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<p>Infections are among the most frequent complications of chronic kidney disease (CKD). The risk greatly increases above CKD stage&#xa0;3 or in cases of proteinuria compared to healthy individuals. Dialysis patients and individuals under immunosuppression, e.g., after transplantation, are particularly at risk. Vaccinations are among the most effective measures for infection prevention. Even if the protective effect is partially reduced due to impairment of the immune system, vaccinations should be consistently used even in patients with CKD. Seasonal vaccinations against influenza and severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) as well as protection against pneumococcus and respiratory syncytial virus (RSV) are important as respiratory infections account for the majority of preventable complications. In addition, protection against herpes zoster should also be established. The hepatitis&#xa0;B vaccination plays a&#xa0;special role for dialysis patients but standard vaccinations such as tetanus and diphtheria should not be neglected either.</p>

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Impfungen in der Nephrologie

  • 期刊论文

  • 发表日期：

    2025年8月8日

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  • Matthias Girndt

摘要

Infections are among the most frequent complications of chronic kidney disease (CKD). The risk greatly increases above CKD stage 3 or in cases of proteinuria compared to healthy individuals. Dialysis patients and individuals under immunosuppression, e.g., after transplantation, are particularly at risk. Vaccinations are among the most effective measures for infection prevention. Even if the protective effect is partially reduced due to impairment of the immune system, vaccinations should be consistently used even in patients with CKD. Seasonal vaccinations against influenza and severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) as well as protection against pneumococcus and respiratory syncytial virus (RSV) are important as respiratory infections account for the majority of preventable complications. In addition, protection against herpes zoster should also be established. The hepatitis B vaccination plays a special role for dialysis patients but standard vaccinations such as tetanus and diphtheria should not be neglected either.