Do antitumor necrosis factor agents increase the risk of postoperative orthopedic infections?

Abstract:

PURPOSE OF REVIEW:Patients with rheumatoid arthritis and other inflammatory arthritides treated with tumor necrosis factor inhibitors frequently undergo orthopedic procedures. These patients may be at risk for serious postoperative infections as antitumor necrosis factor agents may be associated with impaired immunity against usual and opportunistic pathogens. RECENT FINDINGS:Information regarding the influence of tumor necrosis factor inhibitors on the risk for postoperative orthopedic complications is limited, contradictory and solely based on retrospective studies. Basic science derived data seem to only add to the confusion. SUMMARY:The practitioner is at a loss whenever a decision regarding the perioperative handling of antitumor necrosis factor agents has to be made. An attempt to combine, reconcile, and expand the knowledge available in the current literature will be made.

journal_name

Curr Opin Rheumatol

authors

Pappas DA,Giles JT

doi

10.1097/BOR.0b013e3282fcc345

subject

Has Abstract

pub_date

2008-07-01 00:00:00

pages

450-6

issue

4

eissn

1040-8711

issn

1531-6963

pii

00002281-200807000-00014

journal_volume

20

pub_type

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