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Related Concept Videos

Dialysis01:27

Dialysis

309
Renal failure occurs when the kidneys lose their ability to filter waste products from the blood effectively. It can be classified into two types: acute renal failure (ARF) and chronic renal failure (CRF).
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
309
Renal Failure: Dose Adjustments01:11

Renal Failure: Dose Adjustments

88
In patients with renal impairment, drugs undergo significant changes in their pharmacokinetics, which require dosage adjustments to ensure safe and effective therapy.
Reduced renal clearance and elimination rate are common outcomes of renal impairment. These alterations lead to a prolonged elimination half-life and an altered apparent volume of distribution for drugs. As a result, dosage adjustments are typically necessary to maintain optimal drug levels in the body.
However, dosage adjustments...
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Transmission-based Precautions II: Airborne and Protective Environment01:25

Transmission-based Precautions II: Airborne and Protective Environment

1.3K
Transmission-based precautions are for patients infected or suspected to be infected (or colonized) with organisms posing a significant risk to others. The transmission precautions include airborne and protective environment precautions.
Airborne precautions:
Use airborne precautions when treating patients known or suspected to have diseases that spread through the air—for example, tuberculosis or measles. These organisms are present in smaller droplets expelled by an infected person and...
1.3K
Transmission-based Precautions I: Contact, Enteric, and Droplets01:17

Transmission-based Precautions I: Contact, Enteric, and Droplets

3.6K
Transmission-based precautions are for patients known to be infected or suspected to be infected or colonized with organisms that pose a significant risk to others. Some transmission-based precautions include contact, enteric, and droplet.
Contact Precautions:
Contact precautions are the measures taken to prevent the transmission of infectious agents, especially epidemiologically important microorganisms such as MRSA or influenza, primarily transmitted through direct or indirect contact with an...
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Standard Precaution01:26

Standard Precaution

1.9K
Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
1.9K
Vaccinations01:51

Vaccinations

44.5K
Overview
44.5K

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Trends in mortality of people on dialysis in England and Wales over the last 15 years.

QJM : monthly journal of the Association of Physicians·2026
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Rate of decline in residual kidney function and cognitive impairment in incident haemodialysis patients: A prospective, longitudinal analysis of the BISTRO trial cohort.

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Addition of a Home Hemodialysis Counseling Scenario to an Existing Formative Objective Structured Clinical Examination (OSCE) for Nephrology Fellows: A Research Letter.

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Validation of the kidney failure risk equation and its impact on referral strategies for chronic kidney disease: protocol for a retrospective cohort study using national claims and laboratory data in Thailand.

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Health inequalities and kidney disease: assessing equity across the renal care pathway using routinely collected data.

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Lower limb amputation in incident dialysis patients in England: incidence, outcomes and inter-centre variation from a national registry study.

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Related Experiment Video

Updated: Jul 1, 2025

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
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Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform

Published on: April 12, 2021

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Vaccination for Patients Receiving Dialysis.

Ramin Sam1, Laura Rankin2, Ifeoma Ulasi3,4

  • 1Division of Nephrology, Zuckerberg San Francisco General Hospital, University of California, San Francisco.

Kidney Medicine
|March 4, 2024
PubMed
Summary

Vaccinating patients on dialysis is crucial for preventing severe illness and death. Updated guidelines now include high-dose flu vaccines, new hepatitis B vaccines, and updated pneumococcal, COVID-19, and RSV vaccines.

Keywords:
DialysisSARS-CoV2influenzapneumococcusvaccination

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Area of Science:

  • Nephrology
  • Infectious Diseases
  • Public Health

Background:

  • Patients receiving dialysis are a vulnerable population at high risk for morbidity and mortality from infections.
  • The National Forum of End-Stage Renal Disease Networks (the Forum) released a revised vaccination toolkit in 2021 to address evolving evidence and recommendations.

Purpose of the Study:

  • To summarize the key updates in the Forum's 2021 vaccination toolkit for patients on dialysis.
  • To discuss the role of dialysis facilities in administering vaccines to mitigate infection risks in this population.

Main Methods:

  • Review of the National Forum of End-Stage Renal Disease Networks' 2021 vaccination toolkit.
  • Analysis of recent vaccine developments and their implications for dialysis patients.
  • Discussion of historical and current vaccination practices in dialysis facilities.

Main Results:

  • Significant updates include recommendations for high-dose influenza vaccines, the introduction of Heplisav-B for hepatitis B, and new pneumococcal vaccines (PCV15, PCV20).
  • The toolkit incorporates vaccines for COVID-19 and respiratory syncytial virus (RSV).
  • Vaccine administration policies for COVID-19 and RSV in dialysis facilities are still evolving.

Conclusions:

  • Updated vaccination strategies are essential for protecting patients on dialysis from preventable infections.
  • Dialysis facilities play a critical role in implementing these vaccination recommendations.
  • Continued vigilance and adaptation of vaccination protocols are necessary to address emerging infectious threats.