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2019 update of EULA...
2019 update of EULAR recommendations for vaccination in adult patients with autoimmune inflammatory rheumatic diseases
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- Furer, Victoria (author)
- Tel Aviv Sourasky Medical Center – Ichilov Hospital,Tel-Aviv University
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- Rondaan, Christien (author)
- University Medical Center Groningen
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- Heijstek, Marloes W. (author)
- University Medical Center Utrecht
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- Agmon-Levin, Nancy (author)
- Tel-Aviv University,Sheba Medical Center
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- Van Assen, Sander (author)
- Treant Care Group
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- Bijl, Marc (author)
- Martini Hospital, Groningen
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- Breedveld, Ferry C. (author)
- Leiden University
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- D'amelio, Raffaele (author)
- Sapienza University of Rome
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- Dougados, Maxime (author)
- Cochin Hospital
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- Kapetanovic, Meliha Crnkic (author)
- Lund University,Lunds universitet,Reumatologi och molekylär skelettbiologi,Sektion III,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Lund Arthritis Research Group (LARG),Forskargrupper vid Lunds universitet,Rheumatology,Section III,Department of Clinical Sciences, Lund,Faculty of Medicine,Lund University Research Groups
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- Van Laar, Jacob M. (author)
- University Medical Center Utrecht
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- De Thurah, A. (author)
- Aarhus University Hospital
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- Landewé, Robert B.M. (author)
- Academic Medical Center of University of Amsterdam (AMC)
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- Molto, Anna (author)
- Cochin Hospital
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- Müller-Ladner, Ulf (author)
- Justus Liebig University Giessen
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- Schreiber, Karen (author)
- Guy's and St Thomas' NHS Foundation Trust
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- Smolar, Leo (author)
- Patient Research Partner
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- Walker, Jim (author)
- Patient Research Partner, UK
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- Warnatz, Klaus (author)
- University Medical Center Freiburg
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- Wulffraat, Nico M. (author)
- Wilhelmina Children’s Hospital
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- Elkayam, Ori (author)
- Tel-Aviv University,Tel Aviv Sourasky Medical Center – Ichilov Hospital
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(creator_code:org_t)
- 2019-08-14
- 2020
- English 14 s.
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In: Annals of the Rheumatic Diseases. - : BMJ. - 0003-4967 .- 1468-2060. ; 79:1, s. 39-52
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Abstract
Subject headings
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- To update the European League Against Rheumatism (EULAR) recommendations for vaccination in adult patients with autoimmune inflammatory rheumatic diseases (AIIRD) published in 2011. Four systematic literature reviews were performed regarding the incidence/prevalence of vaccine-preventable infections among patients with AIIRD; efficacy, immunogenicity and safety of vaccines; effect of anti-rheumatic drugs on the response to vaccines; effect of vaccination of household of AIIRDs patients. Subsequently, recommendations were formulated based on the evidence and expert opinion. The updated recommendations comprise six overarching principles and nine recommendations. The former address the need for an annual vaccination status assessment, shared decision-making and timing of vaccination, favouring vaccination during quiescent disease, preferably prior to the initiation of immunosuppression. Non-live vaccines can be safely provided to AIIRD patients regardless of underlying therapy, whereas live-attenuated vaccines may be considered with caution. Influenza and pneumococcal vaccination should be strongly considered for the majority of patients with AIIRD. Tetanus toxoid and human papilloma virus vaccination should be provided to AIIRD patients as recommended for the general population. Hepatitis A, hepatitis B and herpes zoster vaccination should be administered to AIIRD patients at risk. Immunocompetent household members of patients with AIIRD should receive vaccines according to national guidelines, except for the oral poliomyelitis vaccine. Live-attenuated vaccines should be avoided during the first 6 months of life in newborns of mothers treated with biologics during the second half of pregnancy. These 2019 EULAR recommendations provide an up-to-date guidance on the management of vaccinations in patients with AIIRD.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Medicinska och farmaceutiska grundvetenskaper -- Immunologi inom det medicinska området (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Basic Medicine -- Immunology in the medical area (hsv//eng)
Keyword
- autoimmune diseases
- infections
- vaccination
Publication and Content Type
- art (subject category)
- ref (subject category)
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- By the author/editor
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Furer, Victoria
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Rondaan, Christi ...
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Heijstek, Marloe ...
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Agmon-Levin, Nan ...
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Van Assen, Sande ...
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Bijl, Marc
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Breedveld, Ferry ...
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D'amelio, Raffae ...
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Dougados, Maxime
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Kapetanovic, Mel ...
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Van Laar, Jacob ...
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De Thurah, A.
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Landewé, Robert ...
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Molto, Anna
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Müller-Ladner, U ...
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Schreiber, Karen
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Smolar, Leo
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Walker, Jim
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Warnatz, Klaus
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Wulffraat, Nico ...
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Elkayam, Ori
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Basic Medicine
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and Immunology in th ...
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Annals of the Rh ...
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Lund University