使用生物药物的类风湿性疾病儿童和青少年结核病:综合性综述
Lenita de Melo Lima1, Rafaela Baroni Aurilio1, Adriana Rodrigues Fonseca1,2
1Instituto de Puericultura e Pediatria Martagão Gesteira, Rio de Janeiro, RJ, Brazil.
概括
儿科类类风湿性疾病的生物治疗显示出活跃结核病 (TB) 的风险较低. 在治疗前对潜伏结核病感染 (LTBI) 的查对于预防疾病进展至关重要.
科学领域:
- 儿科风湿病学 儿科风湿病学
- 传染性疾病 传染性疾病
- 药理学 药理学是指药理学的学科.
背景情况:
- 生物疗法越来越多地用于儿科类类风湿性疾病.
- 结核病 (TB) 是接受免疫抑制治疗的患者的一个重大问题.
- 了解这一群体的结核病风险对于安全的治疗方案至关重要.
研究的目的:
- 审查儿童和青少年结核病的文献,这些儿童和青少年患有通过生物疗法治疗的类风湿性疾病.
- 评估这一特定患者群体的结核病发病率和结局.
主要方法:
- 进行了综合性文献综述.
- 在PubMed中搜索了2010年1月至2021年10月期间发表的研究.
- 关键词包括结核病,儿童,青少年,风湿性疾病和各种生物药物.
主要成果:
- 分析了37篇文章,其中包括36,198名患者.
- 报告了81例潜伏结核病感染 (LTBI) 和84例活跃结核病 (肺和肺外结核病) 病例.
- 青少年异常性关节炎是最常见的类风湿性疾病;抗TNFα药物是最常用的生物制剂.
结论:
- 在接受生物治疗的儿科患者中,活性结核病的发病率较低.
- 在治疗前对LTBI进行查至关重要.
- 及时治疗LTBI可以有效地预防结核病进展为活跃结核病.
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