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Comorbid infections in rheumatic diseases (according to FSBI RIR named after V.A. Nasonova)

https://doi.org/10.21518/2079-701X-2019-9-86-91

Abstract

Aim. Study of spectrum, frequency and risk factors of comorbid infections in rheumatic diseases (RD) in the stationary contingent of patients hospitalized in the FSBI RIR named after V.A. Nasonova within 1 year.

Patients and methods. The study included 245 patients with RD: 122 patients suffered from rheumatoid arthritis, 62 - systemic lupus erythematosus, 61 - systemic scleroderma. All patients were interviewed by a doctor-researcher and filled in a questionnaire. If necessary, additional information was obtained during the analysis of medical records.

Results. In the spectrum of infections in patients with RD, respiratory tract and ENT infections prevailed. The frequency of serious infections (SI) during RD in the studied cohort was 23.7–38.1%. The frequency of certain infections, including SI, is influenced by the duration and variant of RD, comorbid diseases and immunosuppressive therapy.

Conclusions: the data obtained indicate the importance of infections in rheumatology. A high percentage of RD exacerbation against the background of infection, the prevalence of respiratory tract infections, including SI, dictate the need for vaccine prophylaxis at the early stages of RD.

About the Authors

D. V. Bukhanova
Federal State Budgetary Institution «Research Institute of Rheumatology named after V.A. Nasonova».
Russian Federation

Postgraduate Student of the Laboratory for the Study of Comorbid Infections and Monitoring of Drug Therapy Safety of the Federal State Budgetary Institution «Research Institute of Rheumatology named after V.A. Nasonova».



B. S. Belov
Federal State Budgetary Institution «Research Institute of Rheumatology named after V.A. Nasonova».
Russian Federation

Dr. of Sci. (Med), Head of the Laboratory for the Study of Comorbid Infections and Monitoring of Drug Therapy Safety of the Federal State Budge tary Institution «Research Institute of Rheu matology named after V.A. Nasonova».



G. M. Tarasova
Federal State Budgetary Institution «Research Institute of Rheumatology named after V.A. Nasonova».
Russian Federation

Cand. of Sci. (Med.), Senior Researcher of the Laboratory for Comorbid Infections and Monitoring of Drug Therapy Safety of the Federal State Budgetary Institution «Research Institute of Rheumatology named after V.A. Nasonova».



S. K. Soloviev
Federal State Budgetary Institution «Research Institute of Rheumatology named after V.A. Nasonova».
Russian Federation

Dr. of Sci. (Med), Professor, Head of the Laboratory of Intensive Therapy Methods of the Federal State Budgetary Institution «Research Institute of Rheumatology named after V.A. Nasonova».



L. P. Ananyeva
Federal State Budgetary Institution «Research Institute of Rheumatology named after V.A. Nasonova».
Russian Federation

Dr. of Sci. (Med), Professor, Head of the Laboratory of Microcirculation and Inflammation of the Federal State Budgetary Institution «Research Institute of Rheumatology named after V.A. Nasonova».



T. V. Popkova
Federal State Budgetary Institution «Research Institute of Rheumatology named after V.A. Nasonova».
Russian Federation

Dr. of Sci. (Med), Head of the Laboratory of Systemic Rheumatic Diseases of the Federal State Budgetary Institution «Research Institute of Rheumatology named after V.A. Nasonova».



A. V. Gordeev
Federal State Budgetary Institution «Research Institute of Rheumatology named after V.A. Nasonova».
Russian Federation

Dr. of Sci. (Med), Professor, Head of the Early Arthritis Laboratory of the Federal State Budgetary Institution «Research Institute of Rheumatology named after V.A. Nasonova».



Yu. V. Muravyov
Federal State Budgetary Institution «Research Institute of Rheumatology named after V.A. Nasonova».
Russian Federation

Dr. of Sci. (Med), Professor, Leading Researcher of the Comorbid Infections and Drug Therapy Safety Monitoring Laboratory of the Federal State Budgetary Institution «Research Institute of Rheumatology named after V.A. Nasonova».



S. I. Glukhova
Federal State Budgetary Institution «Research Institute of Rheumatology named after V.A. Nasonova».
Russian Federation

Cand. of Sci. (Physics and Mathematics.), Senior Researcher of the Laboratory of Medical and Social Problems of Rheumatology of the Federal State Budgetary Institution «Research Institute of Rheumatology named after V.A. Nasonova».



References

1. Edwards C.J., Lian T.Y., Badsha H., et al. Hospitalization of individuals with systemic lupus erythematosus: characteristics and predictors of outcome. Lupus. 2003;12(9):672-6. https://doi.org/10.1191/0961203303lu452oa.

2. Aletaha D., Neogi T., Silman A.J., et al. 2010 rheumatoid arthritis classification criteria: an American College of Rheumatology/European League Against Rheumatism collaborative initiative. Ann Rheum Dis.2010;69(9):1580-8.DOI: 10.1136/ard.2010.138461.

3. Petri M., Orbai A.M., Alarcón G.S., et al. Derivation and validation of the Systemic Lupus Interna tional Collaborating Clinics classification criteria for systemic lupus erythematosus. Arthritis Rheum. 2012;64(8):2677-86. doi: 10.1002/art.34473.

4. van den Hoogen F., Khanna D., Fransen J., et al. 2013 classification criteria for systemic sclerosis: an American College of Rheumatology/European League against Rheumatism collaborative initiative. Arthritis Rheum.2013;65(11):2737-47. doi: 10.1002/art.38098.

5. Российские клинические рекомендации. Ревматология. Под ред. Е.Л. Насонова. М.: ГЭОТАР-Медиа, 2017:142-143. [Russian clinical recommendations. Rheumatology. Edited by E.L. Nasonova. M.: GEOTAR-Media, 2017:142-143.] (In Russ.)

6. Насонова ВА. Системная красная волчанка. М., 1972. [Nasonova VA. Systemic lupus erythematosus. М., 1972.] (In Russ.)

7. Zink A., Manger B., Kaufmann J., et al. Evaluation of the RABBIT Risk Score for serious infections. Ann Rheum Dis. 2014 Sep;73(9):1673-6. doi: 10.1136/annrheumdis-2013-203341.

8. Crowson C.S., Hoganson D.D., Fitz-Gibbon P.D., Matteson E.L. Development and validation of a risk score for serious infection in patients with rheumatoid arthritis. Arthritis Rheum. 2012 Sep;64(9):2847-55. doi: 10.1002/art.34530.

9. Chen D., Xie J., Chen H., et al. Infection in Southern Chinese Patients with Systemic Lupus Erythematosus: Spectrum, Drug Resistance, Outcomes, and Risk Factors. J Rheumatol. 2016 Sep;43(9):1650-6. doi: 10.3899/jrheum.151523.

10. Feldman C.H., Hiraki L.T., Winkelmayer W.C., et al. Serious infections among adult Medicaid beneficiaries with systemic lupus erythematosus and lupus nephritis. Arthritis Rheumatol. 2015 Jun;67(6):1577-85. doi: 10.1002/art.39070.

11. Rúa-Figueroa Í., López-Longo J., GalindoIzquierdo M., et al., Incidence, associated factors and clinical impact of severe infections in a large, multicentric cohort of patients with systemic lupus erythematosus. Semin Arthritis Rheum. 2017 Aug;47(1):38-45. doi: 10.1016/j.semarthrit.2017.01.010.

12. Smitten A.L., Choi H.K., Hochberg M.C., et al. The risk of hospitalized infection in patients with rheumatoid arthritis. J Rheumatol. 2008;35(3):387–93.

13. Doran M.F., Crowson C.S., Pond G.R., et al. Frequency of infection in patients with rheumatoid arthritis compared with controls: a population-based study. Arthritis Rheum. 2002 Sep;46(9):2287-93.

14. Teh C.L., Wan S.A., Ling G.R. Severe infections in systemic lupus erythematosus: disease pattern and predictors of infection-related mortality. Clin Rheumatol. 2018 Aug;37(8):2081-2086. doi: 10.1007/s10067-018-4102-6.

15. Feldman C.H., Hiraki L.T., Winkelmayer W.C., et al. Serious infections among adult Medicaid beneficiaries with systemic lupus erythematosus and lupus nephritis. Arthritis Rheumatol. 2015 Jun;67(6):1577-85. doi: 10.1002/art.39070.

16. Luijten R.K., Cuppen B.V., Bijlsma J.W., Derksen R.H. Serious infections in systemic lupus erythematosus with a focus on pneumococcal infections. Lupus. 2014 Dec;23(14):1512-6. doi: 10.1177/0961203314543918.

17. Van Assen S., Agmon-Levin N., Elkayam O., et al. EULAR recommendations for vaccination in adult patients with autoimmune inflammatory rheumatic diseases. Ann Rheum Dis. 2011;70(3):414–22. DOI: http://dx.doi.org/10.1136/ard.2010.137216.

18. Тарасова Г.М., Белов Б.С., Буханова Д.В. и др. Изучение иммуногенности и безопасности 23-валентной полисахаридной пневмококковой вакцины у больных системной красной волчанкой. Научно-практическая ревматология. 2018;56(4):433-438. https://doi.org/10.14412/1995-4484-2018-433-438. [Tarasova G.M., Belov B.S., Bukhanova D.V., et al. Investigation of immunogenicity and safety of 23-valent polysaccharide pneumococcal vaccine in patients with systemic lupus erythematosus. Scientific and practical rheumatology [Nauchnoprakticheskaja revmatologija]. 2018; 56(4):433-438. https://doi.org/10.14412/1995-4484-2018-433-438.] (In Russ.)

19. Буханова Д.В., Сергеева М.С., Белов Б.С. и др. Иммуногенность и эффективность 23-валент-ной пневмококковой вакцины у больных ревматоидным артритом: результаты 5-летнего наблюдения. Современная ревматология. 2018; 12(4):85-88. https://doi.org/10.14412/1996-7012-2018-4-85-88. [Bukhanova D.V., Sergeeva M.S., Belov B.S., et al. Immunogenicity and efficacy of 23-valent pneumococcal vaccine in patients with rheumatoid arthritis: results of 5-year observation. Modern rheumatology [Sovremennaja revmatologija].2018;12(4):85-88. https://doi.org/10.14412/1996-7012-2018-4-85-88.] (In Russ.)

20. Chakravarty E.F. Incidence and Prevention of Herpes Zoster Reactivation in Patients with Autoimmune Diseases. Rheum Dis Clin North Am. 2017 Feb;43(1):111-121. doi: 10.1016/j.rdc.2016.09.010.


Review

For citations:


Bukhanova DV, Belov BS, Tarasova GM, Soloviev SK, Ananyeva LP, Popkova TV, Gordeev AV, Muravyov YV, Glukhova SI. Comorbid infections in rheumatic diseases (according to FSBI RIR named after V.A. Nasonova). Meditsinskiy sovet = Medical Council. 2019;(9):86-91. (In Russ.) https://doi.org/10.21518/2079-701X-2019-9-86-91

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