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    Does food allergy require any change in measles-mumps-rubella vaccination ?
    (Springer India, 2019) Elitok, Gizem Kara; Çelikboya, Ezgi; Bülbül, Lida; Kaya, Ayşenur; Toraman, Türkan; Bülbül, Ali; Uslu, Sinan
    Objectives To determine the allergic reactions that develop after Measles and Measles-Mumps-Rubella (MMR) vaccination, and whether any delay in the timing of vaccination occurs in children with food allergy. Methods Children with food allergy who were admitted to the Sisli Hamidiye Etfal Training and Research Hospital Healthy Child Clinic between 1st January 2015 and 30th June 2018 for Measles or MMR vaccination were studied retrospectively. Their age, delayed days of vaccination, the types of allergic food, the results of the specific IgE and skin tests, and any reaction after the vaccination were recorded. Results During the study period, 159 patients were vaccinated and 170 doses of Measles or MMR vaccine were administered. Children allergic to egg were 50.3%, allergic to egg and milk were 25.8%, and 13.2% had multiple food allergy including egg. The rate of post-vaccination reactions in the patients with food allergy was 1.76%. Minor reaction was observed in three patients and no anaphylaxis was seen in any patient. Delayed days of vaccination in the patients referred by another center were greater than followed-up by present clinic (p < 0.001). Conclusions Any serious allergic reaction was not observed in this study. Food allergy does not necessitate modification of routine vaccination. Anaphylaxis may develop in any vaccinated child regardless of whether he/she has food allergy or not. Therefore, vaccines should be administered in a healthcare facility that can treat anaphylaxis.
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    Does food allergy require any change in measles-mumps-rubella vaccination ? : correspondence reply
    (Springer India, 2020) Elitok, Gizem Kara; Bülbül, Lida; Kaya, Ayşenur; Bülbül, Ali
    To the Editor: We read the publication on “Does food allergy require any change in measles-mumps-rubella vaccination?” published in IJP with a great interest. We would like to share ideas and experience on the present report. Elitok et al. concluded that “Food allergy does not necessitate modification of routine vaccination [1].” We would like to share ideas and experience on this observation. In fact, adverse effect is observable for any vaccination. In our setting, Thailand, a tropical country in Indochina, MMR vaccination is generally used and the vaccination is usually performed in primary health care center with limited resource. According to the national surveillance record during a 10-y period (2010 – 2019), there is no report of MMR anaphylaxis.