Vaccination gaps and infection risk at dialysis initiation

doi:10.5527/wjn.119445

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World Journal of Nephrology

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2220-6124

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.

World J Nephrol. Sep 25, 2026; 15(3): 119445
Published online Sep 25, 2026. doi: 10.5527/wjn.119445

Table 1 Vaccination coverage as a marker of health-system preparedness at dialysis initiation[9,23,24,29,30]

Preventive indicator	Association with vaccination	Systems interpretation
Prior nephrology consultation	Strong positive association	Longitudinal care enables prevention
Permanent vascular access	More frequent in vaccinated patients	Anticipatory planning
Pre-transplant evaluation	High vaccination uptake	Structured preventive workflow
Emergency dialysis initiation	Predominant among unvaccinated patients	Crisis-driven care
TB burden at initiation	High prevalence	Need for integrated infection prevention

TB: Tuberculosis.

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Table 2 Integrating infection prevention into chronic kidney disease care pathways[6,23,29,34,40]

CKD stage/transition	Preventive opportunity	Operational strategy
CKD stages 3-4	Vaccination initiation	HBV, pneumococcal, influenza vaccines
Advanced CKD (pre-dialysis)	Serologic monitoring	Anti-HBs titers, booster planning
Dialysis planning	Infection risk stratification	Access planning, TB screening
Dialysis initiation	Preventive audit	Vaccination checklist, documentation
Early dialysis vintage	Reinforcement	Missed vaccine catch-up

CKD: Chronic kidney disease; HBV: Hepatitis B virus; Anti-HBs: Antibody to hepatitis B surface antigen; TB: Tuberculosis.

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Citation: Kashiv P, Balwani MR, Tolani P, Pasari A, Saxena K, Kute VB. Vaccination gaps and infection risk at dialysis initiation. World J Nephrol 2026; 15(3): 119445
URL: https://www.wjgnet.com/2220-6124/full/v15/i3/119445.htm
DOI: https://dx.doi.org/10.5527/wjn.119445

Kashiv P, Balwani MR, Tolani P, Pasari A, Saxena K, Kute VB. Vaccination gaps and infection risk at dialysis initiation. World J Nephrol 2026; 15(3): 119445 [DOI: 10.5527/wjn.119445]

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