Refer children with a previous serious reaction to an expertBMJ 2011; 343 doi: https://doi.org/10.1136/bmj.d5779 (Published 13 September 2011) Cite this as: BMJ 2011;343:d5779
- David A C Elliman, consultant paediatrician1,
- Helen E Bedford, senior lecturer in children’s health2
The Practice article by Rolfe and Sheikh may help to reduce the numbers of egg allergic children referred to hospital to have their measles, mumps, and rubella (MMR) vaccine.1 Unfortunately, they state that “Children who have had previous serious reactions to any vaccine should be vaccinated under hospital supervision” without any further clarification. How would they define a serious reaction? For example, if this included a convulsion after the third set of primary immunisations there would be little point in immunising in hospital against MMR because any convulsion is likely to occur 5-10 days after the vaccine. It may have been better to suggest that after a serious reaction to a vaccine, a child should be referred for expert advice about further vaccinations. This would be primarily for advice, which would usually recommendgoing ahead with further vaccinations.
Cite this as: BMJ 2011;343:d5779
Competing interests: None declared.