Screening for tuberkuloseinfektion før behandling med biologiske lægemidler

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    Abstract

    Tumour necrosis factor antagonists (anti-TNFα) have become an invaluable treatment against chronic inflammatory diseases. Individuals treated with anti-TNFα have more than a fourfold increased risk of tuberculosis (TB) reactivation depending on the clinical setting and the TNF-antagonist used. All candidates for anti-TNFα treatment in Denmark should be evaluated for possible latent TB using history of exposure, chest X-ray and an interferon-γ release assay. Preventive chemotherapy is recommended for all individuals with latent TB infection before initiation of anti-TNFα as it is expected to reduce the risk of progression to active TB.
    Bidragets oversatte titelScreening for tuberculosis infection prior to medical therapy
    OriginalsprogDansk
    TidsskriftUgeskrift for Laeger
    Vol/bind173
    Udgave nummer12
    Sider (fra-til)893-6
    Antal sider4
    ISSN0041-5782
    StatusUdgivet - 2011

    Emneord

    • Anti-Inflammatory Agents
    • Antibodies, Monoclonal
    • Humans
    • Immunologic Tests
    • Immunosuppressive Agents
    • Interferon-gamma
    • Latent Tuberculosis
    • Risk Factors
    • Tuberculin Test
    • Tuberculosis, Pulmonary
    • Tumor Necrosis Factor-alpha

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