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Dilemma: MMR and egg allergy

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Dilemma: MMR and egg allergy Dilemma: MMR and egg allergy

The nursing profession now encourages a questioning interface in all the care nurses undertake for our patients. Our work is no longer task oriented but evidence-based. The following case study illustrates how sometimes questioning our clinical practice doesn't necessarily lead to definitive answers.

Twelve-month old Child X had been referred to a paediatrician for an egg allergy by his GP. He had suffered two allergic reactions to eggs. The first time a marked rash was noted by his parents; the second time, he had an immediate swelling of his mouth and his face became covered in hives with a rash.

The parents had brought Child X for the MMR vaccination in January 2011 as the paediatrician had told them MMR is no longer produced in egg base and therefore to attend general practice for vaccination. The MMR manufacturer information states 'take special care if you or your child have an allergic reaction to eggs or anything that contains eggs'. It also states 'produced in chick embryo cells'. The child's discharge letters were not yet available.

His mother told me he had had some allergy tests but one was still outstanding. The mother had also been referred to an anaphylaxis course by the hospital but was not supplied with an Epipen.

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