Vaccination Guidelines for Patients with Immune-mediated Disorders Taking Immunosuppressive Therapies: Executive Summary

被引:19
|
作者
Papp, Kim A. [1 ,2 ]
Haraoui, Boulos [11 ]
Kumar, Deepali [3 ,4 ]
Marshall, John K. [6 ,7 ]
Bissonnette, Robert [12 ]
Bitton, Alain [13 ]
Bressler, Brian [15 ]
Gooderham, Melinda [8 ,18 ]
Ho, Vincent [15 ]
Jamal, Shahin [16 ]
Pope, Janet E. [9 ,10 ]
Steinhart, A. Hillary [4 ,5 ]
Vinh, Donald C. [13 ,14 ]
Wade, John [15 ,17 ]
机构
[1] K Papp Clin Res, 135 & 139 Union St East, Waterloo, ON N2J 1C4, Canada
[2] Prob Med Res, 135 & 139 Union St East, Waterloo, ON N2J 1C4, Canada
[3] Univ Toronto, Univ Hlth Network, Toronto, ON, Canada
[4] Univ Toronto, Fac Med, Toronto, ON, Canada
[5] Mt Sinai Hosp, Toronto, ON, Canada
[6] McMaster Univ, Dept Med, Hamilton, ON, Canada
[7] McMaster Univ, Farncombe Family Digest Hlth Res Inst, Hamilton, ON, Canada
[8] Queens Univ, Fac Med, Kingston, ON, Canada
[9] Univ Western Ontario, Fac Med, London, ON, Canada
[10] St Josephs Hlth Care, London, ON, Canada
[11] Ctr Hosp Univ Montreal, Montreal, PQ, Canada
[12] Innovaderm Res Inc, Montreal, PQ, Canada
[13] McGill Univ, Hlth Ctr, Montreal, PQ, Canada
[14] McGill Univ, Hlth Ctr, Res Inst, Montreal, PQ, Canada
[15] Univ British Columbia, Fac Med, Vancouver, BC, Canada
[16] Vancouver Coastal Hlth, Vancouver, BC, Canada
[17] Vancouver Gen Hosp, Vancouver, BC, Canada
[18] Queens Univ, Prob Med Res, Kingston, ON, Canada
关键词
VACCINATION; IMMUNOSUPPRESSION; IMMUNE-MEDIATED DISEASE; RHEUMATOID-ARTHRITIS; INFLUENZA; AUTOIMMUNE; DISEASES; REASONS;
D O I
10.3899/jrheum.180784
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The use of immunosuppressive therapies for immune-mediated disease is associated with an elevated risk of infections and related comorbidities. While many infectious diseases can generally be prevented by vaccines, immunization rates in this specific patient population remain suboptimal, due in part to uncertainty about their efficacy or safety under these clinical situations. To address this concern, a multidisciplinary group of Canadian physicians with expertise in dermatology, gastroenterology, infectious diseases, and rheumatology developed evidence-based clinical guidelines on vaccinations featuring 13 statements that are aimed at reducing the risk of preventable infections in individuals exposed to immunosuppressive and immunomodulatory agents.
引用
收藏
页码:751 / 754
页数:4
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