Chronic kidney disease and vaccinations–A practical guide for primary care providers

IF 2.5 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL Journal of the National Medical Association Pub Date : 2022-06-01 DOI:10.1016/j.jnma.2022.05.003
Denise Thomson , Alexandra Stang , Itunu Owoyemi
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引用次数: 2

Abstract

Patients with chronic kidney disease (CKD) are susceptible to infectious organisms in part due to the many facets of uremia-associated immune deficiency. Vaccination plays a crucial role in curbing vaccine preventable infection in patients with CKD and Kidney transplant recipients. Vaccination should be done early in the course of CKD or prior to kidney transplantation when possible.

It is incumbent upon all healthcare providers to not only stay abreast of the rapidly evolving evidence and recommendations regarding this area but to also continue to update clinical practice regarding vaccines for long-recognized infectious threats, such as pneumococcal disease and chronic hepatitis B infection, to mitigate the burden of infectious diseases on this particularly vulnerable patient population.

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慢性肾脏疾病和疫苗接种——初级保健提供者的实用指南。
慢性肾脏疾病(CKD)患者易感染感染性微生物,部分原因是尿毒症相关免疫缺陷的许多方面。疫苗接种在抑制CKD患者和肾移植受者的疫苗可预防感染中起着至关重要的作用。疫苗接种应在CKD病程早期或可能时在肾移植前进行。所有卫生保健提供者不仅有责任及时了解这一领域迅速发展的证据和建议,而且还要继续更新关于长期公认的传染性威胁(如肺炎球菌病和慢性乙型肝炎感染)的疫苗的临床实践,以减轻这一特别脆弱的患者群体的传染病负担。
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来源期刊
CiteScore
4.80
自引率
3.00%
发文量
139
审稿时长
98 days
期刊介绍: Journal of the National Medical Association, the official journal of the National Medical Association, is a peer-reviewed publication whose purpose is to address medical care disparities of persons of African descent. The Journal of the National Medical Association is focused on specialized clinical research activities related to the health problems of African Americans and other minority groups. Special emphasis is placed on the application of medical science to improve the healthcare of underserved populations both in the United States and abroad. The Journal has the following objectives: (1) to expand the base of original peer-reviewed literature and the quality of that research on the topic of minority health; (2) to provide greater dissemination of this research; (3) to offer appropriate and timely recognition of the significant contributions of physicians who serve these populations; and (4) to promote engagement by member and non-member physicians in the overall goals and objectives of the National Medical Association.
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