Immunization issues before and after solid organ transplantation in children


Anita Verma, MD, Department of Medical Microbiology, HPA, London, King's College Hospital, Denmark Hill, London SE5 9RS, UK
Tel.: 0207 346 3213
Fax: 0207 346 3404


Abstract:  Solid-organ transplant recipients are at risk from various infectious diseases, many of which can be prevented by immunizations that could reduce morbidity and mortality. However, it is not uncommon for children requiring transplantation to have received inadequate or no immunizations pre-transplant. Every effort should be made to immunize transplant candidates early in the course of their disease according to recommended schedules prior to transplantation. It is also important to immunize their household contacts and healthcare workers. In this review, we summarize the major immunization issues for children undergoing transplantation, the data currently available on immunization safety and efficacy, and suggest immunization practices to reduce vaccine-preventable disease. There is a real need for a standardized approach to the administration and evaluation of immunizations in this group of patients.