Yellow fever vaccination status and safety in hemodialysis patients

Author(s)

Facincani, Tila ^[1] ; Crown Guimaraes, Maia Nogueira ^[1] ; dos Santos, Sigrid De Sousa ^[1]

Affiliation

^[1] Univ Fed Sao Carlos, Dept Med, Rodovia Washington Luis, Km 235 Caixa Postal 676, BR-13565905 Sao Carlos, SP - Brazil

• Document type: Journal article
• Source: INTERNATIONAL JOURNAL OF INFECTIOUS DISEASES; v. 48, p. 91-95, JUL 2016.
• Web of Science Citations: 1

Abstract

Background: The adverse effects of yellow fever (YF) vaccine in dialysis patients are not well known. There is concern about the risks and benefits of the vaccine in immunocompromised patients living in endemic areas, particularly given the risk of resurgence of urban YF with the spread of Aedes aegypti mosquitoes. The purpose of this study was to assess the coverage and safety of YF vaccine in chronic dialysis patients. Methods: A cross-sectional study of 130 chronic dialysis patients was performed. Data were collected on clinical characteristics and YF vaccine status. Patients not vaccinated against YF or without a booster vaccination within the last 10 years were referred to receive the vaccine, and adverse effects were monitored. Results: Previous vaccination was verified in 44 patients within the last 10 years and in 26 patients at more than 10 years ago, with no mention of adverse effects. Thirty-six patients had never been vaccinated and 24 had an unknown vaccination status. Of the total 86 patients referred for immunization, 45 actually received the YF vaccine, with 24.4% experiencing mild local adverse effects and 4.4% experiencing fever. No serious adverse effects attributable to YF vaccine were observed (anaphylaxis, neurological or viscerotropic disease). Conclusions: YF vaccine coverage among hemodialysis patients is low, and the vaccine appeared to be safe in this population with a small sample size. (C) 2016 The Authors. Published by Elsevier Ltd on behalf of International Society for Infectious Diseases. (AU)

• FAPESP's process: 13/16215-6 - Vaccinal profile of dialysis-dependent chronic renal failure population in Sao Carlos - SP, focus on yellow Fever vaccine
• Grantee: Tila Facincani
• Support Opportunities: Scholarships in Brazil - Scientific Initiation
• FAPESP's process: 13/16207-3 - Vaccinal profile of dialysis-dependent chronic renal failure population in São Carlos - SP, focus on Hepatitis B vaccine
• Grantee: Maia Nogueira Crown Guimarães
• Support Opportunities: Scholarships in Brazil - Scientific Initiation