Please use this identifier to cite or link to this item:
https://ahro.austin.org.au/austinjspui/handle/1/17927
Full metadata record
DC Field | Value | Language |
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dc.contributor.author | Wong, Peter K K | - |
dc.contributor.author | Bagga, Hanish | - |
dc.contributor.author | Barrett, Claire | - |
dc.contributor.author | Hanrahan, Paddy | - |
dc.contributor.author | Johnson, Douglas F | - |
dc.contributor.author | Katrib, Amel | - |
dc.contributor.author | Leder, Karin | - |
dc.contributor.author | Marabani, Mona | - |
dc.contributor.author | Pentony, Peta | - |
dc.contributor.author | Riordan, John | - |
dc.contributor.author | White, Ray | - |
dc.contributor.author | Young, Laurel | - |
dc.date.accessioned | 2018-06-21T05:28:40Z | - |
dc.date.available | 2018-06-21T05:28:40Z | - |
dc.date.issued | 2017-05 | - |
dc.identifier.citation | Internal Medicine Journal 2017; 47(5): 491-500 | - |
dc.identifier.uri | https://ahro.austin.org.au/austinjspui/handle/1/17927 | - |
dc.description.abstract | Autoimmune inflammatory rheumatic diseases (AIIRD), such as rheumatoid arthritis, psoriatic arthritis and ankylosing spondylitis are often complicated by infection, which results in significant morbidity and mortality. The increased risk of infection is probably due to a combination of immunosuppressive effects of the AIIRD, comorbidities and the use of immunosuppressive conventional synthetic disease-modifying anti-rheumatic drugs (DMARDs) and more recently, targeted synthetic DMARDs and biologic DMARDs that block specific pro-inflammatory enzymes, cytokines or cell types. The use of these various DMARDs has revolutionised the treatment of AIIRD. This has led to a marked improvement in quality of life for AIIRD patients, who often now travel for prolonged periods. Many infections are preventable with vaccination. However, as protective immune responses induced by vaccination may be impaired by immunosuppression, where possible, vaccination may need to be performed prior to initiation of immunosuppression. Vaccination status should also be reviewed when planning overseas travel. Limited data regarding vaccine efficacy in patients with AIIRD make prescriptive guidelines difficult. However, a vaccination history should be part of the initial work-up in all AIIRD patients. Those caring for AIIRD patients should regularly consider vaccination to prevent infection within the practicalities of routine clinical practice. | - |
dc.language.iso | eng | - |
dc.subject | biologics | - |
dc.subject | immunosuppression | - |
dc.subject | infection | - |
dc.subject | rheumatic disease | - |
dc.subject | vaccination | - |
dc.title | A practical approach to vaccination of patients with autoimmune inflammatory rheumatic diseases in Australia. | - |
dc.type | Journal Article | - |
dc.identifier.journaltitle | Internal Medicine Journal | - |
dc.identifier.affiliation | Mid-North Coast Arthritis Clinic, Coffs Harbour, New South Wales, Australia | - |
dc.identifier.affiliation | UNSW Rural Clinical School, Coffs Harbour, New South Wales, Australia | - |
dc.identifier.affiliation | Private Rheumatology Practice, South Perth, Western Australia, Australia | - |
dc.identifier.affiliation | Faculty of Medicine, University of Western Australia, South Perth, Western Australia, Australia | - |
dc.identifier.affiliation | Department of General Medicine, Austin Health, Heidelberg, Victoria, Australia | - |
dc.identifier.affiliation | Department of Rheumatology, Prince of Wales Hospital, Sydney, New South Wales, Australia | - |
dc.identifier.affiliation | School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia | - |
dc.identifier.affiliation | Victorian Infectious Disease Service, Royal Melbourne Hospital at the Doherty Institute for Infection and Immunity, Melbourne, Victoria, Australia | - |
dc.identifier.affiliation | Institute of Rheumatology and Orthopaedics, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia | - |
dc.identifier.affiliation | Illawarra Rheumatology and University of Wollongong Graduate School of Medicine, Wollongong, New South Wales, Australia | - |
dc.identifier.affiliation | Private Rheumatology Practice, Sydney, New South Wales, Australia | - |
dc.identifier.affiliation | Department of Rheumatology, Redcliffe Hospital, Brisbane, Queensland, Australia | - |
dc.identifier.affiliation | Redcliffe Northside Rheumatology, Brisbane, Queensland, Australia | - |
dc.identifier.affiliation | Department of Infectious Diseases, Austin Health, Heidelberg, Victoria, Australia | - |
dc.identifier.doi | 10.1111/imj.13371 | - |
dc.identifier.pubmedid | 28101910 | - |
dc.type.austin | Journal Article | - |
dc.type.austin | Review | - |
item.openairecristype | http://purl.org/coar/resource_type/c_18cf | - |
item.cerifentitytype | Publications | - |
item.fulltext | No Fulltext | - |
item.grantfulltext | none | - |
item.languageiso639-1 | en | - |
item.openairetype | Journal Article | - |
Appears in Collections: | Journal articles |
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