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Update on vaccination guidelines for allergic children
1Division of Allergy, Asthma and Immunology, Scripps Clinic, San Diego, CA, USA. kelso.john@scrippshealth.org
Insights
Children with allergies can safely receive immunizations, but require special precautions for potential vaccine component allergies. Allergy evaluations are recommended after adverse reactions to guide future vaccinations.
Area of Science:
- Pediatrics
- Allergology
- Immunology
Background:
- Children with allergic or atopic diseases need immunization.
- Vaccination in these children requires specific considerations and precautions.
- Potential allergies to vaccine components like gelatin or egg exist.
Purpose of the Study:
- To outline considerations for vaccinating children with allergic diseases.
- To address concerns regarding vaccine safety in atopic children.
- To clarify the relationship between vaccination and allergic disease development.
Main Methods:
- Review of existing literature on vaccination in allergic populations.
- Case evaluation of children with suspected vaccine reactions.
- Analysis of evidence linking vaccination to allergic disease onset.
Main Results:
- Children with allergies require immunization.
- Allergic reactions to vaccine components can occur, necessitating allergist evaluation.
- No evidence supports the claim that vaccination causes allergic diseases.
Conclusions:
- Vaccination is safe and necessary for children with allergic diseases.
- Individualized assessment and precautions are crucial for atopic children undergoing immunization.
- Concerns about vaccines inducing allergic diseases are unsubstantiated by scientific evidence.
Abstract:
Children with allergic or atopic diseases require immunization just like non-atopic children. However, vaccination of such children requires some special considerations and precautions. Children may be allergic to specific vaccine constituents such as gelatin or egg. Children who have suffered an apparent allergic reaction to a vaccine should be evaluated by an allergist to determine the culprit allergen and to make recommendations regarding future vaccination. In rare circumstances, certain vaccines may cause acute exacerbations of allergic diseases, but the contention that vaccination causes allergic disease is not substantiated by any available evidence.
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