Management of difficult and severe eczema in childhood
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
Frimley Park & St Thomas' Hospitals, Immunology, Frimley Park Hospital
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