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Vacciantions

Question
May CF child be vaccinated?
Answer
Dear Parients,
vaccination against pathogens that cause invasive infecions may result in decreased morbidity. Because children with CF are predisposed to pulmonary infections, vaccination is valuable.
CF subjects should follow national immunisation programmes without delay to obtain optimal vaccination coverage.
Children with CF should receive influenza immunisation as well, as pulmonary exacerbations often results from influenza. The influenza vaccination is available in fall of each year and should be obtained annually.
Regards,
Assoc. prof. Sigitas Dumcius
22.10.2009
22.10.09
As this is a European forum and there are exsisting guidelines on the topic vaccination in children with CF ("Immunisation in the current management of cystic fibrosis patients" by A. Malfroot et al. 2005 in the J of Cyst Fiboris 4; 77-87), a short summary is quoted here:
"CF subjects should follow national immunisation programmes without delay to obtain optimal vaccination coverage. However, on some vaccinations there is no uniform European immunisation shedule, therefore they are briefly mentioned here. Vaccination against Hepatitis A and B is appropriate in CF as recommended in general for patients with chronic liver disease. Vaccination against the Varicella zoster virus is not recommended in all European countries. There are no recent data about possible worsening of pulmonary status following Varicella in CF, but it is known to cause pulmonary damage in non-CF adults and to be potentially fatal post transplantation and during steroid treatment. Therefore it is recommended at least for adolescents who did not have Varicella disease and transplant candidates. Pneumococcal vaccine is generally indicated for CF patients."
D. d'Alquen