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Practice guideline update summary: Vaccine-preventable infections and immunization in multiple sclerosis: Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology

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dc.contributor.author Farez, Mauricio Franco
dc.contributor.author Correale, Jorge
dc.contributor.author Armstrong, Melissa J.
dc.contributor.author Rae-Grant, Alexander
dc.contributor.author Gloss, David
dc.contributor.author Donley, Diane
dc.contributor.author Holler-Managan, Yolanda
dc.contributor.author Kachuck, Norman J.
dc.contributor.author Jeffery, Douglas
dc.contributor.author Beilman, Maureen
dc.contributor.author Michelson, David
dc.contributor.author Lee, Erin
dc.contributor.author Cox, Julie
dc.contributor.author Getchius, Tom
dc.contributor.author Sejvar, James
dc.contributor.author Narayanaswami, Pushpa
dc.contributor.author Gronseth, Gary
dc.date.accessioned 2019-10-16T17:33:26Z
dc.date.available 2019-10-16T17:33:26Z
dc.date.issued 2019-08-28
dc.identifier.citation Farez MF, Correale J, Armstrong MJ, et al. Practice guideline update summary: Vaccine-preventable infections and immunization in multiple sclerosis: Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology. Neurology. 2019;93(13):584-594. doi:10.1212/WNL.0000000000008157 en_US
dc.identifier.uri https://doi.org/10.1212/WNL.0000000000008157
dc.identifier.uri https://repositorio.fleni.org.ar/handle/123456789/57
dc.description.abstract OBJECTIVE: To update the 2002 American Academy of Neurology (AAN) guideline regarding immunization and multiple sclerosis (MS). METHODS: The panel performed a systematic review and classified articles using the AAN system. Recommendations were based on evidence, related evidence, principles of care, and inferences according to the AAN 2011 process manual, as amended. MAJOR RECOMMENDATIONS LEVEL B EXCEPT WHERE INDICATED: Clinicians should discuss the evidence regarding immunizations in MS with their patients and explore patients' opinions, preferences, and questions. Clinicians should recommend that patients with MS follow all local vaccine standards, unless there are specific contraindications and weigh local vaccine-preventable disease risks when counseling patients. Clinicians should recommend that patients with MS receive the influenza vaccination annually. Clinicians should counsel patients with MS about infection risks associated with specific immunosuppressive/immunomodulating (ISIM) medications and treatment-specific vaccination guidance according to prescribing information (PI) and vaccinate patients with MS as needed at least 4-6 weeks before initiating patients' ISIM therapy. Clinicians must screen for infections according to PI before initiating ISIM medications (Level A) and should treat patients testing positive for latent infections. In high-risk populations, clinicians must screen for latent infections before starting ISIM therapy even when not specifically mentioned in PI (Level A) and should consult specialists regarding treating patients who screen positive for latent infection. Clinicians should recommend against using live-attenuated vaccines in people with MS receiving ISIM therapies. Clinicians should delay vaccinating people with MS who are experiencing a relapse. en_US
dc.language.iso eng en_US
dc.publisher Lippincott Williams & Wilkins en_US
dc.rights info:eu-repo/semantics/openAccess
dc.rights.uri https://creativecommons.org/licenses/by/2.5/ar/
dc.subject Immunization en_US
dc.subject Inmunización en_US
dc.subject Multiple Sclerosis en_US
dc.subject Esclerosis Múltiple en_US
dc.title Practice guideline update summary: Vaccine-preventable infections and immunization in multiple sclerosis: Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology en_US
dc.type info:eu-repo/semantics/publishedVersion
dc.type info:eu-repo/semantics/article en_US
dc.description.fil Fil: Farez, Mauricio Franco. Fleni. Centro para la Investigación de Enfermedades Neuroinmunológicas; Argentina.
dc.description.fil Fil: Correale, Jorge. Fleni. Centro para la Investigacion de Enfermedades Neuroinmunologicas; Argentina. Fleni. Departamento de Neurología. Servicio de Neuroinmunología y Enfermedades Desmielinizantes; Argentina.
dc.description.fil Fil: Armstrong, Melissa J. University of Florida. Department of Neurology; Estados Unidos.
dc.description.fil Fil: Rae-Grant, Alexander. Cleveland Clinic. Mellen Center; Estados Unidos.
dc.description.fil Fil: Gloss, David. Charleston Area Medical Center. Department of Neurology; Estados Unidos.
dc.description.fil Fil: Donley, Diane. Northern Michigan Neurology; Estados Unidos.
dc.description.fil Fil: Holler-Managan, Yolanda. Ann & Robert H. Lurie Children's Hospital of Chicago. Division of Neurology; Estados Unidos.
dc.description.fil Fil: Kachuck, Norman J. University of Southern California. Keck School of Medicine. MS Comprehensive Care Center; Estados Unidos.
dc.description.fil Fil: Jeffery, Douglas. Piedmont HealthCare. Lake Norman Neurology; Estados Unidos.
dc.description.fil Fil: Michelson, David. Loma Linda University Health Care. Department of Pediatrics. Neurology Division; Estados Unidos.
dc.description.fil Fil: Gronseth, Gary. Kansas University Medical Center. Department of Neurology; Estados Unidos.
dc.description.fil Fil: Beilman, Maureen. The Marriage and Family Institute; Estados Unidos.
dc.description.fil Fil: Lee, Erin. American Academy of Neurology; Estados Unidos.
dc.description.fil Fil: Cox, Julie. American Academy of Neurology; Estados Unidos.
dc.description.fil Fil: Getchius, Tom. American Academy of Neurology; Estados Unidos.
dc.description.fil Fil: Sejvar, James. US Centers for Disease Control and Prevention; Estados Unidos.
dc.description.fil Fil: Narayanaswami, Pushpa. Beth Israel Deaconess Medical Center. Department of Neurology; Estados Unidos.
dc.relation.ispartofVOLUME 93
dc.relation.ispartofNUMBER 13
dc.relation.ispartofPAGINATION 584-594
dc.relation.ispartofCOUNTRY Estados Unidos
dc.relation.ispartofCITY Hagerstown
dc.relation.ispartofTITLE Neurology
dc.relation.ispartofISSN 1526-632X
dc.type.snrd info:ar-repo/semantics/artículo es_ES


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