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Type: Artigo de periódico
Title: 2012 Brazilian Society Of Rheumatology Consensus On Vaccination Of Patients With Rheumatoid Arthritis
Author: Brenol C.V.
da Mota L.M.H.
Cruz B.A.
Pileggi G.S.
Pereira I.A.
Rezende L.S.
Bertolo M.B.
Freitas M.V.C.
da Silva N.A.
Louzada-Junior P.
Giorgi R.D.N.
Lima R.A.C.
Pinheiro G.D.R.C.
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. © 2013 Elsevier Editora Ltda.
Rights: fechado
Identifier DOI: 10.1590/S0482-50042013000100002
Date Issue: 2013
Appears in Collections:Unicamp - Artigos e Outros Documentos

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