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KMID : 0388220130200040218
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Journal of the Korean Rheumatism Association
2013 Volume.20 No. 4 p.218 ~ p.222
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Vaccination in Inflammatory Rheumatic Diseas
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Joung Chung-Il
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Abstract
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Infection is a critical and challenging situation encoun-tered in treatment of inflammatory rheumatic diseases (IRDs). It is associated with the disease activity itself and/or the immunosuppressant treatments. Vaccine pre-ventable infections could be controlled by use of a timely vaccination protocol. Immunosuppressed situations ob-served in IRDs require some modification of the recom-mendation for the general population in each national society. Live attenuated vaccines are generally contra-indicated in IRDs, except for varicella-zoster vaccination, which is solely permitted live vaccine and could be given on a case by case basis in autoimmune IRDs. Influenza and pneumococcal vaccines are strongly recommended due to increased mortality in patients with IRDs. The vacci-nation protocol reflects the current national medical envi-ronment and requirements; therefore, it could change with time. The Korean Rheumatology Society now requires that vaccination be recommended for patients with IRDs, with the possibility of both an adult and child version.
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KEYWORD
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Vaccination, Recommendation, Inflammatory Rheumatic diseases
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