Abstract
Before and 4 wk after immunization with a single 0.5-ml dose of influenza virus vaccine, sera from 36 children with renal diseases were tested for serum hemagglutinating-inhibiting antibody (HAI) titers to A/New Jersey/76, A/Victoria/75 and A/Port Chalmers/73. Before immunization, 1:40 HAI antibodies to A/New Jersey were noted in 1 child, to A/Victoria in 10 children (27%) and to A/Port Chalmers in 25/34 children (68%). Serum HAI titers increased 4-fold or more (P < .01) in 31/36 children (86%) after immunization. The type of the renal disease and therapy with prednisone had no effect on the rise of serum HAI titers (P > .05). Of the 7 children with preimmunization proteinuria, 4 had a transient rise in protein levels following immunization. None required an increased prednisone dose for exacerbation of nephrotic syndrome. Children with chronic renal problems should be protected against influenza.

This publication has 1 reference indexed in Scilit: