Vaccination in Patients with RA 1. Fomin I, et al. Ann Rheum Dis. 2006;65(2):191-194. 2. Kapetanovic MC, et al. Rheumatology (Oxford). 2006;45(1):106-111. 3. Tay L, et al. Arthritis Res Ther. 2007;9:R38-R49. 4. Bingham III CO, et al. Presented at: 2009 EULAR Annual Meeting; June 10-13, 2009; Copenhagen, Denmark. Abstract OP-0023. •Study examined efficacy and safety of influenza vaccine in 112 patients (82 patients with RA; 30 healthy controls)1 –Conclusion: patients with RA had lower responses to influenza vaccine compared to healthy controls •Vaccination use in patients on disease-modifying therapy Influenza vaccine: humoral responses largely unaffected by prednisone, MTX, TNF inhibitors, ABA2,3 Pneumococcal vaccine: TNF inhibitors do not affect patient response,2however RTX blunts patient response;best to vaccinate before RTX4 Overall, best to vaccinate before use of biologic therapy Do not give live vaccines to patients with RA
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