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Immune response to influenza vaccination in children with renal disease

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Abstract

Although immunization with influenza vaccine is recommended for children with chronic renal disease and after organ transplantation, the antibody response in these children has not been well described. We studied the response to the 1993–1994 trivalent influenza vaccine in children, aged 1–21 years, with chronic renal failure (n=15), end-stage renal disease requiring dislysis (n=10), and post renal transplantation (n=17). Each group's antibody response was compared with that of a control group (n=7). No significant differences were found in seroconversion rates, percentage of patients achieving protective hemagglutination-inhibition titers post vaccination or change in geometric mean titers from pre to post vaccination between study groups and controls. These results suggest that pediatric patients with renal disease will respond and therefore will benefit from currently recommended influenza immunization.

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References

  1. Mauch T, Freese D, Braumlin E, Dunn D, Crouch N, Kashton C (1993) Immunization of pediatric solid organ transplant recipients against influenza B. J Am Soc Nephrol 4: 948

    Google Scholar 

  2. Mauch T, Bratton S, Myers T, Krane E, Gentry S, Kashtan C (1994) Influenza B virus infection in pediatric solid organ transplant recipients. Pediatrics 94: 225–229

    PubMed  Google Scholar 

  3. Beyer WEP, Noordzij TC, Kramer P, Diderich PPMN, Op den Hoek CT, Janssen J, Masurel N, Weimar W (1990) Effect of immunomodulator thymopentin on impaired seroresponse to influenza vaccine in patients on haemodialysis Nephron 54: 296–301

    PubMed  Google Scholar 

  4. Steele RW (1994) Current status of vaccines and immune globulins for children with renal disease. Pediatr Nephrol 8: 7–10

    PubMed  Google Scholar 

  5. Schwartz GJ, Haycock JB, Edelman CM, Spitzer A, (1976) A simple estimate of glomerular filtration rate in children derived from body length and plasma creatinine. Pediatrics 58: 259–263

    PubMed  Google Scholar 

  6. Schwartz GJ, Brion LP, Spitzer A (1987) The use of plasma creatinine concentration for estimating GFR in infants, children and adolescents. Pediatr Clin North Am 34: 571–591

    PubMed  Google Scholar 

  7. Madore HP, Reichman RC, Dolin R (1983) Serum antibody responses in naturally occurring influenza A virus infection determined by enzyme linked immunosorbent assay, hemagglutination inhibition, and complement fixation. J Clin Microbiol 18: 1345–1350

    PubMed  Google Scholar 

  8. Zuckerman M, Haaheim L (1992) Activity of influenza vaccine against virus strains now circulating. Lancet 339: 118

    Google Scholar 

  9. SAS Institute (1989) SAS language and procedures: usage, version 6, 1st edn. SAS Institute, Cary, N.C., p 638

    Google Scholar 

  10. Gruber WC, Taber LH, Glezen WP, Clover RD, Abell TD, Demmler RW, Couch RB (1990) Live attenuated and inactivated influenza vaccine in school-age children. Am J Dis Child 144: 595–600

    PubMed  Google Scholar 

  11. Suga T, Niki H, Niikura M, Matsumoto Y, Nishimura T, Nakajima K, Miyazaki M, Endoh M, Nomoto Y, Sakai H (1990) Influenza antibody titers after vaccination of chronic renal failure patients, before and during hemodialysis, or on chronic ambulatory peritoneal dialysis. Tokai J Exp Clin Med 15: 245–251

    PubMed  Google Scholar 

  12. Versluis DJ, Beyer WEP, Masurel N, Diderich NM, Kramer P, Weimar W (1988) Intact humoral immune response in patients on continuous ambulatory peritoneal dialysis. Nephron 49: 16–19

    PubMed  Google Scholar 

  13. Glezen WP, Paedes A, Taber CH (1980) Influenza in children: relationship to other respiratory agents. JAMA 243: 1345–1349

    PubMed  Google Scholar 

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Furth, S.L., Neu, A.M., McColley, S.A. et al. Immune response to influenza vaccination in children with renal disease. Pediatr Nephrol 9, 566–568 (1995). https://doi.org/10.1007/BF00860934

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  • DOI: https://doi.org/10.1007/BF00860934

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