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Published on: January 22, 2020
Vaccinating Patients With Inflammatory Bowel Disease
Jason Reich1, Sharmeel Wasan1, Francis A Farraye1
1Dr Reich is a gastroenterology fellow in the Section of Gastroenterology at Boston Medical Center in Boston, Massachusetts. Dr Wasan is a gastroenterology fellowship program director in the Section of Gastroenterology at Boston Medical Center and an assistant professor of medicine at Boston University School of Medicine in Boston, Massachusetts. Dr Farraye is the clinical director of the Section of Gastroenterology at Boston Medical Center and a professor of medicine at Boston University School of Medicine.
Patients with inflammatory bowel disease (IBD) require timely vaccinations due to increased illness risk, especially when on immunosuppressants. Gastroenterologists must ensure these patients receive essential immunizations for optimal health maintenance.
Area of Science:
- Gastroenterology and Immunology
- Public Health and Preventive Medicine
Background:
- Patients with inflammatory bowel disease (IBD) exhibit lower vaccination rates compared to the general population.
- IBD diagnosis and immunosuppressive therapies significantly elevate the risk of vaccine-preventable diseases.
Purpose of the Study:
- To underscore the critical need for gastroenterologists to be proficient in health maintenance for IBD patients.
- To outline essential vaccinations for IBD patients, particularly those on immunosuppressive treatments.
Main Methods:
- Review of current vaccination guidelines pertinent to IBD patient care.
- Discussion of specific vaccine recommendations including influenza, pneumococcal, hepatitis A/B, HPV, meningococcal, Tdap, MMR, varicella, and zoster vaccines.
- Consideration of travel-related health risks for IBD patients.
Main Results:
- Identified a gap in vaccination uptake among IBD patients.
- Detailed a comprehensive list of recommended vaccines tailored for IBD patients, emphasizing those who are immunosuppressed.
- Highlighted the importance of addressing vaccination needs in the context of international travel.
Conclusions:
- Gastroenterologists play a vital role in ensuring IBD patients receive recommended vaccinations.
- Proactive vaccination strategies are crucial for mitigating severe outcomes from vaccine-preventable illnesses in IBD patients.
- Opportunities for quality improvement exist in IBD vaccination practices.
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