Prevention of infectious diseases in patients with chronic renal failure

The patient followed in nephrology ward for a glomerulopathy is exposed throughout his illness, into the hospital as in the community, at a high risk of bacterial, viral and more and more frequently fungal infections. At each stage of his illness, given the comorbidities associated with his renal pathology, the immunosuppressive treatments administered and the chronic haemodialysis and renal transplantation in the event of progressive disease, the nephrological patient requires specific management. Prevention consists on one hand to limit as much as possible infectious risks in the community by improving its vaccination coverage before, during and after the renal transplant and by limiting urinary infections which can worsen the underlying disease. On the other hand, in a care setting, it will be essential to reduce the risk associated with chronic haemodialysis and specifically the risk of bloodstream infections. Finally, once the transplantation period is reached, it will be essential to avoid the occurrence of healthcare-associated or even community-acquired infections worsened by immunosuppression.