Recommendations for infectious disease screening in migrants to Western Europe with inflammatory arthropathies before starting biologic agents. Results from a multidisciplinary task force of four European societies (SIR, SER, SIMET, SEMTSI) facing the largest impact of the flow of migrants today

被引：0

作者：

Bartalesi, F. ^{[1
]}

Scire, C. A. ^{[2
,3
]}

Requena-Mendez, A. ^{[4
]}

Abad, M. A. ^{[5
]}

Buonfrate, D. ^{[6
]}

Caporali, R. ^{[7
]}

Conti, F. ^{[8
]}

Diaz-Gonzalez, F. ^{[9
]}

Fernandez-Espartero, C. ^{[10
]}

Martinez-Fernandez, C. ^{[11
]}

Mascarello, M. ^{[12
]}

Generali, E. ^{[13
]}

Minisola, G. ^{[13
]}

Morrone, A. ^{[14
]}

Munoz, J. ^{[4
]}

Richi, P. ^{[15
]}

Sakellariou, G. ^{[7
]}

Salas Coronas, J. ^{[15
]}

Spinicci, M. ^{[1
]}

Castelli, F. ^{[16
,17
]}

Bartoloni, A. ^{[1
]}

Bisoffi, Z. ^{[6
]}

Gimenez-Sanchez, F. ^{[18
]}

Munoz-Fernandez, S.

Matucci-Cerinic, M. ^{[19
]}

机构：

[1] Careggi Hosp, SOD Malattie Infett & Trop, Florence, Italy

[2] Univ Ferrara, Dept Med Sci, Rheumatol Unit, Milan, Italy

[3] Italian Soc Rheumatol, Epidemiol Unit, Milan, Italy

[4] Univ Barcelona, Barcelona Inst Global Hlth ISGlobal CRESIB, Hosp Clin, Barcelona, Spain

[5] Hosp Virgen del Puerto, Div Rheumatol, Plasencia, Spain

[6] Sacro Cuore Hosp, Ctr Trop Dis, Verona, Italy

[7] Univ Pavia, Div Rheumatol, IRCCS S Matteo Fdn, Pavia, Italy

[8] Sapienza Univ, Dept Internal Med & Med Specialties, Rheumatol Unit, Rome, Italy

[9] Univ La Laguna, Hosp Univ Canarias, Div Rheumatol, Dept Med, San Cristobal la Laguna, Spain

[10] Hosp Univ Mostoles, Serv Reumatol, Madrid, Spain

[11] Spanish Soc Rheumatol, Res Unit, Madrid, Spain

[12] Univ Hop Trieste, Infect Dis Unit, Trieste, Italy

[13] San Camillo Hosp, Div Rheumatol, Rome, Italy

[14] San Camillo Hosp, Gen Directorate, Rome, Italy

[15] Univ Europea Madrid, Hosp Univ Infanta Sofia, Div Rheumatol, Madrid, Spain

[16] Univ Brescia, Univ Dept Infect & Trop Dis, Brescia, Italy

[17] Brescia Spedali Civili Gen Hosp, Brescia, Italy

[18] Spanish Soc Trop Med & Int Hlth, Inst Hispalense Pediat, Unidad Vacunac Int, Granada, Spain

[19] Univ Florence, Div Rheumatol AOUC, Dept Expt & Clin Med, Florence, Italy

来源：

CLINICAL AND EXPERIMENTAL RHEUMATOLOGY | 2017年 / 35卷 / 05期

关键词：

rheumatoid arthritis; psoriatic arthritis; ankylosing spondylitis; anti-TNF; infections; systematic review; RHEUMATOID-ARTHRITIS PATIENTS; NECROSIS FACTOR THERAPY; RELAPSING CUTANEOUS LEISHMANIASIS; ALPHA BLOCKER THERAPY; ACUTE HEPATITIS-E; VIRUS TYPE-I; VISCERAL LEISHMANIASIS; PSORIATIC-ARTHRITIS; OPPORTUNISTIC INFECTIONS; ANKYLOSING-SPONDYLITIS;

D O I：

暂无

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Objective Inflammatory arthritis needs infectious disease screening before starting a biologic agent, however, few data are known about migrant patients, who represent a peculiar population which requires a multidisciplinary approach among international health specialists and should also be considered by health authorities. For this reason, the Italian and Spanish Societies of Rheumatology (SIR and SER) and Tropical Medicine (SIMET and SEMTSI) promoted a multidisciplinary task force in order to produce specific recommendations about screening and advices to be considered in migrant patients with inflammatory arthritis candidate to receive biological therapy, according to their geographical origin. Methods The experts provided a prioritised list of research questions and the eligible spectrum of inflammatory arthritis, biologic drugs and infectious disease were defined in order to perform a systematic literature review. A search was made in Medline, Embase and Cochrane library, updated to March 2015. Ubiquitous infections and HBV, HCV, HIV and tuberculosis that are already considered in national and international recommendations, were not included. The strength of each recommendation was determined. Results The task force members agreed on 7 overarching principles. The risk of reactivation of selected potentially latent infectious disease was addressed in migrants with inflammatory arthritis candidates for biologics was considered and 15 potentially relevant infections were identified. Conclusion Fifteen disease-specific recommendations were formulated on the basis of high level of agreement among the experts panel.

引用

页码：752 / 765

页数：14