Annette de Thurah

Incidence and prevalence of vaccine preventable infections in adult patients with autoimmune inflammatory rheumatic diseases (AIIRD): A systemic literature review informing the 2019 update of the EULAR recommendations for vaccination in adult patients with AIIRD

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisTidsskriftartikelForskningpeer review

DOI

  • Victoria Furer, Tel Aviv Sourasky Medical Center, Tel Aviv University Medical School
  • ,
  • Christien Rondaan, University of Groningen
  • ,
  • Marloes Heijstek, Utrecht University
  • ,
  • Sander Van Assen, Treant Care Group
  • ,
  • Marc Bijl, Martini Ziekenhuis
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  • Nancy Agmon-Levin, Tel Aviv University Medical School, Chaim Sheba Medical Center Israel
  • ,
  • Ferdinand C. Breedveld, Department of Human Genetics, Leiden University Medical Center (LUMC).
  • ,
  • Raffaele D'Amelio, Sapienza University of Rome
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  • Maxime Dougados, Universite Paris 5
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  • Meliha Crnkic Kapetanovic, Lund University
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  • Jacob M. Van Laar, Utrecht University
  • ,
  • Annette Ladefoged De Thurah
  • Robert Landewé, University of Amsterdam, Zuyderland Medical Centre
  • ,
  • Anna Molto, Universite Paris 5
  • ,
  • Ulf Müller-Ladner, Institute of Inorganic and Analytical Chemistry
  • ,
  • Karen Schreiber, King Christian x'S Hospital for Rheumatic Diseases, Guy's and St Thomas' NHS Foundation Trust
  • ,
  • Leo Smolar
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  • Jim Walker, Elgin
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  • Klaus Warnatz, University of Freiburg
  • ,
  • Nico M. Wulffraat, Utrecht University
  • ,
  • Ori Elkayam, Tel Aviv Sourasky Medical Center, Tel Aviv University Medical School

Objectives The aims of this study were to update the evidence on the incidence and prevalence rates of vaccine preventable infections (VPI) in patients with autoimmune inflammatory rheumatic diseases (AIIRD) and compare the data to the general population when available. Methods A literature search was performed using Medline, Embase and Cochrane library (October 2009 to August 2018). The primary outcome was the incidence or prevalence of VPI in the adult AIIRD population. Meta-analysis was performed when appropriate. Results Sixty-three publications out of 3876 identified records met the inclusion criteria: influenza (n=4), pneumococcal disease (n=7), hepatitis B (n=10), herpes zoster (HZ) (n=29), human papillomavirus (HPV) infection (n=13). An increased incidence of influenza and pneumococcal disease was reported in patients with AIIRD. HZ infection-pooled incidence rate ratio (IRR) was 2.9 (95% CI 2.4 to 3.3) in patients with AIIRD versus general population. Among AIIRD, inflammatory myositis conferred the highest incidence rate (IR) of HZ (pooled IRR 5.1, 95% CI 4.3 to 5.9), followed by systemic lupus erythematosus (SLE) (pooled IRR 4.0, 95% CI 2.3 to 5.7) and rheumatoid arthritis (pooled IRR 2.3, 95% CI 2.1 to 2.6). HPV infection-pooled prevalence ratio was 1.6, 95% CI 0.7 to 3.4 versus general population, based on studies mainly conducted in the SLE population in Latin America and Asia. Pooled prevalence of hepatitis B surface antigen and hepatitis B core antibody in patients with AIIRD was similar to the general population, 3%, 95% CI 1% to 5% and 15%, 95% CI 7% to 26%, respectively. Conclusion Current evidence shows an increased risk of VPI in patients with AIIRD, emphasising that prevention of infections is essential in these patients.

OriginalsprogEngelsk
Artikelnummere001041
TidsskriftRMD Open
Vol/bind5
Nummer2
Antal sider17
DOI
StatusUdgivet - 2019

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