Abstract
Vaccination of hemodialysis (HD) patients reduces mortality and infection transmission in dialysis units, but its practice is perceivably poor in Nigeria with no study quantifying the level of awareness and practice to date. A questionnaire-based, cross-sectional study on nephrologists was designed. Average group performance scores were calculated for each professional group. Data were analyzed using Statistical Package for the Social Sciences version 20.0 software. The mean age of a total of 142 respondents was 40.7 ± 8.4 years. The average group performance scores for consultants, senior registrars, medical officers, dialysis nurses, and general nurses were 63.4, 63.4, 50.3, 43.4, and 43.4, respectively. Six facilities (11.1%) had active vaccination protocol against hepatitis B virus infection (HBV) alone. These comprised 4/8 (50%) private facilities and 2/46 (4.3%) public hospitals. One public tertiary hospital (2.2%) had an active vaccination protocol against Streptococcus pneumoniae. Awareness and practice of vaccination of HD patients by nephrologists is low. Practice of vaccination of HD patients is better in the private sector.
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References
Levin A, Stevens PE, Bilous RW, Coresh J, De Francisco ALM, De Jong PE, et al. Kidney Disease: Improving Global Outcomes (KDIGO) CKD work group. KDIGO 2012 clinical practice guideline for the evaluation and management of chronic kidney disease. Kidney Int Suppl 2013;3;1–150.
Centers for Disease Control and Prevention (CDC). Use of hepatitis B vaccination for adults with diabetes mellitus: recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Morb Mortal Wkly Rep 2011;60;1709–11.
Wilmore SM, Philip KE, Cambiano V, Bretherton CP, Harborne JE, Sharma A, et al. Influenza and pneumococcal vaccinations in dialysis patients in a London district general hospital. Clin Kidney J 2014;7;27–32.
Lin SY, Liu JH, Wang SM, Wang IK, Tsai CA, Liu YL, et al. Association of response to hepatitis B vaccination and survival in dialysis patients. BMC Nephrol 2012;13;97.
Gilbertson DT, Guo H, Arneson TJ, Collins AJ. The association of pneumococcal vaccination with hospitalization and mortality in hemodialysis patients. Nephrol Dial Transplant 2011;26;2934–9.
Linnemann CC Jr, First MR, Schiffman G. Revaccination of renal transplant and hemodialysis recipients with pneumococcal vaccine. Arch Intern Med 1986;146;1554–6.
Gilbertson DT, Unruh M, McBean AM, Kausz AT, Snyder JJ, Collins AJ. Influenza vaccine delivery and effectiveness in end-stage renal disease. Kidney Int 2003;63;738–43.
Janus N, Vacher LV, Karie S, Ledneva E, Deray G. Vaccination and chronic kidney disease. Nephrol Dial Trans 2008;23;800–7.
Bakkaloğlu SA, Özdemir Atikel Y, Paglialonga F, Stefanidis CJ, Askiti V, Vidal E, et al. Vaccination practices in pediatric dialysis patients across Europe. A European Pediatric Dialysis Working Group and European Society for Pediatric Nephrology Dialysis Working Group Study. Nephron 2018;138;280–6.
Adejumo OA, Akinbodewa AA, Okaka EI, Alli OE, Ibukun IF. Chronic kidney disease in Nigeria: late presentation is still the norm. Niger Med J 2016;57;185–9.
Adekanle O, Ndububa DA, Olowookere SA, Ijarotimi O, Ijadunola KT. Knowledge of hepatitis B virus infection, immunization with hepatitis B vaccine, risk perception, and challenges to control hepatitis among hospital workers in a Nigerian tertiary hospital. Hepat Res Treat 2015;2015;1–6.
Abiola AH, Agunbiade AB, Badmos KB, Lesi AO, Lawal AO, Alli QO. Prevalence of HBsAg, knowledge, and vaccination practice against viral hepatitis B infection among doctors and nurses in a secondary health care facility in Lagos state, South-western Nigeria. Pan Afr Med J 2016;23;160.
Okwara EC, Enwere OO, Diwe CK, Azike JE, Chukwulebe AE. Theatre and laboratory workers’ awareness of and safety practices against hepatitis B and C infection in a suburban university teaching hospital in Nigeria. Pan Afr Med J 2012;13;2.
Burdick RA, Bragg-Gresham JL, Woods JD, Hedderwick SA, Kurokawa K, Combe C, et al. Patterns of hepatitis B prevalence and seroconversion in hemodialysis units from three continents: The DOPPS. Kidney Int 2003;63;2222–9.
Centers for Disease Control and Prevention (CDC). Outbreaks of hepatitis B virus infection among hemodialysis patients — California, Nebraska, and Texas, 1994. MMWR Morb Mortal Wkly Rep 1996;45;285–9.
Asan A, Demirhan H, Sorkun HÇ, Özkan S, Aydın M, Akın D, et al. Factors affecting responsiveness to hepatitis B immunization in dialysis patients. Int Urol Nephrol 2017;49;1845–50.
Erdoğdu Hİ, Atalay E, Gürsoy G, Canbakan B, Aktürk S, Yazıcı C, et al. Factors affecting inadequate response to HBV vaccine in hemodialysis patients: northeast anatolia survey with six hemodialysis centers. Clin Exp Nephrol 2019;23;530–6.
Ghadiani MH, Besharati S, Mousavinasab N, Jalalzadeh M. Response rates to HB vaccine in CKD stages 3–4 and hemodialysis patients. J Res Med Sci 2012;17;527–33.
Martinello RA, Jones L, Topal JE. Correlation between healthcare workers’ knowledge of influenza vaccine and vaccine receipt. Infect Control Hosp Epidemiol 2003;24;845–7.
Esposito S, Tremolati E, Bellasio M, Chiarelli G, Marchisio P, Tiso B, et al. Attitudes and knowledge regarding influenza vaccination among hospital health workers caring for women and children. Vaccine 2007;25;5283–9.
Mah MW, Hagen NA, Pauling-Shepard K, Hawthorne JS, Mysak M, Lye T, et al. Understanding influenza vaccination attitudes at a Canadian cancer center. Am J Infect Control 2005;33;243–50.
Goldstein AO, Kincade JE, Gamble G, Bearman RS. Policies and practices for improving influenza immunization rates among healthcare workers. Infect Control Hosp Epidemiol 2004;25;908–11.
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Akinbodewa, A.A., Adejumo, O.A. Awareness and Practice of Vaccination of Chronic Hemodialysis Patients by Specialist Nephrology Practitioners in Nigeria: A Cross-Sectional Survey. J Epidemiol Glob Health 9, 204–209 (2019). https://doi.org/10.2991/jegh.k.190518.001
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DOI: https://doi.org/10.2991/jegh.k.190518.001