Name of the Procedure:

Influenza immunization administered or previously received (HIV) (P-ESRD)

Summary

Influenza immunization, commonly known as the flu shot, is an injection that protects against the seasonal influenza virus. For people with HIV and those with End-Stage Renal Disease (ESRD), getting a flu shot is critical to help prevent severe illness.

Purpose

Flu shots are designed to protect against influenza, a contagious respiratory illness. The goal is to reduce the risk of getting the flu and to minimize complications, especially in high-risk individuals like those with HIV or ESRD.

Indications

The flu shot is recommended for:

• People with HIV due to their compromised immune system.
• Individuals with ESRD who are more susceptible to infections.
• Persons with other chronic conditions, children, elderly, and pregnant women.

Preparation

• No special preparation is needed for most patients.
• Inform your healthcare provider of any allergies, particularly to eggs or vaccine components.
• Review any medications you're taking with your doctor.

Procedure Description

1. The healthcare provider will clean the injection site, usually the upper arm.
2. The vaccine is administered via a syringe into the muscle.
3. The area might be briefly massaged to disperse the vaccine.

No anesthesia or sedation is required.

Duration

The procedure typically takes a few minutes, including the actual injection and a short wait time to monitor for any immediate reactions.

Setting

The flu shot can be administered at:

• Doctor’s offices
• Clinics
• Pharmacies
• Public health departments

Personnel

The procedure is generally performed by:

• Doctors
• Nurses
• Pharmacists

Risks and Complications

• Common risks include mild soreness, redness, or swelling at the injection site.
• Less common risks are low-grade fever, aches, or fatigue.
• Rare but serious complications can include severe allergic reactions, managed through emergency care.

Benefits

• Significantly lowers the risk of contracting influenza.
• Reduces the severity of symptoms if infected.
• Benefits are typically realized within two weeks as immunity builds.

Recovery

• Minimal recovery time; most individuals can resume normal activities immediately.
• Expect minor side effects like soreness.
• Follow up with a healthcare provider if severe side effects occur.

Alternatives

• Nasal spray vaccine, which may be an option for certain age groups but is often not recommended for people with compromised immune systems.
• Antiviral medications can treat the flu but do not replace the preventive benefits of the vaccine.

Patient Experience

• The injection typically feels like a quick pinch.
• Some may experience mild discomfort at the injection site.
• Over-the-counter pain relievers can help manage post-vaccine soreness if needed.

Overall, the influenza immunization is a quick and relatively painless procedure with significant protective benefits, particularly for those with underlying health conditions like HIV and ESRD.