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Yvonne Maldonado
The AAP recently announced that children can be vaccinated with an inactivated influenza vaccine or live influenza vaccine for the 2019-2020 influenza season.
Last year, the Academy recommended that children 6 months of age and older be vaccinated with the inactivated influenza vaccine (IIV) given by injection. Live attenuated influenza vaccine (LAIV), which is sprayed on the nose and is often preferred by parents and patients, was recommended only if the child refused VII. This update is consistent with the CDC recommendations for influenza vaccine.
Yvonne Maldonado, MD, FAAP, responsible for pediatric infectious diseases at Stanford University and Chair of the AAP Infectious Diseases Committee, Infectious Diseases in Children that there was no evidence that forced the academy to change position, but a growing collection of data over time.
"We found that the initial formulation of LAIV was not effective for children. The company has therefore reformulated one of the strains, "she said, referring to the strain of virus A (H1N1) pdm09. "Last year, we did not feel that we had enough global evidence to say that LAIV was an effective vaccine compared to VII. This year, we thought that the data set strongly suggested the efficacy of the LAIV strain. "
The AAP announced its decision in time for providers to order the vaccine for the upcoming influenza season.
"We are confident that [LAIV] can be used with all other vaccine formulations, "said Maldonado. "We encourage providers to have all children, and all people 6 months of age and older, vaccinated against the flu each year. It is a serious illness that causes dozens of deaths every year in children and adults. "- by Katherine Bortz
Disclosure: Maldonado said he was part of a data safety oversight committee for a Pfizer clinical trial unrelated to influenza vaccination.
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