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. 2021 Jan 22;9(2):77.
doi: 10.3390/vaccines9020077.

Knowledge, Attitudes and Practices of Flu Vaccination in Hemodialysis Patients

Ada Gawryś  1 , Tomasz Gołębiowski  1 , Dorota Zielińska  1 , Hanna Augustyniak-Bartosik  1 , Magdalena Kuriata-Kordek  1 , Leszek Szenborn  2 , Magdalena Krajewska  1
Affiliations

Knowledge, Attitudes and Practices of Flu Vaccination in Hemodialysis Patients

Ada Gawryś et al. Vaccines (Basel). .

Abstract

Background: Hemodialysis (HD) patients have an increased risk of morbidity and mortality due to infections. Despite the positive effect of vaccinations, the implementation of this method of prophylaxis is low.

Objectives: This study aimed to explore the knowledge, attitudes and practices of flu vaccination among HD patients of two different dialysis centers.

Methods: A total of 193 patients (mean age 63.6 years), who voluntarily agreed to participate in an anonymous survey related to influenza vaccination, were enrolled in this cross-sectional study.

Results: A total of 45% of patients declared that they took regular, annual flu vaccination. In this group, 87.4% believed that vaccinations were effective. This opinion strongly correlated with the frequency of regular vaccinations (r = 0.56, p < 0.01). Multivariate logistic regression revealed that this opinion is an independent predictor of regular vaccinations with adjusted OR 9.86 (95% CI 4.36, 22.33). Groups of patients who had been irregularly or never vaccinated reject vaccinations for the following reasons: fear of adverse events-29.2%, conviction that vaccination was ineffective-26.4%, and lack of information about vaccination-22.6%.

Conclusion: Knowledge among HD patients about the benefits of vaccinations is poor. Therefore, educational activities are required. Active vaccination promotion and education of patients rejecting this method of prevention play a key role in improving standards of care for HD patients.

Keywords: hemodialysis; infections; vaccinations.

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Conflict of interest statement

The authors declare no conflict of interest.

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References

    1. Neovius M., Jacobson S.H., Eriksson J.K., Elinder C.G., Hylander B. Mortality in chronic kidney disease and renal replacement therapy: A population-based cohort study. BMJ Open. 2014;4:1–9. doi: 10.1136/bmjopen-2013-004251. - DOI - PMC - PubMed
    1. Ortiz A., Covic A., Fliser D., Fouque D., Goldsmith D., Kanbay M., Mallamaci F., Massy Z.A., Rossignol P., Vanholder R., et al. Epidemiology, contributors to, and clinical trials of mortality risk in chronic kidney failure. Lancet. 2014;383:1831–1843. doi: 10.1016/S0140-6736(14)60384-6. - DOI - PubMed
    1. Pesanti E.L. Immunologic defects and vaccination in patients with chronic renal failure. Infect. Dis. Clin. N. Am. 2001;15:813–832. doi: 10.1016/S0891-5520(05)70174-4. - DOI - PubMed
    1. Grzegorzewska A.E. Prophylactic vaccinations in chronic kidney disease. Hum. Vaccines Immunother. 2015;11:2599–2605. doi: 10.1080/21645515.2015.1034915. - DOI - PMC - PubMed
    1. Kato S., Chmielewski M., Honda H., Pecoits-Filho R., Matsuo S., Yuzawa Y., Tranaeus A., Stenvinkel P., Lindholm B. Aspects of immune dysfunction in end-stage renal disease. Clin. J. Am. Soc. Nephrol. 2008;3:1526–1533. doi: 10.2215/CJN.00950208. - DOI - PMC - PubMed

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