Practical Guide to Vaccination in All Stages of CKD, Including Patients Treated by Dialysis or Kidney Transplantation

Karen M. Krueger*, Michael G. Ison, Cybele Ghossein

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

111 Scopus citations


Infection is a major cause of morbidity and mortality in patients with chronic kidney disease (CKD), including those receiving maintenance dialysis or with a kidney transplant. Although responses to vaccines are impaired in these populations, immunizations remain an important component of preventative care due to their favorable safety profiles and the high rate of infection in these patients. Most guidelines for patients with CKD focus on the importance of the hepatitis B, influenza, and pneumococcal vaccines in addition to age-appropriate immunizations. More data are needed to determine the clinical efficacy of these immunizations and others in this population and define optimal dosing and timing for administration. Studies have suggested that there may be a benefit to immunization before the onset of dialysis or transplantation because patients with early-stage CKD generally have higher rates of seroconversion. Because nephrologists often serve as primary care physicians for patients with CKD, it is important to understand the role of vaccinations in the preventive care of this patient population

Original languageEnglish (US)
Pages (from-to)417-425
Number of pages9
JournalAmerican Journal of Kidney Diseases
Issue number3
StatePublished - Mar 2020


  • Vaccination
  • chronic kidney disease (CKD)
  • cytomegalovirus (CMV)
  • dialysis
  • end-stage renal disease (ESRD)
  • hepatitis B virus
  • immunization schedule
  • immunocompromised travelers
  • immunogenicity
  • infectious disease
  • influenza
  • kidney transplant recipient
  • meningococcal disease
  • pneumococcal disease
  • review
  • seroprotection
  • shingles
  • varicella zoster virus (VZV)

ASJC Scopus subject areas

  • Nephrology


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