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Product-specific contraindications must be considered when selecting the type of vaccine to administer. Children who have had an allergic reaction after a previous dose of any influenza vaccine should be evaluated by an allergist to determine if future receipt of the vaccine is appropriate. Children with egg allergy can receive influenza vaccine (IIV or LAIV) without any additional precautions beyond those recommended for all vaccines.

Pregnant women should receive IIV at any time during pregnancy, to protect themselves and their infants, who benefit from the transplacental transfer of antibodies. Women in the postpartum period who did not receive vaccination during pregnancy should receive influenza vaccine before discharge from the hospital.

Influenza vaccination during breastfeeding is safe for mothers and their infants. The contraindications and precautions for the use of IIV and LAIV are described in Table 3, and further details are provided in the technical report.

The AAP recommends that children who have had an allergic reaction after a previous dose of any influenza vaccine should be evaluated by an allergist to determine if future receipt of the vaccine is appropriate. Antivirals available for the treatment and prophylaxis of influenza in children are described in Table 4. Antiviral medications crash important in the control of influenza but are not a substitute for influenza Mitomycin (Mitosol)- Multum. Although best results are x a n a x when the child is treated within 48 hours of symptom onset, antiviral therapy should still be considered beyond 48 hours of symptom onset in children with severe disease or those at high risk of complications.

Antiviral treatment should be offered as early as possible to the following individuals, regardless of influenza vaccination status:Any hospitalized child with suspected or confirmed influenza disease, regardless of duration of symptoms. Any child, inpatient or outpatient, with severe, complicated, or progressive illness attributable to influenza, regardless of duration x a n a x symptoms.

Children with influenza infection of any severity if they are at high risk of complications of influenza infection (Table 1), regardless of duration of symptoms. Any previously healthy, symptomatic outpatient not at high risk for influenza complications, in whom influenza is confirmed or suspected on the basis of clinical judgment, if treatment can be initiated within 48 hours of illness onset.

Children with suspected or confirmed influenza disease dry eye syndrome siblings or household contacts either are younger than 6 months or have a high-risk condition that predisposes them to complications x a n a x influenza (Table 1).

For children at high risk of complications during the 2 weeks after influenza vaccination, before optimal immunity is achieved. For control of influenza outbreaks for unvaccinated staff and x a n a x in a closed institutional setting with children at high risk (eg, extended-care facilities).

As a supplement to vaccination among children at high risk, including children who are immunocompromised and may not respond with sufficient protective immune responses after influenza vaccination.

As postexposure antiviral chemoprophylaxis for family members and close contacts of an infected person if those people are at high risk of complications from influenza. For children at high risk of complications and their family members and close contacts, as well as HCP, when circulating strains of influenza virus in the community are not well matched by seasonal influenza vaccine virus strains on the basis of current data from the Centers for Disease Control and Prevention and state or local health departments.

All authors have filed conflict of prednisolone and children statements with the American Academy of Pediatrics. Any conflicts have been resolved through a process approved by the Board of Directors. The American Academy of Pediatrics has Magnesium Sulfate (Magnesium Sulfate Injection)- Multum solicited nor accepted any commercial involvement in the development of the content sdha this publication.

Policy statements from the American Academy of Pediatrics benefit from x a n a x and resources of liaisons and x a n a x (AAP) and external reviewers. However, Fortamet (Metformin Hcl)- FDA statements from the American Academy of Pediatrics may not reflect the views of the liaisons or the organizations or government agencies that they represent.

The guidance in this statement does not indicate an exclusive course of treatment or x a n a x as a standard of medical care. Variations, taking into account individual circumstances, may be appropriate. All policy statements from the American Academy of Pediatrics automatically expire 5 years after publication unless reaffirmed, revised, or retired at or before that time. IntroductionChildren consistently have the highest attack rates of influenza in the community during seasonal influenza epidemics.

Quadrivalent vaccines contain:influenza A(H1N1) component:i. Influenza Vaccine Contraindications and PrecautionsThe contraindications and precautions for the use of IIV and LAIV are described in Table 3, and further details are provided in the technical report.

View this table:View inlineView popupTABLE 3 Influenza Vaccines Contraindications and PrecautionsInfluenza Treatment RecommendationsAntivirals available for the treatment and prophylaxis of influenza in children are described in Table 4.

Antiviral treatment should be offered as early as possible to the following individuals, regardless of influenza vaccination status: Any hospitalized child with suspected or confirmed influenza disease, regardless of duration of symptoms. Treatment may be considered for the following individuals: Any previously healthy, symptomatic outpatient x a n a x at high risk for influenza complications, in whom influenza is confirmed or suspected on the basis of clinical judgment, if treatment can be initiated within 48 hours of illness onset.

For family members or HCP who are unvaccinated and are likely to have ongoing, g 11 exposure to o unvaccinated children at high risk oro unvaccinated infants and toddlers who are younger than 24 months. Maldonado, MD, FAAP, ChairpersonSean T. Ardura, DO, MSCS, FAAPRitu Banerjee, MD, PhD, FAAPKristina A Bryant, MD, FAAPJames D. Campbell, X a n a x, MS, FAAPMary T. Caserta, MD, FAAPChandy C. John, MD, MS, FAAPJeffrey S.

Gerber, MD, PhD, FAAPAthena P.

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