[MCOH-EH] Question re: Process for flu vaccination for those with Egg Allergies

[Hartley, Patrick]

In response to Angeli’s question:
FluMist is not contraindicated in healthcare workers unless contraindicated by personal health or age restrictions, or they “care for severely immunocompromized persons who require a protective environment”  per CDC guidance (http://www.cdc.gov/flu/protect/whoshouldvax.htm#nasal-spray). This is usually taken to mean profoundly immunocompromized patient such as those following bone-marrow transplantation.
At our institution, the neonatologists don’t want HCW that work in neonatal ICU to receive the nasal influenza vaccine either, and we have incorporated that into our policy, but that goes further than CDC guidance.
Pat


Patrick G. Hartley, M.B., B.Ch., B.A.O., M.P.H.
Professor (Clinical) of Internal Medicine
Division of Pulmonary Diseases, Critical Care and Occupational Medicine
Medical Director: University Employee Health Clinic & Occupational Medicine Clinic
Carver College of Medicine
University of Iowa
Iowa City, IA 52242-1009
319-353-7072 (Office)
319-356-2115 (Pulmonary / Occ. Med. Clinic)
319-356-3631 (UEHC)
319-353-6406 (Fax)
patrick-hartley at uiowa.edu

Medical Director: UI Healthworks
3 Lions Drive
N. Liberty, Iowa 52317
319-356-3335 (Phone)
319-467-7181 (Fax)



From: MCOH-EH [mailto:mcoh-eh-bounces+patrick-hartley=uiowa.edu at mylist.net] On Behalf Of Angeli Mancuso
Sent: Thursday, September 17, 2015 10:22 AM
To: MCOH/EH
Subject: Re: [MCOH-EH] Question re: Process for flu vaccination for those with Egg Allergies

We have an egg-limited version we use a majority of the time (Flucelvax) and for folks with severe allergy, we have a few doses of Flublok.

I’m curious for those offering FluMist: I was under the impression that mist was contraindicated for healthcare workers due to the potential to shed live virus. We’ve told folks who want this option that they would be required to be off work for 3 weeks following administration. This is supported by our infection control and occupational medicine directors.

Be well,
Angeli

Angeli Mancuso, RN, COHN-S/CM
Employee Health & Safety Manager
Ph: 805.569.7866/Internal Ext. 57866
Fax: 805.569.8271
a1mancus at sbch.org<mailto:a1mancus at sbch.org>
www.cottagehealthsystem.org<http://www.cottagehealthsystem.org/>
[cid:image001.jpg at 01D0F140.58FB0070]

From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Cindy Hansen
Sent: Thursday, September 17, 2015 7:13 AM
To: 'mcoh-eh at mylist.net'
Subject: [MCOH-EH] Question re: Process for flu vaccination for those with Egg Allergies

I am curious whether your employee health / occ med departments routinely provide egg free options during flu shot season to Ee's.  If not, what is your process:  Refer to Primary MD, or Allergist??  Our organization plan is to get the shot or mask the entire flu season.

Cindy Hansen, RN, MSN, CCM, CSIWCP
Employee Health Manager
Ph:  228-867-4174
Fax:  228-867-4080



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