Prática de vacinação em crianças com doenças reumáticas

Abstract

Introduction/Objectives: Evaluate clinical practice through assessment of vaccination card and recommendation of specific vaccines in pediatric patients with rheumatic diseases in use of different drugs and reveal the possible association between vaccination frequency and time of the clinical practice of pediatric rheumatologists in the state of São Paulo. Material and Methods: A questionnaire was sent to pediatric rheumatologists of the Departamento de Reumatologia da Sociedade de Pediatria de São Paulo. This instrument included questions about practice time on Pediatric Rheumatology, vaccination of patients with juvenile systemic lupus erythematosus (JSLE), juvenile idiopathic arthritis (JIA), juvenile dermatomyositis (JDM), and immunization according to the treatments used. Results: Vaccination card was seen by 100% of the professionals at the first visit and by 36% annually. Vaccines of live agents were not recommended for patients with JSLE, JIA, and JDM in 44%, 64%, and 48%, respectively. The professionals were divided into two groups: Group A (≤ 15 years of practice, n = 12) and B (≥ 16 years, n = 13). No statistical difference was observed in the use of live agent vaccine and vaccines with inactivated agents or protein components in the two treatment groups (P > 0.05). Moreover, the groups had similar opinion regarding severity of immunosuppression in patients with JSLE, JIA, and JDM (with or without activity) and treatment used (P > 0.05). Conclusions: The frequency of immunization by pediatric rheumatologists in São Paulo is low, especially after the first visit, and not influenced by time of professional practice.

Vacinação em pacientes da Coorte Brasília de artrite reumatoide inicial

“…28 Entretanto, estudo brasileiro avaliando prática de vacinação pelos reumatologistas pediátricos no estado de São Paulo, não mostrou influência do tempo de prática profissional. 29 No ambulatório de artrite inicial onde o presente estudo foi realizado, todos os reumatologistas apresentam prática <10 anos.…”

Eff ects of Instruction and Self-Monitoring on Adherence to Treatment of Juvenile Systemic Lupus Erythematosus

“…JSLE treatment involves the association of a set of guidelines: medication administration, skin protection, well-balanced diet, physical exercises, vaccination, periodic medical examinations and frequent laboratory tests (Dunbar-Jacob, Houze, Kramer, Luyster, & McCall, 2010;Gualano et al, 2011;Klack, Bonfá, & Borba, 2012;Neder, Ferreira, & Carneiro, 2017;Silva et al, 2010). To evaluate treatment effi cacy the Systemic Lupus Erythematosus Disease Activity Index (SLEDAI) is used: a quantitative system of evaluation of lupus activity during the last 10 days, with score ranging between 0 (no characteristic of the disease is manifested) and 105 (severe manifestation of all characteristics) (Mikdashi & Nived, 2015).…”

Analysis of the Juvenile Idiopathic Arthritis Immunization Schedule

“…Возможность специфической профилактики ветряной оспы и желтой лихорадки у таких пациентов подтверждена и в исследо-вании C. A. Silva и соавт. из Бразилии [30].…”