Вакцинация при ревматических заболеваниях: актуальные вопросы (по материалам рекомендаций ACR)

В современной ревматологии коморбидные инфекции оказывают значительное влияние на морбидность и летальность, особенно при иммуновоспалительных ревматических заболеваниях (ИВРЗ). Одним из путей решения указанной проблемы является изучение и активное применение различных вакцин. В настоящей статье проанализированы рекомендации по вакцинации больных ИВРЗ, предложенные в 2022 г. экспертами Американской коллегии ревматологов (ACR, American College of Rheumatology). Обсуждаются безопасность и иммуногенность вакцинации, связанной с предупреждением различных инфекций у больных ИВРЗ. Подчеркивается, что решение о приостановке применения препарата до или после вакцинации должно быть принято с учетом имеющегося ИВРЗ, его активности и риска вакциноуправляемой инфекции. Ключевым компонентом любой стратегии вакцинации (особенно для условных рекомендаций) является принятие решений совместно с пациентом. Обозначены основные направления будущих исследований по рассматриваемой проблеме.

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