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2018, Number 4

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Rev Med MD 2018; 9.10 (4)

Immunizations in candidates to kidney and liver transplant and recipients

Cuéllar-Rodríguez JM, Mota-Valtierra CD

Language: Spanish
References: 26
Page: 345-351
PDF size: 566.30 Kb.


ABSTRACT

Many vaccine-preventable diseases affect solid organ transplant recipients, yet they continue to be underutilized in this population. Vaccine immunogenicity is variable among transplant candidates and recipients, and it is less when compared to healthy subjects. Despite this fact, partial protection is considered better than none at all. Transplant protocols must include immunization guidelines, and all the health care personnel involved in caring for transplant candidates and recipients should be familiar with the indications and contraindications of the different vaccines. We recommend the use of a checklist to keep track of immunizations as part of a comprehensive evaluation prior to the transplant and apply those that are missing or were partially applied after transplantation. The pretransplant evaluation also provides the opportunity to educate patients about the importance, risks and benefits of proper immunization. We discuss the application criteria and specifications of recommended vaccines.


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