Guideline for indications for administering seasonal flu vaccine (based on the Dutch GP guidelines)

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Vaccination is advised for patients:

  • with pulmonary disease: asthma (when maintenance medication is given; this also holds true for children), COPD, carcinoma of the lung, anthracosilicosis, lungfibrosis , mucoviscidosis, severe kyfoscoliosis, status after resection of a lung, breathing difficulties;
  • with cardiac disease: having experienced a myocardial infarction, angina pectoris, arrhythmias, valve dysfunction, cardiac failure;
  • with diabetes mellitus, even if not on medication;
  • with chronic kidney disease/failure: dialysis, kidney transplant;
  • with sickle cell disease (SS or SC);
  • after a recent bone marrow transplant;
  • with HIV-infection;
  • with an (intellectual) disability in an intramural setting;
  • with a diminished resistance to infections: livercirrosis, (functional) asplenia, auto-immune illnesses, chemotherapy, immunosuppressive medication;
  • 60 years and older.

For the following personnel vaccination is highly desirable:

  • personnel in nursing homes , homes for care of the elderly, hospitals;
  • health care workers who have frequent and intensive contacts with patients including personnel in the outpatient clinics or GP/specialist practices.

Others for whom vaccination is desirable:

·        home care givers to persons running a high risk of severe illness and mortality due to influenza

Side effects of the vaccine: local redness, swelling and pain.

Contra-indication for vaccination: allergy to eggs, or to any other substance in the vaccine, (convalescence from) an acute illness.

Patient Information:

Vaccination reduces morbidity by 30-70% and reduces complications by 20-50%.

Vaccination does not offer protection against influenza like illnesses that are not caused by influenza viruses.

When to vaccinate:

Yearly between mid october and mid november. Children under  6 years of age should be vaccinated twice with an  interval of  4 weeks, unless they have been previously vaccinated.

Last Updated ( Monday, 09 November 2009 12:03 )  

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