Adherence to Vaccination Guidelines in Patients Awaiting Kidney or Kidney–Pancreas Transplant. (4th October 2017)

• Record Type: Journal Article
• Authors: Kasper, Ashley; Spinner, Michael; Kovacs, Christopher; Pallotta, Andrea
• Is Part Of: Open forum infectious diseases. Volume 4(2017)Supplement 1
• Page Start: S516
• Page End: S516
• Publication Date: 2017-10-04
• Subjects: Communicable diseases -- Periodicals; Medical microbiology -- Periodicals; Infection -- Periodicals; 616.9
• DOI: 10.1093/ofid/ofx163.1341
• Languages: English
• ISSNs: 2328-8957

Abstract

Abstract: Background: 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. Methods: 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. Results: 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. Conclusion: 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. Disclosures: All authors: No reported disclosures.