4. Clinical Guidelines for Liver Transplantation (PDF) - British ...
4. Clinical Guidelines for Liver Transplantation (PDF) - British ...
4. Clinical Guidelines for Liver Transplantation (PDF) - British ...
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Guidebook <strong>for</strong> the Solid Organ Transplant Programme Chapter 4<br />
BCCDC - Communicable Disease Control Immunization Program - Immunization of Special Populations<br />
January 2010 VACCINES RECOMMENDED FOR IMMUNOSUPPRESSED CLIENTS<br />
IMMUNE-<br />
SUPPRESSING<br />
CONDITIONS<br />
Asplenia (anatomic or<br />
functional), including<br />
sickle cell disease<br />
Congenital<br />
immunodeficiency<br />
(e.g., Complement,<br />
properdin, or factor D<br />
deficiency)<br />
Hematopoietic Stem<br />
Cell Transplant<br />
(HSCT)recipient<br />
Meningo<br />
<br />
Pneumo<br />
<br />
VACCINES<br />
Special Indications<br />
Hib<br />
Hep A Hep B Influenza<br />
<br />
Routine<br />
Inactivated<br />
x x x x x <br />
x x x x x C <br />
x x x x x x x <br />
HIV + adult x x x x x x <br />
Immunosuppressive<br />
therapy<br />
x x x x C <br />
Islet cell transplant<br />
candidate or recipient<br />
x x x x x <br />
Kidney<br />
disease(chronic) (predialysis<br />
and dialysis<br />
clients)<br />
x x x x <br />
<strong>Liver</strong> disease<br />
(chronic)<br />
x x x x x x<br />
Hepatitis B (chronic) x x x x x<br />
Hepatitis C (chronic) x x x x x x<br />
Malignant neoplasm x x x x C<br />
Solid organ (liver,<br />
heart, lung, kidney)<br />
transplant candidate<br />
or recipient<br />
x x x liver liver kidney x x <br />
Meningo = Meningococcal conjugate vaccines<br />
Pneumo = Pneumococcal conjugate and/or polysaccharide vaccine<br />
Yearly influenza immunization is indicated <strong>for</strong> all immunosuppressed individuals ≥ 6 months of age.<br />
Special considerations exist.<br />
C = Contraindicated<br />
This table is intended as a guideline only. For more in<strong>for</strong>mation, refer to the appropriate health condition<br />
in this Section or BC Communicable Disease Control Manual, Chapter 2, Section VII Biological Products<br />
Live<br />
Chapter 4 – <strong>Clinical</strong> <strong>Guidelines</strong> <strong>for</strong> <strong>Liver</strong> <strong>Transplantation</strong> – July, 2010 Page 20<br />
See Page 1 <strong>for</strong> disclaimer
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