Childhood Kidney Diseases
- Volume 6 Issue 2
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- Pages.198-208
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- 2002
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- 2384-0242(pISSN)
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- 2384-0250(eISSN)
Immunization Practices in Children with Renal Disease : A Survey of the Members of Korean Society of Pediatric Nephrology
신질환 소아의 예방접종 현황 : 대한소아신장학회 회원들의 접종 방식에 대한 조사
- Park Seong-Shik (Department of Pediatrics, College of Medicine, Pusan National University) ;
- Ahn Sung-Ryou (Department of Pediatrics, College of Medicine, Pusan National University) ;
- Lee Ju-Suk (Department of Pediatrics, College of Medicine, Sungkyunkwan Univ. Masan Samsung Hospital) ;
- Kim Su-Yung (Department of Pediatrics, College of Medicine, Pusan National University)
- 박성식 (부산대학교 의과대학 소아과학교실) ;
- 안성연 (부산대학교 의과대학 소아과학교실) ;
- 이주석 (성균관대학교 의과대학 마산삼성병원 소아과) ;
- 김수영 (부산대학교 의과대학 소아과학교실)
- Published : 2002.10.01
Abstract
Purpose : There is no scientific basis for an immunization policy for children with renal disease who have increased risk of infection in Korea. As an initial step in approaching this problem, this survey of pediatric nephrologists was undertaken to determine the current recommendations of practicing pediatric nephrologists Methods : Questionnaires were sent to the members of Korean Society of Pediatric Nephrology via mail and E-mail. The questionnaire was designed to obtain information about the immunization practice of basic vaccination schedule for nephrotic syndrome, the side effects after vaccination and the immunization practice about recommended vaccines for children with renal disease. Results : Questionnaires were sent to 56 pediatric nephrologists. 35 replies were received (response rate: 62.5%). Almost of the respondents (82.8%) reported practicing at university hospital. All respondents reported modified vaccination schedule. 65.7% of the respondents immunized nephrotic children with live vaccines some time later after discontinuation of corticosteroids treatment and 57.1% of respondents immunized them with killed vaccines during medication of low doses of corticosteroids. Respondents experienced relapse of nephrotic syndrome after vaccination are nine, lack of vaccine efficacy are three and infection by organisms of live vaccines are two. 71.4% of respondents reported vaccinating children with renal disease for hepatitis B, pneumococcus and influenza during medication of low doses of corticosteroids. But There is few difference of the rates of respondents vaccinating them for Hemophilus influenzae type b between during medication of low doses of corticosteroids and after discontinuation of corticosteroids treatment (45.7% us 42.9%). Almost of respondents reported vaccinating renal failure children without immunosuppression for hepatitis B, pneumococcus, influenza and H. influenzae type b (
목적 : 소아 신증후군을 비롯한 신질환 환아는 질병 자체에 의해서 뿐만 아니라 면역억제제 사용으로 인한 면역 기능 저하로 감염되기 쉬운 상태에 있다. 폐구균 감염, b형 헤모필루스 인플루엔자, 대장균 등에 의한 복막염, 패혈증에 취약한 상태이고 홍역 및 수두 등에 심한 임상 경과를 취하므로 이들 질환에 대한 적극적 예방접종이 필요하며, 미세변화형 신증후군의 호발 연령인