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Episode 13: Children with Recurrent Infections: What's Normal and When to Worry

This is a recorded episode for the AAAAI podcast series, Conversations from the World of Allergy. The host (David Stukus) will interview Vivian Hernandez-Trujillo, MD FAAAAI regarding primary immunodeficiency and immune mechanisms. The conversation provides an overview of immune deficiency in children and focuses on elements of a patient’s clinical history, comorbid conditions, and other factors that can contribute to recurrent infections. Dr. Hernandez-Trujillo also discusses the many evaluative tests available and explains the proper use of diagnostic testing.

You must listen to Episode 13: Children with Recurrent Infections: What's Normal and When to Worry before continuing. Return to this window to continue with the assessment and claim credit.

Related Resources for Professionals

Practice parameter for the diagnosis and management of primary immunodeficiency

Primary Immunodeficiency Disease-Performance Improvement Module (PIDD-PIM)

Immunodeficiency Sessions in the 2019 AAAAI Virtual Annual Meeting

Immunodeficiency Sessions in the 2018 AAAAI Virtual Annual Meeting

Primary Immunodeficiency Disease Library (for AAAAI Members only)

Related Resources for Patients

Primary Immunodeficiency Disease Information

Immune Deficiency Foundation

International Patient Organization for Primary Immunodeficiencies

Jeffrey Modell Foundation

Target Audience

  • Allergist/immunologists
  • Fellows-in-Training
  • Nurses and Nurse Practitioners
  • Physician Assistants and Other Allied Health Professionals
  • Patients/Patients' Families

    Learning Objectives

    Upon completion of this course, the learner will be able to:

    1. Review a patient's clinical history to identify possible indicators of immune deficiency that would require additional details
    2. Identify which diagnostic tests to order after obtaining a detailed clinical history
    Available credit: 
    • 0.75 Attendance
      Attendance credit.
    • 0.75 CME
      CME credit.
    Course opens: 
    Course expires: 

    Planning Committee 
    David R. Stukus, MD FAAAAI
    Nationwide Children's Hospital
    Relevant relationships: None

    Vivian P. Hernandez-Trujillo, MD FAAAAI
    Allergy and Immunology Care Center of South Florida
    Relevant relationships: CSL Behring: consultant, advisory board, speaker; Shire: consultant, advisory board

    Content Reviewers 
    Kristin Sokol, MD MS MPH FAAAAI
    Schreiber Allergy, Rockville, MD
    Relevant relationships: None

    Andrew D. Moore, MD FAAAAI
    ENTAA Care
    Relevant relationships: None

    AAAAI Disclosure Policy
    Pursuant to the Code of Ethics for the American Academy of Allergy, Asthma & Immunology (AAAAI) and the Standards for Commercial Support of Continuing Medical Education of the Accreditation Council for Continuing Medical Education, the AAAAI requires disclosure of certain information from faculty members of educational activities designated for CME credit by the AAAAI. Prior to the activity, authors and reviewers are required to disclose all relationships that meet the following parameters:

    • Employment: Name of employer and job title.
    • Financial interests: All organizations, other than the employer, from which the faculty member or a member of his/her immediate family or household receives annual remuneration in any amount (including grants, honoraria and consulting fees).
    • Research interests: All organizations which support research projects for which the faculty member or member of his/her immediate family or household serves as an investigator.
    • Legal Consultation Services/Expert Witness Testimony: All topics on which the faculty member provided legal consultation and/or expert witness testimony during the previous calendar year.
    • Organizational interests: All organizations, other than the AAAAI, for which the faculty member holds volunteer positions.
    • Gifts: All organizations from which the faculty member or a member of his/her immediate family or household have received a gift of any amount in the last year.
    • Other interests: All interests of the faculty member or a member of his/her immediate family or household that would be judged by a majority of his/her peers to be more than casual and/or likely to impact his/her ability to exercise independent judgment. This includes any financial interest in or relationship with any manufacturer of a commercial product, and any financial interest or relationship with any organization that provides commercial support to AAAAI-sponsored educational activities.

    The information disclosed by the speakers and planning committee was reviewed in accordance with the AAAAI Disclosure Policy. All potential conflicts of interest were resolved by the planners, faculty, and reviewers prior to their participation in the development of this activity.

    Accreditation Statement
    The American Academy of Allergy, Asthma and Immunology (AAAAI) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

    Designation Statement 
    The American Academy of Allergy, Asthma & Immunology designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

    Credit Claiming Period 
    Credit claiming for this activity will expire at 11:59 pm on August 27, 2020. Requests to claim credit after August 27, 2020 will be denied.

    Medium and Method of Physician Participation 
    Follow these steps to complete the activity:

    1. Listen to the podcast episode.
    2. Review the information in the Faculty and Accreditation tabs.
    3. Click Begin.
    4. Complete the assessment. You must achieve a score of 70% or higher to claim credit.
    5. Complete the activity evaluation.
    6. Claim your credits.
    7. Print or save your certificate.

    AAAAI Privacy Policy
    To verify your participation in educational activities, you may be asked to provide your name, contact information, and/or other descriptors. The AAAAI will not release this information to outside entities. It may be used internally to inform you of other AAAAI educational activities. If you wish to have your information excluded from this process, please contact us at

    Activity-related questions should be directed to

    Available Credit

    • 0.75 Attendance
      Attendance credit.
    • 0.75 CME
      CME credit.


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