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CKD Vaccination Programme — ESENeph MCQ

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EasyChronic Kidney DiseaseCKD Vaccination ProgrammeESENeph

A 65-year-old man with CKD G4 is vaccinated against pneumococcus as part of routine CKD care. According to NICE and UKKA, which other vaccinations should be offered to CKD patients?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: D — Annual influenza vaccine and hepatitis B vaccine (if not immune); COVID-19 boosters

CKD patients are immunocompromised and at increased risk of infections. NICE and UKKA recommend: annual influenza vaccination, hepatitis B vaccination (double-dose schedule with titre checking), pneumococcal vaccination (PPV23 and PCV13), and COVID-19 vaccination with boosters. Varicella vaccine (live) should only be given to non-immune patients who are not on heavy immunosuppression. Shingrix (non-live) can be given to immunosuppressed patients.

Reference: NICE NG107; UKKA 2019 – HD Guideline; UK Green Book