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Efficacy, immunogen...
Efficacy, immunogenicity and safety of vaccination in adult patients with autoimmune inflammatory rheumatic diseases : A systematic literature review for the 2019 update of EULAR recommendations
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- Rondaan, Christien (author)
- University Medical Center Groningen
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- Furer, Victoria (author)
- Tel-Aviv University,Tel Aviv Sourasky Medical Center – Ichilov Hospital
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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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- Bijl, Marc (author)
- Martini Hospital, Groningen
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- Breedveld, Ferdinand C. (author)
- Leiden University Medical Centre
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- D'Amelio, Raffaele (author)
- Sapienza University of Rome
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- Dougados, Maxime (author)
- Paris Descartes University,Cochin Hospital
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- Kapetanovic, Meliha C. (author)
- Lund University,Lunds universitet,Lund Arthritis Research Group (LARG),Forskargrupper vid Lunds universitet,Lund University Research Groups,Skåne University Hospital
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- Van Laar, Jacob M. (author)
- University Medical Center Utrecht
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- De Thurah, Annette Ladefoged (author)
- Aarhus University Hospital
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- Landewé, Robert (author)
- Academic Medical Center of University of Amsterdam (AMC),Zuyderland Medical Centre
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- Molto, Anna (author)
- Paris Descartes University,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,King Christian the Xth Hospital
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- Smolar, Leo (author)
- No affiliation available (private)
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- Walker, Jim (author)
- No affiliation available (private)
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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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- Van Assen, Sander (author)
- Treant Zorggroep
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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)
- 2019-09-09
- 2019
- English.
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In: RMD Open. - : BMJ. - 2056-5933. ; 5:2
- Related links:
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http://dx.doi.org/10... (free)
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https://rmdopen.bmj....
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Abstract
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- Aim To present a systematic literature review (SLR) on efficacy, immunogenicity and safety of vaccination in adult patients with autoimmune inflammatory rheumatic diseases (AIIRD), aiming to provide a basis for updating the EULAR evidence-based recommendations. Methods An SLR was performed according to the standard operating procedures for EULAR-endorsed recommendations. Outcome was determined by efficacy, immunogenicity and safety of vaccination in adult patients with AIIRD, including those receiving immunomodulating therapy. Furthermore, a search was performed on the effect of vaccinating household members of patients with AIIRD on the occurrence of vaccine-preventable infections in patients and their household members (including newborns). The literature search was performed using Medline, Embase and the Cochrane Library (October 2009 to August 2018). Results While most investigated vaccines were efficacious and/or immunogenic in patients with AIIRD, some were less efficacious than in healthy control subjects, and/or in patients receiving immunosuppressive agents. Adverse events of vaccination were generally mild and the rates were comparable to those in healthy persons. Vaccination did not seem to lead to an increase in activity of the underlying AIIRD, but insufficient power of most studies precluded arriving at definite conclusions. The number of studies investigating clinical efficacy of vaccination is still limited. No studies on the effect of vaccinating household members of patients with AIIRD were retrieved. Conclusion Evidence on efficacy, immunogenicity and safety of vaccination in patients with AIIRD was systematically reviewed to provide a basis for updated recommendations.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Reumatologi och inflammation (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Rheumatology and Autoimmunity (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Infektionsmedicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Infectious Medicine (hsv//eng)
Keyword
- autoimmune diseases
- infections
- vaccination
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- By the author/editor
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Rondaan, Christi ...
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Furer, Victoria
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Heijstek, Marloe ...
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Agmon-Levin, Nan ...
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Bijl, Marc
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Breedveld, Ferdi ...
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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, Annet ...
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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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Van Assen, Sande ...
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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 Clinical Medicin ...
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and Rheumatology and ...
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Infectious Medic ...
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Lund University