Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/17927
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dc.contributor.authorWong, Peter K K-
dc.contributor.authorBagga, Hanish-
dc.contributor.authorBarrett, Claire-
dc.contributor.authorHanrahan, Paddy-
dc.contributor.authorJohnson, Douglas F-
dc.contributor.authorKatrib, Amel-
dc.contributor.authorLeder, Karin-
dc.contributor.authorMarabani, Mona-
dc.contributor.authorPentony, Peta-
dc.contributor.authorRiordan, John-
dc.contributor.authorWhite, Ray-
dc.contributor.authorYoung, Laurel-
dc.date.accessioned2018-06-21T05:28:40Z-
dc.date.available2018-06-21T05:28:40Z-
dc.date.issued2017-05-
dc.identifier.citationInternal Medicine Journal 2017; 47(5): 491-500-
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/17927-
dc.description.abstractAutoimmune 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.isoeng-
dc.subjectbiologics-
dc.subjectimmunosuppression-
dc.subjectinfection-
dc.subjectrheumatic disease-
dc.subjectvaccination-
dc.titleA practical approach to vaccination of patients with autoimmune inflammatory rheumatic diseases in Australia.-
dc.typeJournal Article-
dc.identifier.journaltitleInternal Medicine Journal-
dc.identifier.affiliationMid-North Coast Arthritis Clinic, Coffs Harbour, New South Wales, Australia-
dc.identifier.affiliationUNSW Rural Clinical School, Coffs Harbour, New South Wales, Australia-
dc.identifier.affiliationPrivate Rheumatology Practice, South Perth, Western Australia, Australia-
dc.identifier.affiliationFaculty of Medicine, University of Western Australia, South Perth, Western Australia, Australia-
dc.identifier.affiliationDepartment of General Medicine, Austin Health, Heidelberg, Victoria, Australia-
dc.identifier.affiliationDepartment of Rheumatology, Prince of Wales Hospital, Sydney, New South Wales, Australia-
dc.identifier.affiliationSchool of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia-
dc.identifier.affiliationVictorian Infectious Disease Service, Royal Melbourne Hospital at the Doherty Institute for Infection and Immunity, Melbourne, Victoria, Australia-
dc.identifier.affiliationInstitute of Rheumatology and Orthopaedics, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia-
dc.identifier.affiliationIllawarra Rheumatology and University of Wollongong Graduate School of Medicine, Wollongong, New South Wales, Australia-
dc.identifier.affiliationPrivate Rheumatology Practice, Sydney, New South Wales, Australia-
dc.identifier.affiliationDepartment of Rheumatology, Redcliffe Hospital, Brisbane, Queensland, Australia-
dc.identifier.affiliationRedcliffe Northside Rheumatology, Brisbane, Queensland, Australia-
dc.identifier.affiliationDepartment of Infectious Diseases, Austin Health, Heidelberg, Victoria, Australia-
dc.identifier.doi10.1111/imj.13371-
dc.identifier.pubmedid28101910-
dc.type.austinJournal Article-
dc.type.austinReview-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.cerifentitytypePublications-
item.fulltextNo Fulltext-
item.grantfulltextnone-
item.languageiso639-1en-
item.openairetypeJournal Article-
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