Serious infections in JIA patients upon MTX, TFN inhibitors and combinations

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Serious infections in JIA patients upon MTX, TFN inhibitors and combinations

Results A total of 3350 pts. with 5929 exposure years were identified in the German BIKER registry data base. First biologic was ETA in 1720 and ADA in 177 cases. 1353 patients were not exposed to biologics. 28 serious infections have been reported (4.7/1000 pt-years). MTX patients had 5 events, Etanercept patients 21 and patients with Adalimumab therapy 2 events.The serious infections were of ...

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Contradictory and weak evidence on the effectiveness of anti-emetics for MTX-intolerance in JIA-patients

Methotrexate (MTX) is an effective, relatively safe, and low-cost treatment for children with JIA, but its use is often limited by the occurrence of so called intolerance in a significant number of patients [1, 2]. Many JIA patients receive anti-emetics as a co-medication to prevent or treat MTXintolerance. In a recent review in this journal Falvey et al. concluded: “Co-medication with anti-eme...

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KIR-HLA class I combinations in JIA-associated uveitis

Purpose HLA class I-specific killer cell immunoglobulin-like receptors (KIR) gene and HLA gene combinations have been associated with autoimmune uveitis (e.g., birdshot chorioretinopathy (BCR) and Vogt-Koyanagi-Harada syndrome (VKH)). In oligoarticular juvenile idiopathic arthritis (JIA), uveitis is one of the most serious complications, affecting approximately 20% of patients. Multiple studies...

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Antibiotic combinations for serious infections caused by carbapenem-resistant Acinetobacter baumannii in a mouse pneumonia model.

OBJECTIVES Successful therapy of carbapenem-resistant Acinetobacter baumannii strains has been reported with colistin, but recently we argued against its use as monotherapy because of the poor results obtained in a mouse pneumonia model. Our aim was to identify antibiotic combinations that were valid therapeutic alternatives in the same model. METHODS We used two carbapenem-resistant A. bauma...

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Serious infections in elderly patients with diabetes mellitus.

The elevated serum glucose levels associated with diabetes mellitus (DM) alter host immune responses, resulting in a well-documented increase in the predisposition to infectious processes. Furthermore, the cumulative effect of age-related immune senescence, superimposed on this enhanced risk of infections, can lead to serious and life-threatening infections in elderly patients with DM. Because ...

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ژورنال

عنوان ژورنال: Pediatric Rheumatology

سال: 2014

ISSN: 1546-0096

DOI: 10.1186/1546-0096-12-s1-o11