What is the protocol for patients with an egg allergy regarding vaccinations?

The correct approach for patients with an egg allergy regarding vaccinations is to allow them to receive vaccines if they can tolerate fully cooked eggs. This is based on the understanding that although some vaccines, particularly certain influenza vaccines, are grown in chicken eggs and may contain trace amounts of egg proteins, studies have shown that most individuals with egg allergies can safely receive these vaccines, especially if they have a history of being able to consume fully cooked eggs.

For patients who do not have a history of anaphylaxis to egg or have only mild reactions, the ability to tolerate fully cooked eggs indicates they may also be able to handle vaccines containing egg proteins without serious reactions. Therefore, vaccination can occur in a standard healthcare setting without additional precautions, as long as they are monitored for any immediate allergic reactions.

This protocol fosters better vaccination rates and public health while ensuring safety for those with food allergies. Other options suggest more restrictive approaches, such as avoiding all vaccines or requiring general anesthesia, which are not supported by current evidence regarding the management of egg allergies in the context of vaccination. Furthermore, vaccines approved specifically for egg allergies may not cover all necessary vaccinations, limiting protection against diseases.