Hepatitis B Vaccination in Patients with Chronic Kidney Disease undergoing Hemodialysis

Authors

  • Sorarat Tamkaew Pharmacy Department, Siriraj Hospital

Keywords:

hepatitis B vaccine, hemodialysis, hepatitis B vaccination, chronic kidney disease patients, virus infection prevention

Abstract

Chronic kidney disease (CKD) patients undergoing hemodialysis often receive blood transfusion. Consequently, they are candidates of infection transmitted via blood and have high risk of hepatitis B viral infection. Guidelines adopted by the Center for Disease Control and Prevention, USA, and the Advisory Committee on Immunization Practices, USA, recommended to give vaccination to patients without immune response. One problem observed was immune response in these patients either low level immunity or a drop-in immunity below 10 mIU/mL over time. Close monitoring of the immune level after hepatitis B virus vaccination is therefore necessary. Re-immunization in these patients with low immune responses should be conducted, but the administration injection and dose may be different from other subjects. In case that the old vaccine brand ran out of stock and the new brand vaccine is administered to patients, thereby affecting the immune response of patients. It is noteworthy to set schedule of monitoring immune response and vaccination to patients so that immunity effectively response and healthcare provider can prevent CKD patients undergoing hemodialysis from hepatitis B viral infection.

Author Biography

Sorarat Tamkaew, Pharmacy Department, Siriraj Hospital

Pharm.D.

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Published

2022-08-31

How to Cite

1.
Tamkaew S. Hepatitis B Vaccination in Patients with Chronic Kidney Disease undergoing Hemodialysis. Thai J Hosp Pharm [internet]. 2022 Aug. 31 [cited 2026 Jan. 5];32(2):147-54. available from: https://he02.tci-thaijo.org/index.php/TJHP/article/view/255801

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Section

Review Article