Pediatric Allergy and Asthma Unit, Hacettepe University, School of Medicine, Ankara, Turkey.
Acta Paediatr. 2011 Aug;100(8):e94-6. doi: 10.1111/j.1651-2227.2011.02165.x. Epub 2011 Feb 25.
Allergies to hen's egg and cow's milk are the most frequent food allergies in infancy and childhood. Current guidelines recommend safe administration of measles-mumps-rubella (MMR) vaccine in egg allergic patients.
We present three cases of anaphylaxis that we encountered after MMR vaccination in children sensitized to hen's egg and cow's milk.
Even though MMR vaccine is generally known to be safe in children with egg allergy, there may still be isolated cases of anaphylaxis.
Therefore, we recommend that all children not only those who were sensitized to foods should receive the MMR vaccination in a setting that is equipped to deal with anaphylactic reactions. As stated by WHO in immunization safety surveillance, 'Each vaccinator must have an emergency kit with adrenaline, and be familiar with its dosage and administration'.
鸡蛋和牛奶过敏是婴幼儿最常见的食物过敏。目前的指南建议在鸡蛋过敏患者中安全使用麻疹-腮腺炎-风疹(MMR)疫苗。
我们报告了 3 例在对鸡蛋和牛奶敏感的儿童中接种 MMR 疫苗后发生过敏反应的病例。
尽管 MMR 疫苗通常被认为在鸡蛋过敏的儿童中是安全的,但仍可能有孤立的过敏反应病例。
因此,我们建议所有儿童,不仅是那些对食物过敏的儿童,都应该在能够应对过敏反应的环境中接种 MMR 疫苗。正如世卫组织在免疫安全监测中所述,“每个接种者都必须配备肾上腺素急救包,并熟悉其剂量和使用方法”。