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Key immunisation issues include maternal vaccination, allergy, revaccination after vaccine-proximate seizures, BCG vaccination and the general practitioner’s role in the rollout of a COVID-19 vaccine.
Clinical
Many adverse events following immunisation are unlikely to be confirmed as true vaccine allergies but rather as coincidental symptoms that may mimic an allergic reaction.
Vaccine-proximate seizures require careful evaluation of the vaccines involved, seizure type and duration to determine a safe course for revaccination.
With escalating COVID-19 misinformation and conspiracy theories, it is vital to understand community views and set realistic expectations to avoid lack of confidence and erosion of trust.
Maternal immunisation is playing an increasingly important part in improving maternal and neonatal health.
While it is important to investigate and understand the role of the BCG vaccine in other areas, this should not be at the expense of its proven use for tuberculosis protection.
Editorial
The COVID-19 pandemic has affected all aspects of our lives, including routine immunisation coverage.
Letters
Readers express their opinions on published articles and topics of interest.
Caution needs to be observed during the COVID-19 pandemic if a patient’s symptoms align with a viral conjunctivitis.
Case Study
A Caucasian woman aged 65 years presented with painful mouth ulcers, conjunctivitis and a new blistering eruption on the central chest and forearm 10 days after commencing topical imiquimod 5% cream.
Molecular targeting agents are revolutionising treatment options, particularly poly adenosine diphosphate–ribose polymerase inhibitors, especially for patients with an underlying BRCA mutation.
A Caucasian female aged 18 years developed a well-defined erythematous vesicular eruption with clear non-purulent exudates on the ear lobules and adjacent inferior neck area.
Some pre-existing eye conditions, such as diabetic retinopathy, can be exacerbated during pregnancy, while other conditions manifest for the first time.
A man aged 70 years was referred to a renal clinic by his general practitioner for evaluation of a decline in his renal function.
Research
This review aims to bring some clarity to the case fatality rates of SARS-CoV-2 infection and SARS-CoV-2 pneumonia in the paediatric population.
Clinical challenge
This clinical challenge is based on this month’s Focus articles. To complete this activity, go to the RACGP website.