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Influenza virus immunization effectivity in kidney transplant patients subjected to two different triple-drug therapy immunosuppression protocols: mycophenolate versus azathioprine.
13 auth. A. Sánchez-Fructuoso, D. Prats, P. Naranjo, C. Fernández-Pérez, Ma Jesús González, Alberto Mariano, Jesús González, M. A. Figueredo, Jesús Ma Martin, V. Paniagua, ... J. Fereres, E. G. de la Concha, A. Barrientos
BACKGROUND Due to possible complications and treatment limitations, the prevention of influenza in renal transplant (RT) patients is highly indicated. METHODS Forty-nine patients with a 1-year functioning RT subjected to two different immunosuppre…
BACKGROUND Due to possible complications and treatment limitations, the prevention of influenza in renal transplant (RT) patients is highly indicated. METHODS Forty-nine patients with a 1-year functioning RT subjected to two different immunosuppressive regimens and 37 healthy relatives (HR) were administered the anti-influenza vaccine as recommended for 1996 to 1997. Anti-influenza antibody, creatinine, and immunological markers were estimated at 1 and 3 months after vaccination. RESULTS Three months after vaccination, 46.2% of the RT patients and 69% of the HR (P=0.06) showed protective antibody titers to influenza A (relative risk [RR]; 0.67; 95% confidence interval: 0.44-1.02). A total of 20.5% of the RT patients and 44.8% of the HR showed antibodies to influenza B (P=0.03). Despite these differences, the incidence of illness was similar. The immunosuppressive regimen had no effect on the antibody response. CONCLUSIONS Although the RT patients showed a reduced antibody response, no negative effects on graft outcome were observed.
Published in Transplantation
8
6 2000