near metro stations, and medical tents will be deployed in shopping centers.
Photo: Ivan MAKEEV
“Modern influenza vaccines are non-live vaccines (produced without the use of a live virus - editor’s note), they are safe, well studied, and easily tolerated,” continues the expert. “And I would note the extreme importance of flu vaccination, especially in the context of a possible second wave of the new coronavirus pandemic.
The doctor says that in the early stages of the disease it will be difficult to distinguish the flu from COVID-19, and if the patient is vaccinated against the flu, it will be much easier for specialists to treat, and this virus can be excluded.
“In addition, this year we expect the accumulation of three epidemics: ARVI, influenza and COVID-19. Therefore, in these conditions, if it is possible to reliably protect against at least one of these diseases, of course, it is worth doing,” says general practitioner and pulmonologist Vladimir Beketov.
It is better to get vaccinated even for those who usually neglect the vaccine, relying on the strength of their immunity.
Photo: Ivan MAKEEV
IMPORTANT
A flu vaccine is being developed using chicken embryos. For many years this has been a contraindication for vaccination of people who are allergic to chicken egg proteins, the so-called ovalbumins.
“Modern flu vaccines, such as Ultrix or Flu-M, practically do not cause an allergic reaction to ovalbumin, or, if they do, it is very small, since the amount of ovalbumin in these drugs tends to zero,” explains the general practitioner. , pulmonologist Vladimir Beketov. “This suggests that the number of people who can be safely and effectively vaccinated against influenza is increasing every year.
MEANWHILE
When will vaccinations against coronavirus begin: Russians were divided into three groups
After mass testing on volunteers, a vaccination campaign will begin for all Russians (details)
Do allergy sufferers need to be vaccinated against the flu?
Every year, influenza and large-scale epidemics cause a lot of controversy among supporters and opponents of vaccination. Children with allergies are a special group; for them, the flu and its consequences will be more serious, since it can provoke exacerbations of pathology and complications that simply do not arise in healthy children. In addition, the immune defense features of allergy sufferers are specific; their immunity obviously malfunctions, which puts them at risk for severe influenza. Therefore, experts strongly recommend vaccination against influenza for such children, which will significantly reduce the risks of adverse outcomes of both the infection itself and its treatment. Many of the drugs used to treat influenza can provoke allergic reactions, which only complicates the situation. But the decision about whether to vaccinate or refuse it lies entirely with the parents. They are the ones who give either written consent or refusal after listening to all the doctors’ arguments.
Side effects
Side effects from the flu shot in adults are not common. If adverse reactions occurred everywhere, people would have abandoned this method of prevention long ago.
The likely harm from side effects is several times lower than the probability of contracting the flu and suffering from serious complications that develop later.
Every year, more than 10 million vaccines are administered worldwide, but no more than twenty deaths due to this cause are recorded. While the death rate caused by the virus exceeds 3 million.
However, the vaccine may well cause the development of adverse reactions, and the person who decides to get vaccinated must be prepared for this. Most often, adverse reactions occur in children, the elderly, and also during the installation of live vaccine injections. Inactivated compounds are safer than live ones. Whole-virion substances produce more reactions than subunit or split vaccines.
Side effects are more likely to occur if a person is examined before the procedure by a doctor who is not sufficiently qualified. Or the medical personnel who give injections do not have sufficient experience in this matter. For example, vaccination in the thigh is indicated for children, in contrast to adults, who are vaccinated in the forearm. This is necessary in order to reduce the likelihood of developing allergies.
