Chronic and opportunistic infections in patients with immuno-inflammatory rheumatic diseases: screening and prevention issues (based on the materials of the EULAR recommendations)
At the present stage of development of rheumatology, much attention is paid to the problem of comorbid infections, which have a significant impact on mortality and mortality, especially in immuno-inflammatory rheumatic diseases (IIRD). The active introduction into clinical practice of innovative dru...
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| Format: | Article |
| Language: | Russian |
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IMA PRESS LLC
2023-03-01
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| Series: | Научно-практическая ревматология |
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| Online Access: | https://rsp.mediar-press.net/rsp/article/view/3273 |
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| author | B. S. Belov G. I. Gridneva E. S. Aronova E. L. Nasonov |
| author_facet | B. S. Belov G. I. Gridneva E. S. Aronova E. L. Nasonov |
| author_sort | B. S. Belov |
| collection | DOAJ |
| description | At the present stage of development of rheumatology, much attention is paid to the problem of comorbid infections, which have a significant impact on mortality and mortality, especially in immuno-inflammatory rheumatic diseases (IIRD). The active introduction into clinical practice of innovative drugs, the action of which is aimed at specific components of the pathogenesis of IIRD, has led to an increase in the risk of developing infections of various nature and localization, including chronic and opportunistic (COI). This article analyzes the recommendations for screening and prevention of COI in adult patients with acute respiratory infections, proposed in November 2022 by experts of the European Alliance of Rheumatology Associations (EULAR). It is noted that these recommendations should be considered through the prism of national guidelines that take into account regional risk factors, features of the course, diagnosis, therapy and prevention of СOI. At the same time, it seems absolutely justified to periodically review screening and preventive procedures as new scientific data accumulate. Despite the importance of a multidisciplinary approach and the need for close cooperation with doctors of other specialties, the EULAR working group emphasizes the central role of a rheumatologist in the management of patients with HOI that occur against the background of IIRD and are associated with the received anti-rheumatic therapy. |
| format | Article |
| id | doaj-art-2ec7095a64a7436ca46715a44f6c7e49 |
| institution | DOAJ |
| issn | 1995-4484 1995-4492 |
| language | Russian |
| publishDate | 2023-03-01 |
| publisher | IMA PRESS LLC |
| record_format | Article |
| series | Научно-практическая ревматология |
| spelling | doaj-art-2ec7095a64a7436ca46715a44f6c7e492025-08-20T02:55:20ZrusIMA PRESS LLCНаучно-практическая ревматология1995-44841995-44922023-03-01611162410.47360/1995-4484-2023-16-242871Chronic and opportunistic infections in patients with immuno-inflammatory rheumatic diseases: screening and prevention issues (based on the materials of the EULAR recommendations)B. S. Belov0G. I. Gridneva1E. S. Aronova2E. L. Nasonov3V.A. Nasonova Research Institute of RheumatologyV.A. Nasonova Research Institute of RheumatologyV.A. Nasonova Research Institute of RheumatologyV.A. Nasonova Research Institute of Rheumatology; I.M. Sechenov First Moscow State Medical University of the Ministry of Health Care of Russian Federation (Sechenov University)At the present stage of development of rheumatology, much attention is paid to the problem of comorbid infections, which have a significant impact on mortality and mortality, especially in immuno-inflammatory rheumatic diseases (IIRD). The active introduction into clinical practice of innovative drugs, the action of which is aimed at specific components of the pathogenesis of IIRD, has led to an increase in the risk of developing infections of various nature and localization, including chronic and opportunistic (COI). This article analyzes the recommendations for screening and prevention of COI in adult patients with acute respiratory infections, proposed in November 2022 by experts of the European Alliance of Rheumatology Associations (EULAR). It is noted that these recommendations should be considered through the prism of national guidelines that take into account regional risk factors, features of the course, diagnosis, therapy and prevention of СOI. At the same time, it seems absolutely justified to periodically review screening and preventive procedures as new scientific data accumulate. Despite the importance of a multidisciplinary approach and the need for close cooperation with doctors of other specialties, the EULAR working group emphasizes the central role of a rheumatologist in the management of patients with HOI that occur against the background of IIRD and are associated with the received anti-rheumatic therapy.https://rsp.mediar-press.net/rsp/article/view/3273immuno-inflammatory rheumatic diseasescomorbid infectionstuberculosishepatitis bhepatitis chuman immunodeficiency viruspneumocystis pneumoniascreeningpreventionrecommendations |
| spellingShingle | B. S. Belov G. I. Gridneva E. S. Aronova E. L. Nasonov Chronic and opportunistic infections in patients with immuno-inflammatory rheumatic diseases: screening and prevention issues (based on the materials of the EULAR recommendations) Научно-практическая ревматология immuno-inflammatory rheumatic diseases comorbid infections tuberculosis hepatitis b hepatitis c human immunodeficiency virus pneumocystis pneumonia screening prevention recommendations |
| title | Chronic and opportunistic infections in patients with immuno-inflammatory rheumatic diseases: screening and prevention issues (based on the materials of the EULAR recommendations) |
| title_full | Chronic and opportunistic infections in patients with immuno-inflammatory rheumatic diseases: screening and prevention issues (based on the materials of the EULAR recommendations) |
| title_fullStr | Chronic and opportunistic infections in patients with immuno-inflammatory rheumatic diseases: screening and prevention issues (based on the materials of the EULAR recommendations) |
| title_full_unstemmed | Chronic and opportunistic infections in patients with immuno-inflammatory rheumatic diseases: screening and prevention issues (based on the materials of the EULAR recommendations) |
| title_short | Chronic and opportunistic infections in patients with immuno-inflammatory rheumatic diseases: screening and prevention issues (based on the materials of the EULAR recommendations) |
| title_sort | chronic and opportunistic infections in patients with immuno inflammatory rheumatic diseases screening and prevention issues based on the materials of the eular recommendations |
| topic | immuno-inflammatory rheumatic diseases comorbid infections tuberculosis hepatitis b hepatitis c human immunodeficiency virus pneumocystis pneumonia screening prevention recommendations |
| url | https://rsp.mediar-press.net/rsp/article/view/3273 |
| work_keys_str_mv | AT bsbelov chronicandopportunisticinfectionsinpatientswithimmunoinflammatoryrheumaticdiseasesscreeningandpreventionissuesbasedonthematerialsoftheeularrecommendations AT gigridneva chronicandopportunisticinfectionsinpatientswithimmunoinflammatoryrheumaticdiseasesscreeningandpreventionissuesbasedonthematerialsoftheeularrecommendations AT esaronova chronicandopportunisticinfectionsinpatientswithimmunoinflammatoryrheumaticdiseasesscreeningandpreventionissuesbasedonthematerialsoftheeularrecommendations AT elnasonov chronicandopportunisticinfectionsinpatientswithimmunoinflammatoryrheumaticdiseasesscreeningandpreventionissuesbasedonthematerialsoftheeularrecommendations |