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How to reduce morbidity and mortality from chest infections in rheumatoid arthritis
M M Housden1, G Bell, C R Heycock
1Department of Medicine, Queen Elizabeth Foundation Hospital Trust, Gateshead.
Abstract:
Morbidity and mortality from pneumonia is increased in patients with rheumatoid arthritis. Factors contributing to this have been recently identified and a number of recommendations have been implemented in an attempt to reverse this trend. The present paper shows that these measures have combined to produce a fourfold reduction in both admissions and case fatality rates. In the study population, immunisation rates against influenza and pneumococcus have improved to 86% and 65%, oral steroid consumption has halved and disease modifying drugs were usually appropriately suspended during acute infection. These measures may now merit more widespread adoption.
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