Management of difficult and severe eczema in childhood

BMJ 2012; 345 doi: http://dx.doi.org/10.1136/bmj.e4770 (Published 23 July 2012)
Cite this as: BMJ 2012;345:e4770

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While the annual influenza vacination is to be recommended, it is important to check for history of egg allergy, and use egg-free vaccines if available.

The pneumococcal vaccination should not be given annually. Although 5-yearly vaccination could be considered as a guide, the exact timing can be assessed by checking pneumococcal antibodies (either total or serotype-specific pneumococcal antibodies).

Competing interests: None declared

Yousuf Karim, Consultant Immunologist

Frimley Park & St Thomas' Hospitals, Immunology, Frimley Park Hospital

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