Vaccinations in Kidney Transplant Patients: Searching for Optimal Protection

[摘要] Adults tend to be significantly undervaccinated, and many patients on hemodialysis or who have undergone kidney transplantation often miss this opportunity for protection. Clinicians, leery of doing harm and not fully appreciating the risks and benefits of vaccination, may defer indicated immunizations for their patients. Unfortunately, this renders these already vulnerable patients more susceptible to preventable infections. Hemodialysis and kidney transplant patients should receive many of the routine vaccines as per national and local guidelines, as well as necessary travel-related and other immunizations (1–3). In general, although live attenuated vaccines should be deferred in this population, including those against attenuated (intranasal) influenza, varicella, zoster, measles, mumps, rubella, yellow fever, Bacille Calmette Guerin, and oral Salmonella typhi, most other routine vaccines are recommended.

[学科分类] 泌尿医学

[关键词] Bone marrow necrosis;Sickle cell disease;Hyperhemolysis syndrome