Is vaccination against viral hepatitis B safe and immunogenic in patients with rheumatic diseases?

Impressive successes have been achieved in the fight against viral hepatitis B (HBV), but victory over this infection has not yet been achieved. According to various estimates, there are 6–12.5 times more patients with resolved HBV who are carriers of the virus than carriers of the "Australian&...

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Main Authors: G. I. Gridneva, B. S. Belov, E. S. Aronova
Format: Article
Language:Russian
Published: IMA-PRESS LLC 2024-10-01
Series:Современная ревматология
Subjects:
Online Access:https://mrj.ima-press.net/mrj/article/view/1649
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author G. I. Gridneva
B. S. Belov
E. S. Aronova
author_facet G. I. Gridneva
B. S. Belov
E. S. Aronova
author_sort G. I. Gridneva
collection DOAJ
description Impressive successes have been achieved in the fight against viral hepatitis B (HBV), but victory over this infection has not yet been achieved. According to various estimates, there are 6–12.5 times more patients with resolved HBV who are carriers of the virus than carriers of the "Australian" surface antigen HBsAg. The basis for the prevention of HBV is passive and active immunization of the population, but the data on the safety and immunogenicity of this vaccine in patients with rheumatic diseases are contradictory. This review examines the safety and immunogenicity of vaccination against hepatitis B virus (HBV) in patients with immune-inflammatory rheumatic diseases. Vaccination against HBV is indicated for patients at risk of infection and should be carried out before starting antirheumatic therapy, as immunogenicity and efficacy are significantly higher in this case. The necessity of a detailed, targeted medical history collection to clarify the risk of HBV infection before prescribing antirheumatic therapy and clarification of the immune status (presence of HBsAg, antibodies against HBc and HBs) before vaccination is emphasized.
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institution Kabale University
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series Современная ревматология
spelling doaj-art-9cc75f9e8dd14538bae4f874fc0f2de92025-08-20T03:59:56ZrusIMA-PRESS LLCСовременная ревматология1996-70122310-158X2024-10-0118512112610.14412/1996-7012-2024-5-121-1262728Is vaccination against viral hepatitis B safe and immunogenic in patients with rheumatic diseases?G. I. Gridneva0B. S. Belov1E. S. Aronova2V.A. Nasonova Research Institute of RheumatologV.A. Nasonova Research Institute of RheumatologyV.A. Nasonova Research Institute of RheumatologyImpressive successes have been achieved in the fight against viral hepatitis B (HBV), but victory over this infection has not yet been achieved. According to various estimates, there are 6–12.5 times more patients with resolved HBV who are carriers of the virus than carriers of the "Australian" surface antigen HBsAg. The basis for the prevention of HBV is passive and active immunization of the population, but the data on the safety and immunogenicity of this vaccine in patients with rheumatic diseases are contradictory. This review examines the safety and immunogenicity of vaccination against hepatitis B virus (HBV) in patients with immune-inflammatory rheumatic diseases. Vaccination against HBV is indicated for patients at risk of infection and should be carried out before starting antirheumatic therapy, as immunogenicity and efficacy are significantly higher in this case. The necessity of a detailed, targeted medical history collection to clarify the risk of HBV infection before prescribing antirheumatic therapy and clarification of the immune status (presence of HBsAg, antibodies against HBc and HBs) before vaccination is emphasized.https://mrj.ima-press.net/mrj/article/view/1649rheumatic diseasesimmunosuppressive therapyantirheumatic drugschronic viral hepatitis bscreeningpreventionvaccination
spellingShingle G. I. Gridneva
B. S. Belov
E. S. Aronova
Is vaccination against viral hepatitis B safe and immunogenic in patients with rheumatic diseases?
Современная ревматология
rheumatic diseases
immunosuppressive therapy
antirheumatic drugs
chronic viral hepatitis b
screening
prevention
vaccination
title Is vaccination against viral hepatitis B safe and immunogenic in patients with rheumatic diseases?
title_full Is vaccination against viral hepatitis B safe and immunogenic in patients with rheumatic diseases?
title_fullStr Is vaccination against viral hepatitis B safe and immunogenic in patients with rheumatic diseases?
title_full_unstemmed Is vaccination against viral hepatitis B safe and immunogenic in patients with rheumatic diseases?
title_short Is vaccination against viral hepatitis B safe and immunogenic in patients with rheumatic diseases?
title_sort is vaccination against viral hepatitis b safe and immunogenic in patients with rheumatic diseases
topic rheumatic diseases
immunosuppressive therapy
antirheumatic drugs
chronic viral hepatitis b
screening
prevention
vaccination
url https://mrj.ima-press.net/mrj/article/view/1649
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