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Hepatitis B virus immunization inrenal disease
The study by George et al. I proves once againthat in India patients with renal disease whoare undergoing haemodialysis run a high riskof developing hepatitis B virus infection.
Out of the 131patients registered 50 developedthe infection, i.e. one-third of the populationat risk. This has great importance particularlyto the long term prospects of renal transplantrecipients.
Notices
THE NATIONAL MEDICAL JOURNAL OF INDIA
Hepatitis B virus infection in these patientsis acquired through needle sticks during varioustests, blood transfusion and dialysis.
The poor or delayed antibody response inpatients with chronic renal failure needs to beconsidered when planning a vaccinationschedule. It may be worth vaccinating allpatients registered in a clinic before they gointo renal failure. Once chronic renal failure isestablished perhaps the dose of vaccine shouldbe increased t040l'gfrom 20l'g. It is, of course,important to assess the antibody response.
It is time to consider a policy of universal
VOL. 7, NO.6, 1994
vaccination for all patients undergoing dialysiswho are to undergo renal transplantation.
12 September 1994 Sethu BabuCOR Hospitals
HyderabadAndhra Pradesh
REFERENCE
George J •. John GT. Jacob CK. Shastry JCM.Active immunizationagainsthepatitis B infectionof a haemodialysispopulation. Natl Med J India1994;7:115-17.
1. Third Annual Conference of theIndian Society of Hypertension,Hyderabad, Andhra Pradesh7-18 December 1994Information:
V. ShantaramDepartment of MedicineNizam's Institute of Medical SciencesPanjaguttaHyderabad 500482Andhra Pradesh
2. Twenty-seventh Annual Conferenceof the Indian Pharmacological Society,Bombay, Maharashtra21-24 December 1994Information:
N. A. KshirsagarDepartment of Clinical
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3. Seventieth All India MedicalConference of the Indian MedicalAssociation, Vijayawada, AndhraPradesh 25-30 December 1994Information:
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4. III Annual Conference of IndianSociety of Otology, Bombay,Maharashtra 2-4 January 1995Information:
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5. X Annual Convention of the IndianVirological Society, Trivandrum,Kerala 16-18 January 1995Information:
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6. First International Conference onLifestyle and Health, New Delhi20-21 January 1995Information:
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18. Sixth International Centre forBiotechnology Symposium onCytoplasmic Protein-TyrosineKinases, Stockholm, Sweden12-14 May 1995Information:
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