[PAGID] It's nearly influenza time

[Lisa Kobrynski, MD, MPH]

I have not been routinely vaccinating these patients, but I am starting to think
about it.
I usually give everyone a prescription for Tamiflu and instructions on when to
start it (including notifying us so we can followup).  Our ID folks are very
reluctant to advise season-long prophylaxis so we have not done that here.

I do advocate that the rest of the household (parents and siblings) get the
subvirion vaccine (not the live vaccine).

Lisa

Lisa Kobrynski, MD, MPH
Assistant Professor of Pediatrics
Division of Allergy and Immunology
Emory University
404-727-3575
404-727-5045 (fax)


Quoting "Kathleen E. Sullivan" <sullivak at mail.med.upenn.edu>:


> I'm curious to know how people handle their patients with significant  

> T cell compromise in flu season.  I'm not worried about the patients  

> who have mild decrements in T cell numbers but rather those who are  

> borderline for a transplant and influenza could do significant harm.

> 

> Are you recommending Tamiflu as season-long prophylaxis?

> Are you giving Tamiflu PRN cough/fever?

> Counting on a vaccine?

> 

> Alternative strategies?

> 

> Kate

> 

> Kathleen E. Sullivan MD PhD

> Chief, Division of Allergy and Immunology

> Professor of Pediatrics

> The Children's Hospital of Philadelphia

> (p) 215-590-1697

> (f) 267-426-0363

> 

> 

>