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KRÓTKIE DONIESIENIE
Zapobieganie gruźlicy u chorych leczonych antagonistami
 
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Data publikacji online: 09-04-2010
 
 
Reumatologia 2010;48(1):4-13
 
SŁOWA KLUCZOWE
STRESZCZENIE
Terapia antagonistami czynnika martwicy nowotworów (tumour necrosis factor – TNF) zwiększa ryzyko zachorowania na gruźlicę. Przed podaniem antagonisty TNF należy wykluczyć u chorego aktywną gruźlicę i wykonać test wykrywający zakażenie gruźlicze. Chory oczekujący na leczenie antagonistą TNF powinien mieć wykonane badanie radiologiczne klatki piersiowej i test wydzielania interferonu γ (interferon-g-release assay – IGRA). Niezbędny jest wywiad dotyczący przebytej gruźlicy i obecności czynników ryzyka zakażenia gruźliczego. Zastąpienie próby tuberkulinowej testem IGRA umożliwia skuteczniejsze wykrywanie chorych zakażonych M. tuberculosis, którzy wymagają chemioprofilaktyki gruźlicy
 
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