Reich Jason, Wasan Sharmeel K, Farraye Francis A
Dr Reich is a fellow, Dr Wasan is an assistant professor of medicine, and Dr Farraye is a professor of medicine in the Section of Gastroenterology at Boston Medical Center in Boston, Massachusetts.
Gastroenterol Hepatol (N Y). 2017 Dec;13(12):717-724.
Patients with inflammatory bowel disease (IBD) do not receive routine preventive care at the same rate as the general population. IBD places patients at increased risk for developing vaccine-preventable illnesses. This risk is further exacerbated by immunosuppressive therapy. This article highlights the necessary vaccinations for IBD patients and the timing of vaccination for immunosuppressed patients, and discusses the health maintenance needs and preventive care issues related to heart disease, smoking, osteoporosis, mental health, cervical cancer, and skin cancer.
炎症性肠病(IBD)患者接受常规预防性护理的比例与普通人群不同。IBD使患者患疫苗可预防疾病的风险增加。免疫抑制治疗会进一步加剧这种风险。本文重点介绍了IBD患者所需的疫苗接种以及免疫抑制患者的接种时机,并讨论了与心脏病、吸烟、骨质疏松症、心理健康、宫颈癌和皮肤癌相关的健康维护需求和预防性护理问题。