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Influenza Vaccination: A Successful Outpatient Program

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We initiated a program to evaluate patient reasons for refusing immunization in an allergy clinic. A general medicine clinic was studied for comparison. For the Northwestern University Allergy Service (NUAS) there were five full-time salaried and seven voluntary physicians. In the general medicine clinic there was one part-time salaried physician. Four hundred eighty-eight NUAS patients and 48 general medicine patients were evaluated. Ninety-five percent of the patients agreed to vaccination. Egg allergy, the only valid contraindication to influenza vaccination, was reported by three (<1%) patients. Transient mild symptoms consisting of fatigue, myalgias, rhinitis and/or diarrhea were reported in 20% of the patients who received vaccination. No severe systemic reactions were reported. No significant difference in the vaccination acceptance rate was noted between the subspecialty and primary care outpatient clinics. The importance of influenza immunization in patients with asthma and in other high-risk populations deserves emphasis, and high success rates are achievable when emphasized by physicians.

Document Type: Research Article


Publication date: November 1, 1992

More about this publication?
  • Allergy and Asthma Proceedings is a peer reviewed publication dedicated to distributing timely scientific research regarding advancements in the knowledge and practice of allergy, asthma and immunology. Its primary readership consists of allergists and pulmonologists.

    The goal of the Proceedings is to publish articles with a predominantly clinical focus which directly impact quality of care for patients with allergic disease and asthma.

    Featured topics include asthma, rhinitis, sinusitis, food allergies, allergic skin diseases, diagnostic techniques, allergens, and treatment modalities. Published material includes peer-reviewed original research, clinical trials and review articles.

    Articles marked "F" offer free full text for personal noncommercial use only.

    The journal is indexed in Thomson Reuters Web of Science and Science Citation Index Expanded, plus the National Library of Medicine's PubMed service.
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