Immunization after renal transplantation: current clinical practice.
Identifieur interne : 000093 ( Main/Exploration ); précédent : 000092; suivant : 000094Immunization after renal transplantation: current clinical practice.
Auteurs : G H Struijk [Pays-Bas] ; A J J. Lammers ; R J Brinkman ; M J M H. Lombarts ; M. Van Vugt ; K A M I. Van Der Pant ; I J M. Ten Berge ; F J BemelmanSource :
- Transplant infectious disease : an official journal of the Transplantation Society [ 1399-3062 ] ; 2015.
Descripteurs français
- KwdFr :
- Adhésion aux directives (statistiques et données numériques), Anatoxine tétanique (usage thérapeutique), Attitude du personnel soignant (MeSH), Compétence clinique (MeSH), Grippe humaine (prévention et contrôle), Guides de bonnes pratiques cliniques comme sujet (MeSH), Humains (MeSH), Hépatite B (prévention et contrôle), Infections à méningocoques (prévention et contrôle), Infections à pneumocoques (prévention et contrôle), Néphrologie (MeSH), Pays-Bas (MeSH), Transplantation rénale (MeSH), Types de pratiques des médecins (statistiques et données numériques), Tétanos (prévention et contrôle), Vaccination (méthodes), Vaccins anti-hépatite B (usage thérapeutique), Vaccins antigrippaux (usage thérapeutique), Vaccins antiméningococciques (usage thérapeutique), Vaccins antipneumococciques (usage thérapeutique), Voyage (MeSH), Études transversales (MeSH).
- MESH :
- méthodes : Vaccination.
- prévention et contrôle : Grippe humaine, Hépatite B, Infections à méningocoques, Infections à pneumocoques, Tétanos.
- statistiques et données numériques : Adhésion aux directives, Types de pratiques des médecins.
- usage thérapeutique : Anatoxine tétanique, Vaccins anti-hépatite B, Vaccins antigrippaux, Vaccins antiméningococciques, Vaccins antipneumococciques.
- Attitude du personnel soignant, Compétence clinique, Guides de bonnes pratiques cliniques comme sujet, Humains, Néphrologie, Pays-Bas, Transplantation rénale, Voyage, Études transversales.
- Wicri :
- geographic : Pays-Bas.
English descriptors
- KwdEn :
- Attitude of Health Personnel (MeSH), Clinical Competence (MeSH), Cross-Sectional Studies (MeSH), Guideline Adherence (statistics & numerical data), Hepatitis B (prevention & control), Hepatitis B Vaccines (therapeutic use), Humans (MeSH), Influenza Vaccines (therapeutic use), Influenza, Human (prevention & control), Kidney Transplantation (MeSH), Meningococcal Infections (prevention & control), Meningococcal Vaccines (therapeutic use), Nephrology (MeSH), Netherlands (MeSH), Pneumococcal Infections (prevention & control), Pneumococcal Vaccines (therapeutic use), Practice Guidelines as Topic (MeSH), Practice Patterns, Physicians' (statistics & numerical data), Tetanus (prevention & control), Tetanus Toxoid (therapeutic use), Travel (MeSH), Vaccination (methods).
- MESH :
- chemical , therapeutic use : Hepatitis B Vaccines, Influenza Vaccines, Meningococcal Vaccines, Pneumococcal Vaccines, Tetanus Toxoid.
- geographic : Netherlands.
- methods : Vaccination.
- prevention & control : Hepatitis B, Influenza, Human, Meningococcal Infections, Pneumococcal Infections, Tetanus.
- statistics & numerical data : Guideline Adherence, Practice Patterns, Physicians'.
- Attitude of Health Personnel, Clinical Competence, Cross-Sectional Studies, Humans, Kidney Transplantation, Nephrology, Practice Guidelines as Topic, Travel.
Abstract
BACKGROUND
The use of potent immunosuppressive drugs and increased travel by renal transplant recipients (RTR) has augmented the risk for infectious complications. Immunizations and changes in lifestyle are protective. The Kidney Disease: Improving Global Outcomes (KDIGO) Transplant Work Group has developed guidelines on vaccination following solid organ transplantation. The degree of adherence to these guidelines is unknown, as is which barriers must be overcome to improve adherence.
METHODS
We performed a cross-sectional national survey among Dutch nephrologists to assess vaccination policy and adherence to the KDIGO guidelines. In addition, to investigate awareness and attitude of RTR regarding their risk of infection, we performed a cross-sectional survey of RTR in our outpatient clinic.
RESULTS
A total of 132 (63%) nephrologists completed the survey. Reported immunization rates were 90.8% for influenza and 27.3% for hepatitis B. However, pneumococcal, tetanus toxoid, and meningococcal immunization rates were low. Twenty-seven percent of respondents were familiar with the guideline contents. The most frequent perceived barrier to guideline adherence was expectation of low effectiveness. A total of 403 RTR (62%) completed the survey. Sixty-eight percent perceived more risk for complicated infection. A significant correlation was found between education level and variables concerning awareness and attitude toward risk of infection.
CONCLUSIONS
Our results show that nephrologists' knowledge of and adherence to the recommendations regarding immunization after renal transplantation is suboptimal. Most Dutch RTR are aware of their increased risk and the possible seriousness of infectious complications. However, their behavior does not match their awareness. This disparity points to an important role for nephrologists in providing adequate counseling.
DOI: 10.1111/tid.12368
PubMed: 25662181
Affiliations:
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Lammers</name></author><author><name sortKey="Brinkman, R J" sort="Brinkman, R J" uniqKey="Brinkman R" first="R J" last="Brinkman">R J Brinkman</name></author><author><name sortKey="Lombarts, M J M H" sort="Lombarts, M J M H" uniqKey="Lombarts M" first="M J M H" last="Lombarts">M J M H. Lombarts</name></author><author><name sortKey="Van Vugt, M" sort="Van Vugt, M" uniqKey="Van Vugt M" first="M" last="Van Vugt">M. Van Vugt</name></author><author><name sortKey="Van Der Pant, K A M I" sort="Van Der Pant, K A M I" uniqKey="Van Der Pant K" first="K A M I" last="Van Der Pant">K A M I. Van Der Pant</name></author><author><name sortKey="Ten Berge, I J M" sort="Ten Berge, I J M" uniqKey="Ten Berge I" first="I J M" last="Ten Berge">I J M. 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xml:lang="fr"><term>Pays-Bas</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>The use of potent immunosuppressive drugs and increased travel by renal transplant recipients (RTR) has augmented the risk for infectious complications. Immunizations and changes in lifestyle are protective. The Kidney Disease: Improving Global Outcomes (KDIGO) Transplant Work Group has developed guidelines on vaccination following solid organ transplantation. The degree of adherence to these guidelines is unknown, as is which barriers must be overcome to improve adherence.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>We performed a cross-sectional national survey among Dutch nephrologists to assess vaccination policy and adherence to the KDIGO guidelines. In addition, to investigate awareness and attitude of RTR regarding their risk of infection, we performed a cross-sectional survey of RTR in our outpatient clinic.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>A total of 132 (63%) nephrologists completed the survey. Reported immunization rates were 90.8% for influenza and 27.3% for hepatitis B. However, pneumococcal, tetanus toxoid, and meningococcal immunization rates were low. Twenty-seven percent of respondents were familiar with the guideline contents. The most frequent perceived barrier to guideline adherence was expectation of low effectiveness. A total of 403 RTR (62%) completed the survey. Sixty-eight percent perceived more risk for complicated infection. A significant correlation was found between education level and variables concerning awareness and attitude toward risk of infection.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Our results show that nephrologists' knowledge of and adherence to the recommendations regarding immunization after renal transplantation is suboptimal. Most Dutch RTR are aware of their increased risk and the possible seriousness of infectious complications. However, their behavior does not match their awareness. This disparity points to an important role for nephrologists in providing adequate counseling.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">25662181</PMID><DateCompleted><Year>2015</Year><Month>12</Month><Day>31</Day></DateCompleted><DateRevised><Year>2015</Year><Month>03</Month><Day>30</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1399-3062</ISSN><JournalIssue CitedMedium="Internet"><Volume>17</Volume><Issue>2</Issue><PubDate><Year>2015</Year><Month>Apr</Month></PubDate></JournalIssue><Title>Transplant infectious disease : an official journal of the Transplantation Society</Title><ISOAbbreviation>Transpl Infect Dis</ISOAbbreviation></Journal><ArticleTitle>Immunization after renal transplantation: current clinical practice.</ArticleTitle><Pagination><MedlinePgn>192-200</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1111/tid.12368</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The use of potent immunosuppressive drugs and increased travel by renal transplant recipients (RTR) has augmented the risk for infectious complications. Immunizations and changes in lifestyle are protective. The Kidney Disease: Improving Global Outcomes (KDIGO) Transplant Work Group has developed guidelines on vaccination following solid organ transplantation. The degree of adherence to these guidelines is unknown, as is which barriers must be overcome to improve adherence.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">We performed a cross-sectional national survey among Dutch nephrologists to assess vaccination policy and adherence to the KDIGO guidelines. In addition, to investigate awareness and attitude of RTR regarding their risk of infection, we performed a cross-sectional survey of RTR in our outpatient clinic.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">A total of 132 (63%) nephrologists completed the survey. Reported immunization rates were 90.8% for influenza and 27.3% for hepatitis B. However, pneumococcal, tetanus toxoid, and meningococcal immunization rates were low. Twenty-seven percent of respondents were familiar with the guideline contents. The most frequent perceived barrier to guideline adherence was expectation of low effectiveness. A total of 403 RTR (62%) completed the survey. Sixty-eight percent perceived more risk for complicated infection. A significant correlation was found between education level and variables concerning awareness and attitude toward risk of infection.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Our results show that nephrologists' knowledge of and adherence to the recommendations regarding immunization after renal transplantation is suboptimal. Most Dutch RTR are aware of their increased risk and the possible seriousness of infectious complications. However, their behavior does not match their awareness. This disparity points to an important role for nephrologists in providing adequate counseling.</AbstractText><CopyrightInformation>© 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Struijk</LastName><ForeName>G H</ForeName><Initials>GH</Initials><AffiliationInfo><Affiliation>Renal Transplant Unit, Department of Nephrology, Division of Internal Medicine, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lammers</LastName><ForeName>A J J</ForeName><Initials>AJ</Initials></Author><Author ValidYN="Y"><LastName>Brinkman</LastName><ForeName>R J</ForeName><Initials>RJ</Initials></Author><Author ValidYN="Y"><LastName>Lombarts</LastName><ForeName>M J M H</ForeName><Initials>MJ</Initials></Author><Author ValidYN="Y"><LastName>van Vugt</LastName><ForeName>M</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>van der Pant</LastName><ForeName>K A M I</ForeName><Initials>KA</Initials></Author><Author ValidYN="Y"><LastName>Ten Berge</LastName><ForeName>I J M</ForeName><Initials>IJ</Initials></Author><Author ValidYN="Y"><LastName>Bemelman</LastName><ForeName>F J</ForeName><Initials>FJ</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>Denmark</Country><MedlineTA>Transpl Infect Dis</MedlineTA><NlmUniqueID>100883688</NlmUniqueID><ISSNLinking>1398-2273</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D017325">Hepatitis B Vaccines</NameOfSubstance></Chemical><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D007252">Influenza Vaccines</NameOfSubstance></Chemical><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D022401">Meningococcal Vaccines</NameOfSubstance></Chemical><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D022242">Pneumococcal Vaccines</NameOfSubstance></Chemical><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D013745">Tetanus Toxoid</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D001291" MajorTopicYN="N">Attitude of Health Personnel</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002983" MajorTopicYN="N">Clinical Competence</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019983" MajorTopicYN="N">Guideline Adherence</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006509" MajorTopicYN="N">Hepatitis B</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D017325" MajorTopicYN="N">Hepatitis B Vaccines</DescriptorName><QualifierName UI="Q000627" MajorTopicYN="N">therapeutic use</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007252" MajorTopicYN="N">Influenza Vaccines</DescriptorName><QualifierName UI="Q000627" MajorTopicYN="N">therapeutic use</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D007251" MajorTopicYN="N">Influenza, Human</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016030" MajorTopicYN="Y">Kidney Transplantation</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008589" MajorTopicYN="N">Meningococcal Infections</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D022401" MajorTopicYN="N">Meningococcal Vaccines</DescriptorName><QualifierName UI="Q000627" MajorTopicYN="N">therapeutic use</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D009398" MajorTopicYN="Y">Nephrology</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009426" MajorTopicYN="N" Type="Geographic">Netherlands</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011008" MajorTopicYN="N">Pneumococcal Infections</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D022242" MajorTopicYN="N">Pneumococcal Vaccines</DescriptorName><QualifierName UI="Q000627" MajorTopicYN="N">therapeutic use</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D017410" MajorTopicYN="Y">Practice Guidelines as Topic</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010818" MajorTopicYN="N">Practice Patterns, Physicians'</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D013742" MajorTopicYN="N">Tetanus</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D013745" MajorTopicYN="N">Tetanus Toxoid</DescriptorName><QualifierName UI="Q000627" MajorTopicYN="N">therapeutic use</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014195" MajorTopicYN="N">Travel</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014611" MajorTopicYN="N">Vaccination</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">barriers</Keyword><Keyword MajorTopicYN="N">guideline adherence</Keyword><Keyword MajorTopicYN="N">immunization</Keyword><Keyword MajorTopicYN="N">infection</Keyword><Keyword MajorTopicYN="N">renal transplantation</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2014</Year><Month>05</Month><Day>21</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2014</Year><Month>11</Month><Day>30</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2015</Year><Month>01</Month><Day>06</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2015</Year><Month>02</Month><Day>01</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2015</Year><Month>2</Month><Day>10</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2015</Year><Month>2</Month><Day>11</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2016</Year><Month>1</Month><Day>1</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">25662181</ArticleId><ArticleId IdType="doi">10.1111/tid.12368</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Pays-Bas</li></country><region><li>Hollande-Septentrionale</li></region><settlement><li>Amsterdam</li></settlement><orgName><li>Université d'Amsterdam</li></orgName></list><tree><noCountry><name sortKey="Bemelman, F J" sort="Bemelman, F J" uniqKey="Bemelman F" first="F J" last="Bemelman">F J Bemelman</name><name sortKey="Brinkman, R J" sort="Brinkman, R J" uniqKey="Brinkman R" first="R J" last="Brinkman">R J Brinkman</name><name sortKey="Lammers, A J J" sort="Lammers, A J J" uniqKey="Lammers A" first="A J J" last="Lammers">A J J. Lammers</name><name sortKey="Lombarts, M J M H" sort="Lombarts, M J M H" uniqKey="Lombarts M" first="M J M H" last="Lombarts">M J M H. Lombarts</name><name sortKey="Ten Berge, I J M" sort="Ten Berge, I J M" uniqKey="Ten Berge I" first="I J M" last="Ten Berge">I J M. Ten Berge</name><name sortKey="Van Der Pant, K A M I" sort="Van Der Pant, K A M I" uniqKey="Van Der Pant K" first="K A M I" last="Van Der Pant">K A M I. Van Der Pant</name><name sortKey="Van Vugt, M" sort="Van Vugt, M" uniqKey="Van Vugt M" first="M" last="Van Vugt">M. Van Vugt</name></noCountry><country name="Pays-Bas"><region name="Hollande-Septentrionale"><name sortKey="Struijk, G H" sort="Struijk, G H" uniqKey="Struijk G" first="G H" last="Struijk">G H Struijk</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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