I know that for the short period of time that I was on Remicade, my GI doc never stressed the importance of screening for hepatitis, TB.. not even a simple PPD skin test. Actually none of what was discussed in this article was taken into consideration.
- Despite evidence to support the importance of vaccinations and prevention of infections in patients with IBD, especially in immunocompromised patients, physicians have done a poor job in this area,” said Miguel Regueiro, MD
- In one analysis, they set out to determine whether male patients with IBD beginning immunosuppressive treatment received the same information as their female counterparts regarding the potential effect of medications on fertility. Female IBD patients routinely are counseled that some medications may affect conception, pregnancy and teratogenicity.
- ....the need for physicians to do a better job screening IBD patients for opportunistic infections, vaccinating patients against preventable illnesses and counseling male patients on fertility.”
- The gravity of latent TB emerging with anti-TNF treatment also needs to be taken more seriously
- patients taking adalimumab were significantly less likely to be screened for hepatitis infection than those taking infliximab, Dr. Borum said.
link--> Gastroenterology & Endoscopy News - Physicians Doing ‘Poor Job’ of Warning Patients With IBD About Risks of Medications, Studies Suggest:
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