Influenza Vaccine – 2015

This year the ‘Advisory Committee on Immunization Practices’ has made a change in their guidance for influenza vaccinations in the egg allergic population (MMWR August 7, 2015).

History of egg allergy-

Patient experiences hives with egg exposure —-

1. vaccine to be given by a provider familiar with the manifestations of egg allergy AND

2. a 30 minute observation period is required

Patient has a serious systemic reaction to egg (angioedema, respiratory distress, vomiting, loss of consciousness- or required epinephrine or any other emergent intervention)-

1. Refer to allergy clinic

Children able to eat lightly cooked eggs (scrambled) without a reaction are unlikely to be egg allergic. Many egg allergic children can tolerate heated egg products- these children can still have egg (vaccine) reactions. Your allergist can determine the clinical relevance of egg allergy in this population.

If egg allergy is suspected and the reaction is severe, an allergy consultation is suggested.

The change in the algorithm is the addition of the history of eating lightly cooked egg without a problem. We have seen this statement about ingestion of the cooked egg products appear in prior recommendations over the years. This was not part of last year’s protocol. (F. Leickly 11/5/2015)

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November 5, 2015 · fleickly · No Comments
Posted in: Uncategorized

Recall Alert: Auvi-Q

The lot numbers affected are 2299596 through 3037230 with expiration dates between March 2016 through December 2016.

This issue was potential inaccurate dose delivery.

Those with affected Auvi-Qs can call 1-866-726-6340 Monday – Friday 8:00 am to 8:00 pm ET or go to the website www.Auvi-Q.com for more information about returning these units.

If there has been an adverse reaction or lack of efficacy experienced with an affected Auvi-Q product, there is a form for reporting this to the FDA www.fda.gov/medwatch/report.htm.

During this time, generic epinephrine and Epi-Pen can be substituted.

FEL 10/29/2015

 

October 29, 2015 · fleickly · No Comments
Posted in: Uncategorized

Indianapolis Pollen Counts for Tuesday October 13th, 2015

The total weed count today was 16 and the ragweed count was 12. Grass was very low at 0.7.
Lot of debris on the rods- mold spores and ‘dirt’. I had to hunt for the pollens. The pollen website says we have sagebrush pollen in the air. I am not too sure about that call. Has anyone seen a sagebrush being blown down the street?

October 13, 2015

 

 

 

 

 

 

FEL 10/13/2015

October 13, 2015 · fleickly · No Comments
Tags: , , , , ,  · Posted in: Grass pollen, Grass Pollen Counts, Pollen Counting, Pollen Counting- Indianapolis, Ragweed, Seasonal Allergies, Seasonal Allergies-Pollen Counts, Weed Pollen, weed pollen counts Indianapolis

Indianapolis Pollen Counts for October 9-12, 2015

Pollens are still out there, especially today. Ragweed was low Friday, Saturday, and Sunday at 5, 4, and 2 respectively. Today the count was moderate at 22.
Grass was also low over the weekend- 5, 1, and 1. Today it was moderate at 6.
The pollen rods were full of debris, mold, and of course the pollens from the chenopod weed, ragweed, and grass.

October 12, 2015

 

 

 

 

 

 

FEL 10/12/2015

October 12, 2015 · fleickly · No Comments
Tags: , , , , ,  · Posted in: Grass pollen, Grass Pollen Counts, Pollen Counting, Pollen Counting- Indianapolis, Ragweed, Seasonal Allergies, Seasonal Allergies-Pollen Counts, Weed Pollen, weed pollen counts Indianapolis

Indianapolis Pollen Counts for Thursday October 8th, 2015

Still some pollen out there. The total weed count was low at 7. Ragweed accounted for 6 of those 7 pollen grains. Grass was low at 4.

October 8, 2015

 

 

 

 

 

 

FEL 10/8/2015

October 8, 2015 · fleickly · No Comments
Tags: , , , , ,  · Posted in: Grass pollen, Grass Pollen Counts, Pollen Counting, Pollen Counting- Indianapolis, Ragweed, Seasonal Allergies, Seasonal Allergies-Pollen Counts, Weed Pollen, weed pollen counts Indianapolis

Indianapolis Pollen Counts for Monday October 5th, 2015

Thursday, Friday, and Saturday- there was nothing on the pollen rods. Not even debris. The rods spin for a minute every 10 minutes. I got comfortable and watched- nothing. I then took the unit off the pole and began to troubleshoot. This was new territory for me. My first pollen counter dates to some time prior to 1990- and it always worked. Sometimes it sounded like a blender, but the motor always worked.
With my new (only 2 years old) unit- the fuse was good, the power indicator was on, but the when the test button was activated- nothing. According to the booklet- that could be the motor.
So up went the old unit- pollen counts for ragweed were low on Sunday at 3 and low today at 4 grains of pollen per cubic meter of air sampled. Grass was low at 2 and the total weed count- ragweed plus the other chenopod weeds- was low at 5.

October 5, 2015

 

 

 

 

 

 

FEL 10/5/2015

October 5, 2015 · fleickly · No Comments
Tags: , , , , ,  · Posted in: Grass pollen, Grass Pollen Counts, Pollen Counting, Pollen Counting- Indianapolis, Ragweed, Seasonal Allergies, Seasonal Allergies-Pollen Counts, Weed Pollen, weed pollen counts Indianapolis

Indianapolis Pollen Counts for Wednesday September 30th, 2015

Ragweed bounced back into the moderate level today 17 grains of ragweed pollen per cubic meter of air sampled for the day. The minor weeds and grass pollen was very low at 1.

September 30, 2015

 

 

 

 

 

 

FEL 9/30/2015

September 30, 2015 · fleickly · No Comments
Tags: , , , , ,  · Posted in: Grass pollen, Grass Pollen Counts, Pollen Counting, Pollen Counting- Indianapolis, Ragweed, Seasonal Allergies, Seasonal Allergies-Pollen Counts, Weed Pollen, weed pollen counts Indianapolis

Indianapolis Pollen Counts for Tuesday September 29th, 2015

Weeds low at 5. Ragweed low at 2 and Grass low at 1.

September 29, 2015

 

 

 

 

 

 

FEL 9/29/2015

September 29, 2015 · fleickly · No Comments
Tags: , , , , ,  · Posted in: Grass pollen, Grass Pollen Counts, Pollen Counting, Pollen Counting- Indianapolis, Ragweed, Seasonal Allergies, Seasonal Allergies-Pollen Counts, Weed Pollen, weed pollen counts Indianapolis

Indianapolis Pollen Counts for Monday September 28th, 2015

Ragweed low at 5 and grass moderate at 8. As the season changes, fewer and fewer pollens are out there.

September 28, 2015

 

 

 

 

 

 

FEL 9/28/2015

September 28, 2015 · fleickly · No Comments
Tags: , , , , ,  · Posted in: Grass pollen, Grass Pollen Counts, Pollen Counting, Pollen Counting- Indianapolis, Ragweed, Seasonal Allergies, Seasonal Allergies-Pollen Counts, Weed Pollen, weed pollen counts Indianapolis

Indianapolis Pollen Counts for September 25-27, 2015

Grass pollen was at a moderate level on Friday at 5 and low levels of 3 on Saturday and 4 on Sunday.
Ragweed was low all 3 weekend days- 7, 11, and 4.

September 27, 2015

 

 

 

 

 

 

FEL 9/27/2015

September 27, 2015 · fleickly · No Comments
Tags: , , , ,  · Posted in: Grass pollen, Grass Pollen Counts, Pollen Counting, Pollen Counting- Indianapolis, Ragweed, Seasonal Allergies, Seasonal Allergies-Pollen Counts, Weed Pollen, weed pollen counts Indianapolis