Vaccination for Children on Biologics.

Abstract:

PURPOSE OF REVIEW:Several biologic drugs are available for treatment of immune-mediated diseases, and the number of children treated with biologics is increasing. This review summarises current knowledge about the safety and immunogenicity of vaccines in children treated with biologic therapy. RECENT FINDINGS:A recent retrospective, multicentre study reported that the booster dose of live-attenuated vaccine (MMR/V) was safe for patients with rheumatic diseases treated with biologic therapy. Recent publications revealed that immunogenicity of vaccines in children treated with biologics was lower than in the healthy population, especially on long-term follow-up. Children treated with biologic therapy are at greater danger of infections, compared to the healthy population. Therefore, they should be vaccinated according to national guidelines. Regardless of the therapy, non-live vaccines are recommended. However, it is common practice to advise postponing vaccination with live-attenuated vaccines in children while they are on immunosuppressive therapy. Newly published data suggest that booster dose MMR/V is safe for children treated with biologic therapy.

journal_name

Curr Rheumatol Rep

authors

Toplak N,Uziel Y

doi

10.1007/s11926-020-00905-8

subject

Has Abstract

pub_date

2020-05-20 00:00:00

pages

26

issue

7

eissn

1523-3774

issn

1534-6307

pii

10.1007/s11926-020-00905-8

journal_volume

22

pub_type

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