VACCINATION SCHEDULE FOR ADULT CKD
Hepatitis B Vaccine (if HBsAg is Negative)
Engerix-B/ Shanvac-B/Enivac B/. (OR ANY BRAND)
DOSE 2 ml (40 mcg) IM (Intramuscularly) each time , one ml on each deltoid
1st DOSE, DAY 0
2nd DOSE (1st month)
3rd DOSE (2nd month)
4th DOSE (6th Month)
(Above dose applicable in case of chronic kidney disease)
To check for adequate immune (protective against hepatitis B) response of vaccine – Anti HBs antibody titres to be done every 6 monthly.
Protective titres for kidney disease patients are >100 miu/ml.
Pneumococcal Vaccine
- Injection prevenar 20 vaccine (PCV 20) IM No need to repeat
- If received 1st Inj Prevenar 13-0.5 ml/IM on day 0 then give injection prevenar 20 after 1 year
- If received both prevenar 13 and injection pneumovax 23 then no need of any pneumonia vaccine
Influenza Vaccine Inj
- Influvac (OR ANY BRAND) -0.5 ml I/M stat (once a year) –(May/June).
Varicella zoster
For healthy individuals above 50 years of age or adults above 18 years in high-risk patients with weak immunity
Shingrix vaccine total 2 doses each of 0.5 ml with
First dose – Month 0
Second dose 2 to 6 months after first dose
