Vaccination practices in End Stage Renal Failure and Renal Transplantation; Review of current guidelines and recommendations

Table 2 Common vaccinations contra-indicated post-transplant

Vaccine	Remarks
Influenza-Live attenuated	Inactivated is recommended annually
MMR	Recommended pre-transplant to all paediatric patients and sero-negative adult patients
Varicella	Recommended pre-transplant to all paediatric and adolescent recipients
HZV	Recommended pre-transplant to all those > 60 yr and those with a history of varicella or zoster infection (50-60 yr)
BCG	Trials under way for inactivated vaccine-currently not in routine clinical use post-RT
Oral polio vaccine	Inactivated injectable vaccine recommended when indicated
Typhoid	Travel vaccine, not routinely recommended Inactivated variant available for emergency travel

MMR: Mumps and rubella; BCG: Bacille Calmette-Guérin.