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PREDÎYALÎZ, HEMODİYALİZ VE SÜREKLİ AYAKTAN PERİTON DİYALİZİ HASTALARINDA ÇİFT DOZ HEPATİT B AŞISINA YANIT

RESPONSIVENESS TO HEPATITIS B VACCINE IN HEMODIALYSIS, CAPD, AND PREDIALYSIS PATIENTS BY DOUBLING THE DOSE SCHEDULING

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Abstract (2. Language): 
Hepatitis B vaccine is effective in producing protection against hepatitis B virus infection in uremic patients, but these patients respond less well than do the healthy. In this study, we vaccinated 29 hemodialysis patients, 11 continuous ambulatory peritoneal dialysis patients, and 15 predialysis patients. The anti-HBs antibody-seronegative patients followed a four-dose vaccination schedule (0,1,2, and 6 months) with 40 \xg DNA-recombinant hepatitis B vaccine. The rate of total seroconversion was 78%. No differences could be found between responders and nonresponders concerning dialysis type or erythropoietin therapy. In conclusion, unresponsiveness to hepatitis B vaccine in uremic patients was related to factors such as older age, male sex, the presence of HCV-infection.
Abstract (Original Language): 
Hepatitis B aşısı, üremik hastalarda antikor oluşumu konusunda etkilidir, ancak antikor yanıtı sağlıklı insanlara göre daha az olmaktadır. Bu çalışmada, 29 hemodiyaliz, 11 sürekli ayaktan periton diyalizi ve 15 prediyaliz hastası 40 g rekombinant hepatit B aşısı ile 0, 1,2 ve 6. ayda aşılandı. Total serokonversiyon oranı %78 idi. Aşı yanıtı oluşanlarla oluşmayanlar arsında dializ tipi ve eritropoietin tedavisi açısından fark yoktu. Sonuç olarak, üremik hastalarda hepatit B aşısına yanıtın ileri yaş, erkek cinsiyet ve anti-HCV pozitifliğinden olumsuz olarak etkilendiği görüldü.
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192-194

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