Abstract | AIM: Whether or not completing the hepatitis B vaccination in patients who have undergone kidney transplantation in the middle of incomplete vaccination schedule leads to development of protective antibody titres is not known. This study was designed to determine whether the strategy of completing hepatitis B virus (HBV) vaccination after transplantation is efficacious. METHODS: RESULTS: Past HBV infection was noted in 12 patients: 10 by serology plus viraemia and two by viraemia alone. Of the 46 patients without current or past HBV infection who had received at least two doses of the vaccine before transplant, 17 each had received two and three doses and 12 had completed the schedule. Seventeen (37%) exhibited protective titres. Patients who had completed vaccination were more likely to have protective titres than those incompletely vaccinated (P = 0.02). Five patients responded to post-transplant vaccination. CONCLUSION: Partially vaccinated patients do not mount an adequate antibody response despite continued vaccination in the post-transplant period, whereas complete vaccination provides protection in 60%. The present study data highlights the need of administration of a full schedule of HBV vaccination before kidney transplantation. Nucleic acid-based tests can identify occult HBV infection.
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Authors | Guliver Potsangbam, Ashok Yadav, Nirupama Chandel, Manish Rathi, Ashish Sharma, Harbir S Kohli, Krishan L Gupta, Mukut Minz, Vinay Sakhuja, Vivekanand Jha |
Journal | Nephrology (Carlton, Vic.)
(Nephrology (Carlton))
Vol. 16
Issue 4
Pg. 383-8
(May 2011)
ISSN: 1440-1797 [Electronic] Australia |
PMID | 21114569
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Copyright | © 2011 The Authors. Nephrology © 2011 Asian Pacific Society of Nephrology. |
Chemical References |
- Biomarkers
- DNA, Viral
- Hepatitis B Antibodies
- Hepatitis B Surface Antigens
- Hepatitis B Vaccines
- Hepatitis B e Antigens
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Topics |
- Adult
- Biomarkers
(blood)
- DNA, Viral
(blood)
- Female
- Hepatitis B
(diagnosis, epidemiology, prevention & control)
- Hepatitis B Antibodies
(blood)
- Hepatitis B Surface Antigens
(blood)
- Hepatitis B Vaccines
(administration & dosage)
- Hepatitis B e Antigens
(blood)
- Hepatitis B virus
(genetics, immunology)
- Humans
- Immunization Schedule
- India
(epidemiology)
- Kidney Failure, Chronic
(epidemiology, therapy)
- Kidney Transplantation
(adverse effects)
- Male
- Middle Aged
- Renal Dialysis
(adverse effects)
- Time Factors
- Treatment Outcome
- Vaccination
- Viral Load
- Young Adult
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