Yumurta Alerjisi Olan Çocuklarda Kkk Aşısı O ncesi Aşı ile Prick Test Sonuçları ve Aşı Reaksiyonları

Kızamık-kızamıkçık-kabakulak aşısı sonrası reaksiyon sıklığı ve aşı öncesi aşı ile prik testlerin gerekip gerekmediğinin değerlendirilmesi amaçlandı. Retrospektif çalışmamızda 01 Ekim 2017- 01 Ekim 2018 tarihleri ararsında yumurta alerjisi olup KKK aşısı kliniğimizde yapılan 130 hasta değerlendirildi. Hastaların % 44,6 (54) kız, % 55,3 ( 72) erkekti. KKK aşısı yapıldığında yaş ortalaması 14 ay idi Hastaların 92’si ( % 70,7) ürtiker / anjioödem ,36’sı ( % 27,6) atopik dermatit, 2 ’si ( % 1,53) anaflaksi tanıları ile izlenmekteydi. Tüm hastalara KKK ile DPT uygulandı 16 hastada ( % 12,3) prik testi pozitif bulundu. Bu 16 hastanın 4’ünde ( % 25 ) aşı sonrası hafif ürtiker bulguları görüldü. Yumurta ile yüksek alerjisi olan, anaflaksi öyküsü olan hastalarda aşı ile herhangibir reaksiyon görülmedi. Aşı sonrası alerjik reaksiyonlar öyküsünde besin alerjisi olmayan hastalarda da görülebilmektedir. Bu nedenle aşılar anaflaksiye müdahale ekipmanlarının hazır olduğu ortamlarda uygulanmalıdır.

Prick Test Results with Mmr Previous Vaccination in Children with Egg Allergy and Vaccine Reactions

The aim of this study was to evaluate the frequency of exacerbations after MMR vaccination and to determine whether pre-vaccination vaccine and prick tests are required. In our retrospective study, we evaluated 130 patients who had egg allergy MMR vaccine made in our clinic between 1 October 2017 and 1 October 2018. 44.6% ( 54) of the patients were female and 55.3% ( 72) were male. The mean age was 14 months when the MMR vaccine was administered. Of the patients, 92 (70.7%) were diagnosed with urticaria / angioedema, 36 (27.6%) were atopic dermatitis, and 2 (1.53%) were diagnosed with anaphylaxis. All patients underwent DPT with MMR and prick test was positive in 16 patients (12.3%). Four of these 16 patients (25%) had mild urticaria after vaccination. As a result, no reaction was seen with the vaccine in patients with a history of high allergic anaphylaxis with egg. Allergic reactions after vaccination can also be seen in patients without food allergy. For this reason, vaccines should be administered in anaphylaxis environment in which ready-to-use equipment is available.

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