Schulze-Koops Hendrik, Iking-Konert Christof, Leipe Jan, Hoyer Bimba Franziska, Holle Julia, Moosig Frank, Aries Peer, Burmester Gerd, Fiehn Christoph, Krause Andreas, Lorenz Hanns-Martin, Schneider Matthias, Sewerin Philipp, Voormann Anna, Wagner Ulf, Krüger Klaus, Specker Christof
Deutsche Gesellschaft für Rheumatologie e. V., Berlin, Deutschland.
Sektion Rheumatologie und Klinische Immunologie, Medizinische Klinik und Poliklinik IV, Ludwig-Maximilians-Universität München, Pettenkoferstr. 8a, 80336, München, Deutschland.
Z Rheumatol. 2020 Sep;79(7):679-685. doi: 10.1007/s00393-020-00851-x.
A few days after the SARS-CoV-2 infection was declared a pandemic, the German Society for Rheumatology (DGRh) compiled first recommendations for the care of patients with inflammatory rheumatic diseases (IRD). These first recommendations were based on an expert consensus and were largely non-evidence-based. Now that the first scientific data from registers, cross-sectional studies, case reports and case series are available, the present update is intended to update the previous recommendations and to add new findings. The current recommendations are based on a literature search of publications available up to 15 June 2020 and address preventive measures (such as hygiene measures or vaccinations) and the use of immunomodulatory/immunosuppressive drugs. An important goal of the current recommendations is also to prevent harm to patients with IRD through unjustified restriction of care. The DGRh will continue to update its recommendations in the case of new aspects and will publish them as well as further information on the COVID-19 pandemic on its homepage ( www.dgrh.de ) in an ongoing process.
在严重急性呼吸综合征冠状病毒2(SARS-CoV-2)感染被宣布为大流行几天后,德国风湿病学会(DGRh)编写了关于炎症性风湿性疾病(IRD)患者护理的首批建议。这些首批建议基于专家共识,且在很大程度上缺乏循证依据。鉴于现在已有来自登记处、横断面研究、病例报告和病例系列的首批科学数据,本次更新旨在更新先前的建议并补充新发现。当前建议基于对截至2020年6月15日可得出版物的文献检索,涉及预防措施(如卫生措施或疫苗接种)以及免疫调节/免疫抑制药物的使用。当前建议的一个重要目标也是防止因不合理的护理限制而对IRD患者造成伤害。DGRh将在出现新情况时继续更新其建议,并将在其主页(www.dgrh.de)上持续发布这些建议以及关于2019冠状病毒病大流行的更多信息。