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Современная ревматология

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Проблема коморбидных инфекций у больных ревматоидным артритом

https://doi.org/10.14412/1996-7012-2014-2-21-27

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Аннотация

Проблема коморбидных инфекций (КИ) по-прежнему актуальна для современной ревматологии. Это связано как с наличием аутоиммунного ревматического заболевания, так и с необходимостью применения препаратов с иммуносупрессивным действием.

В статье рассмотрены некоторые вопросы КИ в рамках рекомендаций EULAR (2013) по лечению ревматоидного артрита (РА). Проанализирована частота КИ при лечении различными базисными противовоспалительными и генно-инженерными биологическими препаратами. Показано значение превентивных мероприятий в отношении КИ при лечении РА.

Подчеркнута важность иммунизации (в первую очередь противогриппозными и пневмококковыми вакцинами) больных РА с целью снижения частоты инфекций нижних дыхательных путей и риска летального исхода от них. Вакцинацию следует применять даже в случаях с ожидаемым субоптимальным эффектом. 

Об авторе

Б.С. Белов
ФГБУ «Научно-исследовательский институт ревматологии им. В.А. Насоновой» РАМН, Москва, Россия
Россия


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Для цитирования:


Белов Б. Проблема коморбидных инфекций у больных ревматоидным артритом. Современная ревматология. 2014;8(2):21-27. https://doi.org/10.14412/1996-7012-2014-2-21-27

For citation:


Belov B. Comorbid infections in patients with rheumatoid arthritis. Modern Rheumatology Journal. 2014;8(2):21-27. (In Russ.) https://doi.org/10.14412/1996-7012-2014-2-21-27

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ISSN 1996-7012 (Print)
ISSN 2310-158X (Online)