Adherence to Vaccination Guidelines in Patients Awaiting Kidney or Kidney–Pancreas Transplant Article Swipe
Ashley Kasper
,
Michael Spinner
,
Christopher Kovacs
,
Andrea Pallotta
·
YOU?
·
· 2017
· Open Access
·
· DOI: https://doi.org/10.1093/ofid/ofx163.1341
YOU?
·
· 2017
· Open Access
·
· DOI: https://doi.org/10.1093/ofid/ofx163.1341
Vaccines are a component of preventative medicine; however, low vaccination rates in the organ transplant population are concerning due to increased risk of morbidity caused by common, preventable infections. Pre-transplant vaccination rates were evaluated among adult kidney transplant recipients; patient demographics and vaccination rates were described in patients evaluated by Infectious Disease prior to transplant. A retrospective chart review included adult transplant recipients receiving kidney or kidney-pancreas transplants from October 2013 to October 2016. Pre-transplant vaccination history, laboratory markers of immunity, baseline demographics, and transplant data were collected utilizing the electronic medical record and Ohio Department of Health immunization database. A total of 393 transplant recipients were evaluated (55% deceased donor). The median patient age was 53 years old. The most common indications for transplant were diabetes mellitus and sclerotic diseases with 81% of patients on dialysis prior to transplant. The vaccination rate for influenza and pneumococcal vaccines are reported below. Vaccination rates were higher among transplant candidates receiving dialysis and evaluated by Infectious Disease prior to transplant, but remain suboptimal. Dedicated members of the medical team should focus attention on this issue in the pre-transplant process in order to increase vaccination rates in this at-risk population. All authors: No reported disclosures. Patients on dialysis tended to have higher vaccination rates as compared with those who received a preemptive transplant, specifically for at least one pneumococcal vaccine, hepatitis B, and varicella. Twenty-seven (7%) of patients had pre-transplant evaluations by Infectious Disease; most commonly in the setting of foreign travel/birth or HIV positivity. Patients evaluated by Infectious Disease pre-transplant had higher vaccination rates, particularly for influenza, pneumococcal, hepatitis B, zoster, MMR and Tdap vaccines. Patients on dialysis tended to have higher vaccination rates as compared with those who received a preemptive transplant, specifically for at least one pneumococcal vaccine, hepatitis B, and varicella. Twenty-seven (7%) of patients had pre-transplant evaluations by Infectious Disease; most commonly in the setting of foreign travel/birth or HIV positivity. Patients evaluated by Infectious Disease pre-transplant had higher vaccination rates, particularly for influenza, pneumococcal, hepatitis B, zoster, MMR and Tdap vaccines.
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Metadata
- Type
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- Language
- en
- Landing Page
- https://doi.org/10.1093/ofid/ofx163.1341
- https://academic.oup.com/ofid/article-pdf/4/suppl_1/S516/20430131/ofx163.1341.pdf
- OA Status
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- Related Works
- 10
- OpenAlex ID
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All OpenAlex metadata
Raw OpenAlex JSON
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- DOI
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https://doi.org/10.1093/ofid/ofx163.1341Digital Object Identifier
- Title
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Adherence to Vaccination Guidelines in Patients Awaiting Kidney or Kidney–Pancreas TransplantWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2017Year of publication
- Publication date
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2017-01-01Full publication date if available
- Authors
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Ashley Kasper, Michael Spinner, Christopher Kovacs, Andrea PallottaList of authors in order
- Landing page
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https://doi.org/10.1093/ofid/ofx163.1341Publisher landing page
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https://academic.oup.com/ofid/article-pdf/4/suppl_1/S516/20430131/ofx163.1341.pdfDirect link to full text PDF
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YesWhether a free full text is available
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goldOpen access status per OpenAlex
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https://academic.oup.com/ofid/article-pdf/4/suppl_1/S516/20430131/ofx163.1341.pdfDirect OA link when available
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Medicine, Vaccination, Dialysis, Population, Internal medicine, Pediatrics, Intensive care medicine, Immunology, Environmental healthTop concepts (fields/topics) attached by OpenAlex
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0Total citation count in OpenAlex
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.at-risk | 195 |
| abstract_inverted_index.common, | 26 |
| abstract_inverted_index.donor). | 110 |
| abstract_inverted_index.foreign | 247, 318 |
| abstract_inverted_index.markers | 78 |
| abstract_inverted_index.medical | 91, 175 |
| abstract_inverted_index.members | 172 |
| abstract_inverted_index.patient | 39, 113 |
| abstract_inverted_index.process | 186 |
| abstract_inverted_index.setting | 245, 316 |
| abstract_inverted_index.zoster, | 268, 339 |
| abstract_inverted_index.Disease; | 240, 311 |
| abstract_inverted_index.Patients | 202, 252, 273, 323 |
| abstract_inverted_index.Vaccines | 0 |
| abstract_inverted_index.authors: | 198 |
| abstract_inverted_index.baseline | 81 |
| abstract_inverted_index.commonly | 242, 313 |
| abstract_inverted_index.compared | 212, 283 |
| abstract_inverted_index.deceased | 109 |
| abstract_inverted_index.diabetes | 126 |
| abstract_inverted_index.dialysis | 136, 159, 204, 275 |
| abstract_inverted_index.diseases | 130 |
| abstract_inverted_index.history, | 76 |
| abstract_inverted_index.however, | 7 |
| abstract_inverted_index.included | 59 |
| abstract_inverted_index.increase | 190 |
| abstract_inverted_index.mellitus | 127 |
| abstract_inverted_index.patients | 47, 134, 234, 305 |
| abstract_inverted_index.received | 216, 287 |
| abstract_inverted_index.reported | 149, 200 |
| abstract_inverted_index.vaccine, | 226, 297 |
| abstract_inverted_index.vaccines | 147 |
| abstract_inverted_index.Dedicated | 171 |
| abstract_inverted_index.attention | 179 |
| abstract_inverted_index.collected | 87 |
| abstract_inverted_index.component | 3 |
| abstract_inverted_index.database. | 99 |
| abstract_inverted_index.described | 45 |
| abstract_inverted_index.evaluated | 33, 48, 107, 161, 253, 324 |
| abstract_inverted_index.hepatitis | 227, 266, 298, 337 |
| abstract_inverted_index.immunity, | 80 |
| abstract_inverted_index.increased | 20 |
| abstract_inverted_index.influenza | 144 |
| abstract_inverted_index.medicine; | 6 |
| abstract_inverted_index.morbidity | 23 |
| abstract_inverted_index.receiving | 63, 158 |
| abstract_inverted_index.sclerotic | 129 |
| abstract_inverted_index.utilizing | 88 |
| abstract_inverted_index.vaccines. | 272, 343 |
| abstract_inverted_index.Department | 95 |
| abstract_inverted_index.Infectious | 50, 163, 239, 255, 310, 326 |
| abstract_inverted_index.candidates | 157 |
| abstract_inverted_index.concerning | 17 |
| abstract_inverted_index.electronic | 90 |
| abstract_inverted_index.influenza, | 264, 335 |
| abstract_inverted_index.laboratory | 77 |
| abstract_inverted_index.population | 15 |
| abstract_inverted_index.preemptive | 218, 289 |
| abstract_inverted_index.recipients | 62, 105 |
| abstract_inverted_index.transplant | 14, 37, 61, 84, 104, 124, 156 |
| abstract_inverted_index.varicella. | 230, 301 |
| abstract_inverted_index.Vaccination | 151 |
| abstract_inverted_index.evaluations | 237, 308 |
| abstract_inverted_index.indications | 122 |
| abstract_inverted_index.infections. | 28 |
| abstract_inverted_index.population. | 196 |
| abstract_inverted_index.positivity. | 251, 322 |
| abstract_inverted_index.preventable | 27 |
| abstract_inverted_index.recipients; | 38 |
| abstract_inverted_index.suboptimal. | 170 |
| abstract_inverted_index.transplant, | 167, 219, 290 |
| abstract_inverted_index.transplant. | 54, 139 |
| abstract_inverted_index.transplants | 67 |
| abstract_inverted_index.vaccination | 9, 30, 42, 75, 141, 191, 209, 260, 280, 331 |
| abstract_inverted_index.Twenty-seven | 231, 302 |
| abstract_inverted_index.demographics | 40 |
| abstract_inverted_index.disclosures. | 201 |
| abstract_inverted_index.immunization | 98 |
| abstract_inverted_index.particularly | 262, 333 |
| abstract_inverted_index.pneumococcal | 146, 225, 296 |
| abstract_inverted_index.preventative | 5 |
| abstract_inverted_index.specifically | 220, 291 |
| abstract_inverted_index.travel/birth | 248, 319 |
| abstract_inverted_index.demographics, | 82 |
| abstract_inverted_index.pneumococcal, | 265, 336 |
| abstract_inverted_index.retrospective | 56 |
| abstract_inverted_index.Pre-transplant | 29, 74 |
| abstract_inverted_index.pre-transplant | 185, 236, 257, 307, 328 |
| abstract_inverted_index.kidney-pancreas | 66 |
| cited_by_percentile_year | |
| countries_distinct_count | 1 |
| institutions_distinct_count | 4 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/2 |
| sustainable_development_goals[0].score | 0.6200000047683716 |
| sustainable_development_goals[0].display_name | Zero hunger |
| citation_normalized_percentile.value | 0.15981829 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |