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KRONlK BÖBREK YETERSİZLİĞİ OLAN ÇOCUKLARDA HEPATlT B VİRÜS AŞILAMASI VE SONUÇLARI

HEPATITIS B VACCINATION OF CHILDREN WITH CHRONIC RENAL FAILURE

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Abstract (2. Language): 
Hepatitis B infection is one of the important problems of children with chronic renal failure. 18 hemodialysis and 10 predialysis pediatric patients seronegative for hepatitis B markers were vaccinated with Hevac B (Pasteur) theree times at one month intervals and a booster dose was given 6 months later. Sufficient antibody response was obtained in 11 hemodialysis patients (61%), and 7 predialysis patients (70%) after 3 doses of vaccination. Antibody response rates in both groups were similar. Patients with chronic renal failure should be vaccinated against hepatitis B as early as possible since they are candidates for kidney transplantation.
Abstract (Original Language): 
Kronik böbrek yetersizliği olan hastalarda Hepatit B Virus enfeksiyonları önemli bir sorun oluşturmaktadır. Hepatit B antikor ve antijenleri taşımayan hemodiyaliz tedavisi gören 18 hastaya ve prediyaliz dönemdeki 10 kronik böbrek yetersizlikli hastaya birer ay ara ile 3 doz, 5mikrog (İmi) dozunda HevacB (Pasteur) aşısı uygulandı. 6 ay sonra rapelyapıldı. 3 doz aşılama sonrası 11 hemodiyaliz hastasında (%61) ve 7prediyaliz dönemdeki hastada (%70) yeterli antikor yanıtı elde edildi. Antikor yanıt yüzdesi yönünden hemodiyaliz ve prediyaliz grupları arasında istatistiksel anlamlı fark bulunmadı. Kronik böbrek yetersizlikli hastaların mümkün olan en erken dönemde Hepatit B aşı progra¬mına alınması, transplantasyon adayı olan bu grupta Hepatit B virüs enfeksiyonunu ve HBsAg taşıyıcı sayı¬sını azaltmada yararlı olacaktır.
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