Considerations for using trivalent inactivated influenza ...



Considerations for using trivalent inactivated influenza vaccine (TIV) versus live attenuated influenza vaccine (LAIV)

|Vaccine(s) |Considerations For |Considerations Against |

|TIV |Cost |Needle phobia |

| |Few contraindications |More supplies needed |

| |Can include older adults and children under 2 years |Training (esp bioject) |

| |Familiar product |Thimerosal concerns |

| |Good safety record |Needlesticks |

| | |Waste disposal |

| | |Local site reaction |

| | |Lower throughput rates |

|LAIV |Ease of administration |More expensive |

| |No needle (better acceptance, safety), easier to train |Short shelf life |

| |nurses |More contraindications |

| |Higher vaccine efficacy, |More ineligible students |

| |Potential cross protection |Increase screening time |

| |Reduced staff needs and higher throughput |Concerns about live virus |

| |Available in Aug |Unfamiliarity with product |

| |Duration of immunity |Confusion over contraindications |

|Both (parents’ choice) |More parental control |Need for more parental information/counseling |

|Mention Hawaii experience with |Reduce missed opportunities |Confusing |

|qualifiers about its first-year| |Multiple or more complex consent forms and VIS statements |

|experience | |More difficult to anticipate ordering the right proportion of |

| | |TIV versus LAIV |

| | |Dealing with parents who make an inappropriate choice |

| | |More time needed for staff to clarify consent |

| | |More potential for errors |

|LAIV w/ TIV for kids with |Few ineligibles |More costly |

|contraindications |Eliminates much parental confusion over |More potential for administration errors |

| |contraindications/choice |Clinics are less streamlined |

| |Easier to estimate vaccine needs | |

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