The following article talks about the concerns of not vaccinating a child when they come in for an acute ear infection during a time when they would get a scheduled vaccination. The worry is that the parent won't come back for the normal well checkup appointment to get it the vaccinations:
"The contraindication for getting a vaccine is for moderate or severe illness," explains Dr. Lisa Thebner, a pediatrician in New York City who is not affiliated with the study.
"For a mild or minor illness (like an acute ear infection), there is no contraindication to get the vaccine and you want to take advantage of that."
Robison and Thebner agree that physicians should base their decision on whether to vaccinate during a sick visit, or wait until a subsequent well visit, on how confident they are that the parents and infant will return for their scheduled follow-up. If the health care provider doesn't know the family well, or is not confident they'll make a later visit due to child care or work concerns, they say the practitioner should take advantage of having the child in the office but strongly encourage the family to show up for a later well visit.
"The ideal is to vaccinate during a sick visit unless there is a proven track record of coming for every well visit, then perhaps it can be deferred," says Thebner.
"But otherwise it seems reasonable to take advantage of having the child in the office and then encourage the family to come back for a well visit to over all the other points covered during one of those visits."
What are your thoughts on this?