Egg Allergy

Ovalbumin content of influenza vaccines for the 2014/15 influenza season can be taken from the Table published in the Green book Chapter 19 pages 210-212.

The Government's Green book (immunisation of infectious diseases) gives advice on vaccination of egg allergic patients in chapter 19 on pages 206 onwards  (updated 5 November 2014). The more recent Green Book advice should be used in preference to that provided in the BSACI egg allergy guidelines.

Clinical & Experimental Allergy. Volume 40, Issue 8, August 2010, Pages: 1116–1129

Summary

This guideline advises on the management of patients with egg allergy. Most commonly, egg allergy presents in infancy, with a prevalence of approximately 2% in children and 0.1% in adults. A clear clinical history and the detection of egg white-specific IgE (by skin prick test or serum assay) will confirm the diagnosis in most cases. Egg avoidance advice is the cornerstone of management. Egg allergy often resolves and re-introduction can be achieved at home if reactions have been mild and there is no asthma. Patients with a history of severe reactions or asthma should have reintroduction guided by a specialist. All children with egg allergy should receive measles, mumps and rubella (MMR) vaccination. Influenza and yellow fever vaccines should only be considered in egg-allergic patients under the guidance of an allergy specialist. This guideline was prepared by the Standards of Care Committee (SOCC) of the British Society for Allergy and Clinical Immunology (BSACI) and is intended for allergists and others with a special interest in allergy. The recommendations are evidence-based but where evidence was lacking consensus was reached by the panel of specialists on the committee. The document encompasses epidemiology, risk factors, diagnosis, treatment, prognosis and co-morbid associations.

Keywords

adrenaline, aetiology, allergy, anaphylaxis, BSACI, diagnosis, egg, epinephrine, food, influenza, management, MMR, SOCC, vaccines, yellow fever

Authors

A. T. Clark, I. Skypala, S. C. Leech, P. W. Ewan, P. Dugué, N. Brathwaite, P. A. J. Huber and S. M. Nasser

Guideline Download

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Member Download
Journal Website: Egg allergy guidelines

Egg allergy guideline 2010 Egg allergy guideline 2010 (243 KB)


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