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2012 Brazilian Society of Rheumatology Consensus on vaccination of patients with rheumatoid arthritis

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2012 Brazilian Society of Rheumatology Consensus on vaccination of patients with rheumatoid arthritis

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Título 2012 Brazilian Society of Rheumatology Consensus on vaccination of patients with rheumatoid arthritis
Outro título Consenso 2012 da Sociedade Brasileira de Reumatologia sobre vacinação em pacientes com artrite reumatoide
Autor Pereira, Ivânio Alves
Pileggi, Gecilmara Cristina Salviato
Mota, Licia Maria Henrique da
Fronza, Lucila Stange Rezende
Cruz, Boris Afonso
Brenol, Claiton Viegas
Bertolo, Manoel Barros
Freitas, Max Victor Carioca de
Silva, Nilzio Antonio da
Louzada Junior, Paulo
Giorgi, Rina Dalva Neubarth
Lima, Rodrigo Aires Corrêa
Pinheiro, Geraldo da Rocha Castelar
Abstract Objective: To elaborate recommendations to the vaccination of patients with rheumatoid arthritis (RA) in Brazil. Method: Literature review and opinion of expert members of the Brazilian Society of Rheumatology Committee of Rheumatoid Arthritis and of an invited pediatric rheumatologist. Results and conclusions: The following 12 recommendations were established: 1) Before starting disease-modifying anti-rheumatic drugs, the vaccine card should be reviewed and updated; 2) Vaccines against seasonal infl uenza and against H1N1 are indicated annually for patients with RA; 3) The pneumococcal vaccine should be indicated for all patients with RA; 4) The vaccine against varicella should be indicated for patients with RA and a negative or dubious history for that disease; 5) The HPV vaccine should be considered for adolescent and young females with RA; 6) The meningococcal vaccine is indicated for patients with RA only in the presence of asplenia or complement defi ciency; 7) Asplenic adults with RA should be immunized against Haemophilus infl uenzae type B; 8) An additional BCG vaccine is not indicated for patients diagnosed with RA; 9) Hepatitis B vaccine is indicated for patients with RA who are negative for antibodies against HBsAg; the combined hepatitis A and B vaccine should be considered; 10) Patients with RA and at high risk for tetanus, who received rituximab in the preceding 24 weeks, should undergo passive immunization with tetanus immunoglobulin in case of exposure; 11) The YF vaccine is contraindicated to patients with RA on immunosuppressive drugs; 12) The above described recommendations should be reviewed over the course of RA.
Contido em Revista brasileira de reumatologia. Campinas. Vol. 53, n. 1 (jan./fev. 2013), p. 4-23
Assunto Artrite reumatóide
Consenso
Vacinação
[en] Adult
[en] Immunization
[en] Rheumatoid arthritis
[en] Vaccination
Origem Nacional
Tipo Artigo de periódico
URI http://hdl.handle.net/10183/147012
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