Vaccinations in pediatric kidney transplant recipients

Thomas G. Fox, Corina Nailescu

Research output: Contribution to journalArticle

Abstract

Pediatric kidney transplant (KT) candidates should be fully immunized according to routine childhood schedules using age-appropriate guidelines. Unfortunately, vaccination rates in KT candidates remain suboptimal. With the exception of influenza vaccine, vaccination after transplantation should be delayed 3–6 months to maximize immunogenicity. While most vaccinations in the KT recipient are administered by primary care physicians, there are specific schedule alterations in the cases of influenza, hepatitis B, pneumococcal, and meningococcal vaccinations; consequently, these vaccines are usually administered by transplant physicians. This article will focus on those deviations from the normal vaccine schedule important in the care of pediatric KT recipients. The article will also review human papillomavirus vaccine due to its special importance in cancer prevention. Live vaccines are generally contraindicated in KT recipients. However, we present a brief review of live vaccines in organ transplant recipients, as there is evidence that certain live virus vaccines may be safe and effective in select groups. Lastly, we review vaccination of pediatric KT recipients prior to international travel.

Original languageEnglish (US)
Pages (from-to)1-13
Number of pages13
JournalPediatric Nephrology
DOIs
StateAccepted/In press - Apr 18 2018

Fingerprint

Vaccination
Pediatrics
Kidney
Vaccines
Transplants
Appointments and Schedules
Papillomavirus Vaccines
Influenza Vaccines
Primary Care Physicians
Hepatitis B
Human Influenza
Transplant Recipients
Transplantation
Guidelines
Viruses
Physicians
Neoplasms

Keywords

  • Children
  • Immunization
  • Kidney
  • Kidney transplantation
  • Solid organ transplantation
  • Transplantation
  • Vaccination

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Nephrology

Cite this

Vaccinations in pediatric kidney transplant recipients. / Fox, Thomas G.; Nailescu, Corina.

In: Pediatric Nephrology, 18.04.2018, p. 1-13.

Research output: Contribution to journalArticle

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