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Infectious diseases consult improves vaccination adherence in kidney transplant candidates

Author:
Kasper, A.K., Pallotta, A.M., Kovacs, C.S., Spinner, M.L.
Source:
Vaccine 2018 v.36 no.34 pp. 5112-5115
ISSN:
0264-410X
Subject:
adults, allografting, dialysis, hepatitis B, influenza vaccination, kidney transplant, kidneys, males, morbidity, patients, vaccines
Abstract:
Vaccines prevent infections and avoid related complications. Low rates in immunocompromised patients are concerning due to increased morbidity. Vaccinations are less effective when administered post-transplant and should be administered prior. We describe pre-transplant vaccination rates among kidney or kidney-pancreas transplant recipients.Retrospective review including adults receiving kidney or kidney-pancreas allografts at Cleveland Clinic from October 2013 to October 2016. Pre-transplant vaccinations, serologies, and transplant data were collected.393 patients were included; median age was 53 years with most (46%) being Caucasian males. Influenza vaccination rate was 48%; receipt of at least one pneumococcal vaccine was 77%. Vaccination rates were higher among dialysis patients for pneumococcal, hepatitis B, and varicella vaccines; rates were also higher with infectious diseases consults.Vaccination rates at our institution for kidney or kidney-pancreas transplant candidates are consistent with previous literature. Rates were higher for candidates with infectious diseases consults or receiving dialysis.
Agid:
6102411