Immunizations- Influenza Part 2

Portable Peds

Today we’ll be covering Influenza Live Vaccine Contraindications, going along with the theme for our premiere episodes, Immunizations.

If you haven’t listened to our podcast before, each week we have a case-based discussion about a medical topic to help you study for the pediatric medicine board exam. Episodes are released every weekend, and the case is then reviewed and reinforced on social media throughout the week.

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Today’s Case:

A 3 year old female with history of asthma and cochlear implant was recently diagnosed with Kawasaki Disease and was treated appropriately at her local pediatric hospital. The patient also received a dose of Tamiflu (Oseltamivir) yesterday. The parents are requesting the patient receive a live attenuated influenza vaccine, but you counsel them that she should avoid a live influenza vaccine. Which of the following is NOT a reason to avoid the live attenuated influenza vaccine in this patient?

1. History of asthma
2. Recent administration of Tamiflu (Oseltamivir)
3. Cochlear implant
4. Age
5. Receiving aspirin or salicylate-containing medications

Link to one of the resources cited in this episode:

2013 Infectious Diseases Society of America (IDSA) Clinical Practice Guideline for Vaccination of the Immunocompromised Host

https://academic.oup.com/cid/article/58/3/e44/336537

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Intro/Outro- Hotshot by Scott Holmes

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