Vaccination coverage reinforced by an infectious disease consultation during pretransplant check-up in patients awaiting kidney transplantation: A randomized study - 15/10/23
Highlights |
• | Pre-transplant consultation dedicated to improved vaccine coverage, vaccine tracking, on-site vaccination, latent tuberculosis infection screening and travel counseling. |
• | Notwithstanding a time-consuming consultation, increased vaccination coverage failed to reach the recommended vaccination coverage. |
• | The main obstacles identified were lack of vaccination traceability, refusal of an additional consultation and the journey time between home and hospital. |
Abstract |
Background |
Vaccine coverage (VC) in patients awaiting kidney transplantation is insufficient.
Methods |
We performed a prospective, single-center, interventional, randomized, open-label study comparing a reinforced group (infectious disease consultation proposed) and a standard group (letter stating vaccine recommendations sent to the nephrologist) of patients in our institution awaiting renal transplantation.
Findings |
Out of the 58 eligible patients, 19 declined to participate. Twenty patients were randomized to the standard group and 19 to the reinforced group. Essential VC increased from.
10% to 20% in the standard group and from 15.8% to 52.6% in the reinforced group (p < 0.034). The main obstacles identified were lack of vaccination traceability, refusal of an additional consultation and the journey time between home and hospital.
Conclusion |
While introduction of an infectious disease consultation during the pre-transplant check-up significantly improved VC in patients, it is time-consuming and failed to achieve a satisfactory rate of VC.
Le texte complet de cet article est disponible en PDF.Keywords : Primary prevention, Vaccination, Kidney transplantation, Infectious diseases
Abbreviations : CMV, COVID, DTP, EBV, EVR, HBV, HCPH, HSV, IGRA, LTI, VC, VZV
Plan
Vol 53 - N° 7
Article 104718- octobre 2023 Retour au numéro
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