Publication Name	World Journal of Nephrology
Manuscript ID	119445
Country	India

Category	Urology & Nephrology
Manuscript Type	Editorial
Article Title	Vaccination gaps and infection risk at dialysis initiation
Manuscript Source	Invited Manuscript
All Author List	Pranjal Kashiv, Manish Ramesh Balwani, Priyanka Tolani, Amit Pasari, Khushboo Saxena and Vivek B Kute
Funding Agency and Grant Number
Corresponding Author	Vivek B Kute, Department of Nephrology, Institute of Kidney Diseases and Research Center, Dr HL Trivedi Institute of Transplantation Sciences, Room No. 125, First floor, Civil Hospital campus, Ahmedabad 380016, Gujarat, India. drvivekkute@rediffmail.com
Key Words	Chronic kidney disease; Hemodialysis initiation; Vaccination coverage; Infection prevention; Tuberculosis
Core Tip	Dialysis initiation is a high-risk checkpoint where preventable infections cluster early, yet vaccination and screening are commonly missed. In an incident hemodialysis cohort from North India, major gaps in adult immunization against hepatitis B, pneumococcus, and influenza were evident at dialysis entry, alongside a substantial burden of tuberculosis, often extrapulmonary. Importantly, vaccine uptake tracked with health-system engagement - prior nephrology follow-up, transplant evaluation, and planned vascular access - rather than patient factors alone, reframing “poor vaccine response” as a systems-delivery problem. Embedding vaccination assessment, serologic monitoring, and tuberculosis screening into pre-dialysis and dialysis-start workflows can operationalize preventive nephrology and reduce avoidable morbidity.
Citation	Kashiv P, Balwani MR, Tolani P, Pasari A, Saxena K, Kute VB. Vaccination gaps and infection risk at dialysis initiation. World J Nephrol 2026; In press

Received	2026-01-28 03:08
Peer-Review Started	2026-01-28 03:10
First Decision by Editorial Office Director	2026-02-09 09:24
Return for Revision	2026-02-09 09:24
Revised	2026-02-18 20:22
Publication Fee Transferred
Second Decision by Editor	2026-04-13 02:38
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-04-13 08:37
Articles in Press	2026-04-13 08:37
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	2220-6124 (online)
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