What are the vaccinations in reference to kidney transplantation
Live vaccines are contraindicated after transplantation and should be administered prior. If a live vaccine is given prior to transplantation, the patient cannot be on immunosuppression and therefore transplanted for a minimum of 4 weeks. Inactivated vaccines can be given post transplant. The time frame to be able to receive a vaccination post transplant is 3 to 6 months. Close contacts should also be appropriately vaccinated.
Here is the table which shows a table of commonly questioned vaccinations.
Vaccine Timing and Transplant
VACCINE | INACTIVATED/LIVE ATTENUATED | GIVE PRIOR OR AFTER TRANSPLANTATION |
---|---|---|
Influenza (injected) | Inactivated | Both |
Hepatitis B | Inactivated | Both but preferably completed prior to transplant |
Tetanus | Inactivated | Both |
Pertussis (Tdap) | Inactivated | Both |
Streptococcus pneumoniae | Inactivated | Both |
Neisseria meningitidis | Inactivated | Both |
Rabies | Inactivated | Both |
Measles-Mumps-Rubella (MMR) | Live Attenuated | Only Prior |
Varicella | Live Attenuated | Only Prior |
Human Papilloma Virus | Inactivated | Both |
The inhaled influenza vaccine is a live attenuated vaccine and is contraindicated. Patients traveling abroad should consider visiting a travel clinic for appropriate vaccinations and prophylaxis as needed.