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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