{"id":189,"date":"2020-11-27T18:05:33","date_gmt":"2020-11-27T18:05:33","guid":{"rendered":"http:\/\/mariustrandafir.ro\/?p=189"},"modified":"2020-11-28T11:07:34","modified_gmt":"2020-11-28T11:07:34","slug":"vaccinul-antigripal-si-bolile-reumatice-inflamatorii","status":"publish","type":"post","link":"http:\/\/mariustrandafir.ro\/index.php\/2020\/11\/27\/vaccinul-antigripal-si-bolile-reumatice-inflamatorii\/","title":{"rendered":"VACCINUL ANTIGRIPAL SI BOLILE REUMATICE INFLAMATORII"},"content":{"rendered":"\n<p>    Odat\u0103 cu apari\u021bia sezonului gripal \u0219i a faptului c\u0103 pandemia COVID-19 continu\u0103 ne\u00eentrerupt\u0103, autorit\u0103\u021bile de s\u0103n\u0103tate public\u0103 au subliniat c\u0103 vaccinarea antigripal\u0103 este de o importan\u021b\u0103 capital\u0103. Vaccinarea poate reduce severitatea infec\u021biei gripale \u0219i poate preveni spitaliz\u0103rile, ceea ce ar putea ajuta la conservarea resurselor de s\u0103n\u0103tate.<\/p>\n\n\n\n<!--more-->\n\n\n\n<p>    <strong>Liga European\u0103 \u00eempotriva Reumatismului recomand\u0103 ca vaccinarea anual\u0103 \u00eempotriva gripei s\u0103 fie considerat\u0103 cu fermitate la majoritatea pacien\u021bilor cu boli reumatice inflamatorii autoimune cronice, deoarece ace\u0219ti pacien\u021bi prezint\u0103 un risc crescut de infec\u021bie .<\/strong><\/p>\n\n\n\n<p>    Metotrexatul este cel mai frecvent prescris medicament antireumatic pentru pacien\u021bii cu poliartrit\u0103 reumatoid\u0103, fie singur, fie \u00een combina\u021bie cu terapia biologic\u0103.<\/p>\n\n\n\n<p>    Astfel s-a realizat un studiu pe 199 de pacien\u021bi cu artrit\u0103 reumatoid\u0103 care luau doze stabile de metotrexat pentru a vedea efectele \u00eentreruperii temporare a metotrexatului asupra titrurilor de anticorpi la vaccinul antigripal. Ei au fost \u00eemp\u0103r\u021bi\u021bi \u00een 4 grupuri:<\/p>\n\n\n\n<figure class=\"wp-block-image size-large is-resized\"><img loading=\"lazy\" src=\"http:\/\/mariustrandafir.ro\/wp-content\/uploads\/2020\/11\/Untitled1.png\" alt=\"\" class=\"wp-image-194\" width=\"792\" height=\"436\" srcset=\"http:\/\/mariustrandafir.ro\/wp-content\/uploads\/2020\/11\/Untitled1.png 668w, http:\/\/mariustrandafir.ro\/wp-content\/uploads\/2020\/11\/Untitled1-300x165.png 300w\" sizes=\"(max-width: 792px) 100vw, 792px\" \/><\/figure>\n\n\n\n<p>    Toate grupurile au prezentat o frecven\u021b\u0103 similar\u0103 a r\u0103spunsurilor satisf\u0103c\u0103toare la vaccin (cre\u0219tere de \u22654 ori a titrului anticorpilor); cu toate acestea, grupul 3 a ob\u021binut r\u0103spunsuri  semnificativ mai mari comparativ cu grupul 1. De\u0219i o \u00eentrerupere de 2 s\u0103pt\u0103m\u00e2ni a metotrexatului dup\u0103 vaccinare la pacien\u021bii cu boal\u0103 \u00een remisie ar putea \u00eembun\u0103t\u0103\u021bi r\u0103spunsurile la vaccinul antigripal f\u0103r\u0103 un impact substan\u021bial asupra activit\u0103\u021bii bolii artritei reumatoide,nu exist\u0103 dovezi suficiente pentru a modifica practica clinic\u0103 sau ghidurile.<\/p>\n\n\n\n<p>    Cu toate acestea, se consider\u0103 c\u0103 dovezile disponibile merit\u0103 discu\u021bii individualizate cu pacien\u021bii cu boal\u0103 bine controlat\u0103 cu privire la beneficiile \u0219i riscurile poten\u021biale ale omiterii a 1-2 doze de metotrexat, eficacitatea vaccinului antigripal \u0219i, probabil, vaccinarea COVID-19, atunci c\u00e2nd va fi disponibil\u0103.<\/p>\n\n\n\n<p><strong>Sursa<\/strong>: The Lancet Rheumatology<\/p>\n\n\n\n<p>Image credit: https:\/\/images.app.goo.gl\/qk4UvEbuabgoazQ2A<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Odat\u0103 cu apari\u021bia sezonului gripal \u0219i a faptului c\u0103 pandemia COVID-19 continu\u0103 ne\u00eentrerupt\u0103, autorit\u0103\u021bile de s\u0103n\u0103tate public\u0103 au subliniat c\u0103 vaccinarea antigripal\u0103 este de o importan\u021b\u0103 capital\u0103. Vaccinarea poate reduce severitatea infec\u021biei gripale \u0219i poate preveni spitaliz\u0103rile, ceea ce ar putea ajuta la conservarea resurselor de s\u0103n\u0103tate.<\/p>\n","protected":false},"author":1,"featured_media":198,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[7,14],"tags":[15],"_links":{"self":[{"href":"http:\/\/mariustrandafir.ro\/index.php\/wp-json\/wp\/v2\/posts\/189"}],"collection":[{"href":"http:\/\/mariustrandafir.ro\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/mariustrandafir.ro\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/mariustrandafir.ro\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/mariustrandafir.ro\/index.php\/wp-json\/wp\/v2\/comments?post=189"}],"version-history":[{"count":9,"href":"http:\/\/mariustrandafir.ro\/index.php\/wp-json\/wp\/v2\/posts\/189\/revisions"}],"predecessor-version":[{"id":202,"href":"http:\/\/mariustrandafir.ro\/index.php\/wp-json\/wp\/v2\/posts\/189\/revisions\/202"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/mariustrandafir.ro\/index.php\/wp-json\/wp\/v2\/media\/198"}],"wp:attachment":[{"href":"http:\/\/mariustrandafir.ro\/index.php\/wp-json\/wp\/v2\/media?parent=189"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/mariustrandafir.ro\/index.php\/wp-json\/wp\/v2\/categories?post=189"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/mariustrandafir.ro\/index.php\/wp-json\/wp\/v2\/tags?post=189"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}