AccessMyLibrary provides FREE access to over 30 million articles from top publications available through your library.
Create a link to this page
Copy and paste this link tag into your Web page or blog:
Postexposure hepatitis B vaccine not effective in hemodialysis patients.
2002 NOV 27 - (NewsRx.com & NewsRx.net) -- by Sonia Nichols, senior medical writer - Accelerated hepatitis B vaccine schedules are not very effective for protecting hemodialysis patients after they have been exposed to hepatitis B virus (HBV).
Blood dialysis presents a significant risk for viral hepatitis transmission. According to a report in Nephrology, Dialysis, and Transplantation, doctors in the United Kingdom frequently advise preventative or postexposure accelerated HBV vaccination schedules for people at risk for infection. However, the authors of a new observational study have advised that accelerated postexposure hepatitis B vaccination does not appear to offer sufficient antiviral protection to individuals on hemodialysis.
The 105 patients included in the study were all exposed to HBV during hemodialysis. Doctors administered HBV vaccine at baseline and at months 1 and 2 thereafter, followed by a booster dose at month 12. Eighty-six patients were able to complete the full vaccination schedule.
Follow-up testing of the patients' sera 6 weeks after the last doses were given suggested a response rate of 73%, reported Kevin S. Eardley and colleagues, Birmingham Heartlands and Solihull NHS Trust, Birmingham, U.K.
"Non-European patients responded better to primary vaccination than Europeans (p=0.014)," researchers commented.
Steroids also seemed to have a negative effect on vaccine effectiveness in hemodialysis patients, while other factors such as erythropoietin dose, diabetes mellitus, or being infected with hepatitis C virus (HCV) did not.
Two years after the initial vaccines were administered, 77 patients ...
- Postexposure hepatitis B vaccine not effective in hemodialysis patients.
- Newspaper article from: Hepatitis Weekly November 25, 2002 700+ words
...colleagues, Birmingham Heartlands and Solihull...effectiveness in hemodialysis patients, while other...schedule used in hemodialysis patients postexposure...Nephrology, Birmingham Heartlands and Solihull...Nearly half of hemodialysis patients exposed to...
- Perceived barriers and motivators to exercise in hemodialysis patients.
- Magazine article from: Nephrology Nursing Journal Goodman, Eric D. Ballou, Mary B. January 1, 2004 700+ words
...population to engage in exercise, for hemodialysis patients it is especially important for...are decreased with exercise in hemodialysis patients (Deligiannis, Kouidi, &...benefits particularly relevant to hemodialysis patients including improved lipid metabolism...
- Diagnosing and treating anemia and iron deficiency in hemodialysis patients....
- Magazine article from: Nephrology Nursing Journal Foret, Jamie P. June 1, 2002 700+ words
...continues to be a major obstacle for hemodialysis patients with chronic renal failure. Even...commonly used as therapy, 36% of hemodialysis patients fail to achieve target hemoglobin...prevalence of iron deficiency in hemodialysis patients, the iron status of patients diagnosed...
- Preventing transmission of infections among chronic hemodialysis...
- Magazine article from: Nephrology Nursing Journal Alter, Miriam J. Tokars, Jerome I. October 1, 2001 700+ words
...be read. Introduction Chronic hemodialysis patients are at high risk for infection...hands of personnel. Furthermore, hemodialysis patients are immunosuppressed, which increases...continue to occur among chronic hemodialysis patients. Results of epidemiologic investigations...
- Report spotlights American Indian and Alaska Native hemodialysis patients....
- Magazine article from: Health Care Financing Review June 22, 1995 700+ words
...AI/AN) adult, in-center hemodialysis patients in the United States. Data were...random sample of adult, in-center hemodialysis patients. The purpose of collecting and...opportunities to improve care for their hemodialysis patients. Even though AI/AN make up less...
- Evaluating iron status in hemodialysis patients. (Educational Supplement).
- Magazine article from: Nephrology Nursing Journal Enders, Holly M. August 1, 2002 700+ words
...Effective management of anemia in hemodialysis patients with end stage renal disease...used to determine iron status in hemodialysis patients but are sometimes inaccurate...influenced by conditions common in hemodialysis patients that are not associated with iron...
- Maintaining Higher TSATs and Other Iron Indices Is Beneficial in Management of...
- Magazine article from: Nephrology Nursing Journal Besarab, Anatole Dalton, Cheryl L. August 1, 2001 700+ words
...and Targets Anemia management for hemodialysis patients is an evolving science. Since...iron supply needs in EPO-treated hemodialysis patients. The National Kidney Foundation...than or equal to 100 ng/ml in hemodialysis patients receiving EPO. However, they...
- Transonic Systems Inc. Enhances Quality of Care for Hemodialysis Patients with...
- Press release article from: Business Wire April 2, 2003 700+ words
...enhance the quality of care for their hemodialysis patients. The Flow-QC Hemodialysis Monitor...adequacy and cardiac output. For hemodialysis patients, their vascular access is their...cause of hospitalization among hemodialysis patients. Medicare costs for treating access...
