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KMID : 1144320200520020252
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감염과 화학요법
2020 Volume.52 No. 2 p.252 ~ p.280
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The Practice Guideline for Vaccinating Korean Patients with Autoimmune Inflammatory Rheumatic Disease
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Seo Yu-Bin
Moon Su-Jin
Jeon Chan-Hong
Song Joon-Young
Sung Yoon-Kyoung
Jeong Su-Jin
Kwon Ki-Tae
Kim Eu-Suk
Kim Jae-Hoon
Kim Hyoun-Ah
Park Dong-Jin
Park Sung-Hoon
Park Jin-Kyun
Ahn Joong-Kyong
Oh Ji-Seon
Yun Jae-Won
Lee Joo-Hyun
Lee Hee-Young
Choi Min-Joo
Choi Won-Suk
Choi Young-Hwa
Choi Jung-Hyun
Heo Jung-Yeon
Cheong Hee-Jin
Lee Shin-Seok
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Abstract
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To develop a clinical practice guideline for vaccination in patients with autoimmune inflammatory rheumatic disease (AIIRD), the Korean College of Rheumatology and the Korean Society of Infectious Diseases developed a clinical practice guideline according to the clinical practice guideline development manual. Since vaccination is unlikely to cause AIIRD or worsen disease activities, required vaccinations are recommended. Once patients are diagnosed with AIIRD, treatment strategies should be established and, at the same time, monitor their vaccination history. It is recommended to administer vaccines when the disease enters the stabilized stage. Administering live attenuated vaccines in patients with AIIRD who are taking immunosuppressants should be avoided. Vaccination should be considered in patients with AIIRD, prior to initiating immunosuppressants. It is recommended to administer influenza, Streptococcus pneumoniae, hepatitis A, hepatitis B, herpes zoster, measles-mumps-rubella virus, human papillomavirus, and tetanus-diphtheria-pertussis vaccines in patients with AIIRD; such patients who planned to travel are generally recommended to be vaccinated at the recommended vaccine level of healthy adults. Those who live in a household with patients with AIIRD and their caregivers should also be vaccinated at levels that are generally recommended for healthy adults.
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KEYWORD
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Autoimmune inflammatory rheumatic disease, Vaccine, Immunization, Guideline
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