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Bakkaloğlu SA, Özdemir Atikel Y, Paglialonga F, Stefanidis CJ, Askiti V, Vidal E, Ariceta G, Melek E, Verrina E, Printza N, Vondrak K, Zurowska A, Zagozdzon I, Ekim M, Özmert EN, Dufek S, Jankauskiene A, Schmitt CP, Lévai E, Vande Walle J, Canpolat N, Holtta T, Fischbach M, Klaus G, Aufricht C, Shroff R, Edefonti A. Vaccination Practices in Pediatric Dialysis Patients Across Europe. A European Pediatric Dialysis Working Group and European Society for Pediatric Nephrology Dialysis Working Group Study. Nephron Clin Pract 2017; 138:280-286. [PMID: 29232664 DOI: 10.1159/000485398] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2017] [Accepted: 11/06/2017] [Indexed: 12/13/2022] Open
Abstract
BACKGROUND Data on the immunization practices in pediatric chronic kidney disease (CKD) patients are scarce. The purpose of this study was to evaluate current vaccination practices for children on dialysis across European pediatric nephrology centers. METHODS A total of 18 tertiary pediatric nephrology centers from 12 European countries were included in the study. The data on universal national immunization programs and immunization practices for children with chronic disease or risk were recorded from European Center for Disease Prevention and Control and the World Health Organization. The immunization practices and center protocols for monitoring antibody titers after vaccination in dialysis patients were obtained through a questionnaire. RESULTS All centers included in the study recommended immunization against hepatitis B virus (HBV), diphtheria, tetanus, pertussis, Hemophilus influenzae type b (Hib), poliomyelitis, measles, mumps, rubella (MMR), and streptococcus pneumonia in dialysis patients. In 16 centers, dialysis patients were vaccinated against influenza virus annually. HBV protective antibody titers were measured in 17 centers (during dialysis period in 14 centers, during pre-renal transplantation preparations in 14 centers or in both times in 11 centers). Hepatitis A virus (HAV) was reported to be followed in 13 centers, in 8 centers during dialysis period, and in 11 centers during pre-RTx preparations. MMR and varicella-zoster virus (VZV) protective antibody titers were measured during the dialysis period or before renal transplantation (RTx) in 12 and 15 centers, respectively, and in 6 centers both titers were checked both times. CONCLUSION There are variations in vaccination practice across Europe. Children with CKD, those undergoing dialysis, and transplant candidates should receive age-appropriate vaccinations before RTx as well as before the transition to adult nephrology clinics and antibody levels should be monitored to evaluate the immunization status before and after RTx.
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Affiliation(s)
| | | | - Fabio Paglialonga
- Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
| | | | - Varvara Askiti
- Department of Pediatric Nephrology, A. and P. Kyriakou Children's Hospital, Athens, Greece
| | - Enrico Vidal
- Department of Pediatric Nephrology, Padova University, Padova, Italy
| | - Gema Ariceta
- Department of Pediatric Nephrology, University Hospital Vall d' Hebron, Barcelona, Spain
| | - Engin Melek
- Department of Pediatric Nephrology, Çukurova University, Adana, Turkey
| | - Enrico Verrina
- Dialysis Unit, Department of Pediatrics, IRCCS Giannina Gaslini, Genoa, Italy
| | - Nikoleta Printza
- 1st Pediatric Department, Aristotle University of Thessaloniki, Thessaloníki, Greece
| | - Karel Vondrak
- Department of Pediatric Nephrology, University Hospital Motol, Prague, Czech Republic
| | - Aleksandra Zurowska
- Department of Pediatric Nephrology, Medical University of Gdansk, Gdansk, Poland
| | - Ilona Zagozdzon
- Department of Pediatric Nephrology, Medical University of Gdansk, Gdansk, Poland
| | - Mesiha Ekim
- Department of Pediatric Nephrology, Ankara University, Ankara, Turkey
| | | | - Stephanie Dufek
- Department of Pediatric Nephrology, Great Ormond Street Hospital for Children, London, United Kingdom
| | - Augustina Jankauskiene
- Pediatric Center, Institute of Clinical Medicine, Vilnius University, Vilnius, Lithuania
| | - Claus Peter Schmitt
- Pediatric Nephrology, Center for Child and Adolescent Medicine, Heidelberg, Germany
| | - Eszter Lévai
- Pediatric Nephrology, Center for Child and Adolescent Medicine, Heidelberg, Germany
| | - Johan Vande Walle
- Department of Pediatric Nephrology, Utoped, Universitair Ziekenhuis Gent, Ghent, Belgium
| | - Nur Canpolat
- Department of Pediatric Nephrology, Cerrahpaşa Medical School, Istanbul, Turkey
| | - Tuula Holtta
- Department of Pediatric Nephrology, University of Helsinki, Helsinki, Finland
| | - Michel Fischbach
- Department of Pediatric Nephrology, Hopital de Hautepierre, Strasbourg, France
| | - Guenter Klaus
- Department of Pediatric Nephrology, KfH Children's Kidney Center, Marburg, Germany
| | - Christoph Aufricht
- Department of Pediatric Nephrology, Medical University of Vienna, Vienna, Austria
| | - Rukshana Shroff
- Department of Pediatric Nephrology, Great Ormond Street Hospital for Children, London, United Kingdom
| | - Alberto Edefonti
- Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
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