Immunization practices in childhood nephrotic syndrome: a survey of North American pediatric nephrologists.

The indications for immunizing children with minimal change nephrotic syndrome are a subject of some controversy, since it has been reported that immunization may not be effective or may serve as an immunogenic stimulus that precipitates an episode of relapse. To determine the current recommendations of practicing pediatric nephrologists, a questionnaire was sent to the members of the American Society of Pediatric Nephrology. Over half responded, and the results of the survey indicated that a consensus for approaching immunization does not exist. Further, little data are available to support any particular immunization practice. Several potential means to accumulate such data are outlined.