Can children with IBD receive vaccinations?

As flu season approaches, this is a common question that we get here in the CICRA office

Most children with Inflammatory Bowel Disease can receive vaccinations – but this can depend on the type of vaccine, medications and treatment plan. Most routine vaccinations are safe and recommended for children with IBD, and may be especially important if they are immunocompromised and vulnerable to infections.

However, live vaccines, such as chickenpox and the nasal flu spray may NOT be considered safe if your child is taking or has recently stopped taking immunosuppressive medication such as steroids, azathioprine, or biologics like infliximab or adalimumab. In these cases, a non live alternative may be considered instead.

Whilst people who have received the live flu vaccine can ‘shed’ a weakened version of the virus for several days after receiving the vaccination, research shows that the risk from this is very low. Generally, siblings of children with IBD can receive the live flu vaccine, and children with IBD would not have to avoid school on the days the flu vaccine is being given to others. 

TOP TIPS

  • Always check with your child's IBD team or GP before any vaccinations
  • If possible, check vaccinations are up to date before starting treatment
  • Keep a vaccination record to share with your IBD team