JOMPAC
Journal of Medicine and Palliative Care

Journal of Medicine and Palliative Care (JOMPAC) is an open access scientific journal with independent, unbiased, and double-blind review under international guidelines. The purpose of JOMPAC is to contribute to the literature by publishing articles on health sciences and medicine.

eISSN: 2717-7505
Creative Commons CC BY-NC-ND 4.0 International License.
EndNote Style

Submit Manuscript

Index
Original Article
Awareness and rates of vaccination in hemodialysis patients
Abstract
Aims: Vaccination is main risk reducing strategy for vaccine-preventable infections in chronic kidney disease (CKD) patients, but vaccination rates in hemodialysis patients are not at the desired level. In this study, we aimed to search the rates of influenza, pneumococcal, hepatitis B and coronavirus disease-2019 (COVID-19) vaccination, the vaccination awareness and the reasons for not taking vaccination in hemodialysis patients.
Methods: In this cross-sectional study, 232 CKD patients undergoing hemodialysis in two centers for at least six months were included. The patients completed the questionnaire about vaccination. The data about patients’ history of vaccination regarding influenza, pneumococcal, hepatitis B and COVID-19 vaccines; patients’ attitudes and knowledge about vaccination; the source of information about vaccination were collected via this questionnaire.
Results: The rates of pneumococcal, influenza, hepatitis B and COVID-19 vaccination were 9.9%, 56.6%, 38.8% and 87.1%, respectively. In patients with missing vaccination, the main reasons for not taking vaccination were lack of knowledge about vaccination (48.7%), the thought that the vaccine is not beneficial (12.5%) and fear of adverse effects (3.4%). The main sources of information about vaccination were healthcare workers (90.5%), radio/televison (1.7%) and internet (1.7%).
Conclusion: Our findings showed that the rates of influenza, pneumococcal and hepatitis B vaccination were below the targeted levels and the main reason was the lack of information about vaccination and the main source of information about vaccination was health personnel. Strategies should be developed to increase the awareness and rate of vaccination for vaccine-preventable infections in CKD patients.

Keywords : Awareness, hemodialysis, vaccination, chronic kidney disease

Download Article


1. Jha V, Garcia-Garcia G, Iseki K, et al. Chronic kidneydisease:global dimension and perspectives. Lancet. 2013;382(9888):260-272.
2. Reddy S, Chitturi C, Yee J. Vaccination in chronic kidney disease.Adv Chronic Kidney Dis. 2019;26(1):72-78.
3. Ishigami J, Matsushita K. Clinical epidemiology of infectiousdisease among patients with chronic kidney disease. Clin ExpNephrol. 2019;23(4):437-447.
4. Babu TM, Kotton CN. Immunizations in chronic kidney diseaseand kidney transplantation. Curr Treat Options Infect Dis. 2021;13(2):47-65.
5. Kidney Disease:Improving Global Outcomes (KDIGO) CKDWork Group. KDIGO 2012 Clinical practice guideline for theevaluation and management of chronic kidney disease. Kidney IntSuppl. 2013;3:1-150.
6. Dagan N, Barda N, Kepten E, et al. BNT162b2 mRNA COVID-19Vaccine in a nationwide mass vaccination setting. N Engl J Med.2021;384(15):1412-1423.
7. Moore LR, Al-Jaddou N, Wodeyar H, et al. SARS-CoV-2 indialysis patients and the impact of vaccination. BMC Nephrol.2022;23(1):317.
8. Yıldız Y, Telatar TG, Baykal M, Aykanat Yurtsever B, Yıldız İE.COVID-19 pandemisi döneminde aşı reddinin değerlendirilmesi.DÜ Sağlık Bil Enst Derg. 2021;11(2):200-205.
9. Günay E, Kaya, Ş, Yüksel E. The Blind Spot On hemodialysis:vaccination. Turk Bull Hygiene Exper Biol. 2020;77(2):149-154.
10. Tan HZ, Phang CC, Wu SY, et al. Improving influenza andpneumococcal vaccination uptake among incident peritonealdialysis patients:a quality improvement initiative. Int UrolNephrol. 2021;53(10):2167-2175.
11. Infectious Diseases and Clinical Microbiology Specialty Societyof Turkey (EKMUD), Adult Immunization Guide (2019).Available from: https://www.ekmud.org.tr/emek/rehberler/1-ekmud-rehberleri.
12. World Health Organization, “Global vaccine action plan2011-2020” 2013. Available from:https://www.who.int/teams/immunization-vaccines-and-biologicals/strategies/global-vaccine-action-plan.
13. Mutlu A, Şengül E, Boz G. A cross-sectional survey study oninfluenza and pneumococcal vaccination rates and the factorsaffecting vaccination rates in hemodialysis patients in KocaeliProvince of Turkey. Ther Apher Dial. 2022;26(3):640-648.
14. Akinbodewa AA, Gbadegesin BA, Adejumo OA, et al. Amulticentre study of awareness and practice of vaccinationagainst infectious diseases among haemodialysis subjects inNigeria. West Afr J Med. 2019;36(3):239-245.
15. Tharwat S, Khairallah MK, Nassar MK, Nassar DK, Nagy E.Acceptance of COVID-19 vaccination among maintenancehemodialysis patients:an Egyptian survey study. Trop Med Health.2022;50(1):42.
16. Wallace H, Mount PF. COVID-19 beliefs and vaccination uptakein dialysis patients:lessons from an anonymous patient survey.Intern Med J. 2022;52(9):1488-1494.
Article available in :
Volume 4, Issue 4, 2023
Page : 283-287
https://doi.org/10.47582/jompac.1324097
Article Information
Received : 07 Tem 2023
Accepted : 26 Tem 2023
Published : 30 Ağu 2023
Corresponding Author :

Raziye Yazıcı: Department of Nephrology, Konya Beyhekim Training and Research Hospital, Konya, Turkey

[email protected]
Citation : Yazıcı R, Güney İ, Yürekli A, Can S. Awareness and rates of vaccination in hemodialysis patients. J Med Palliat Care. 2023;4(4):283-287.

Read: 107
Cited: 1
Download : 135
_Footer