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Infliximab is associated with an increased risk of serious infection in patients with psoriasis in the U.K. and Republic of Ireland: results from the British Association of Dermatologists Biologic Interventions Register (BADBIR).英夫利昔单抗与英国和爱尔兰银屑病患者严重感染风险增加相关:英国皮肤科医师协会生物干预注册处(BADBIR)的结果。
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Risk of Serious Infection in Patients with Psoriasis Receiving Biologic Therapies: A Prospective Cohort Study from the British Association of Dermatologists Biologic Interventions Register (BADBIR).接受生物疗法治疗的银屑病患者发生严重感染的风险:来自英国皮肤科医生生物干预注册处(BADBIR)的前瞻性队列研究。
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一家皮肤专科医院中住院银屑病患者的感染情况

Infections in Hospitalized Patients with Psoriasis in a Skin Referral Hospital.

作者信息

Zaredar Nafise, Mahmoudi Hamidreza, Soori Tahereh, Teimourpour Amir, Balighi Kamran, Farid Ali Salehi, Daneshpazhooh Maryam

机构信息

Department of Dermatology, Tehran University of Medical Sciences, Tehran, Iran.

Autoimmune Bullous Diseases Research Center, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

Dermatol Pract Concept. 2023 Jan 1;13(1):e2023027. doi: 10.5826/dpc.1301a27.

DOI:10.5826/dpc.1301a27
PMID:36892397
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9946094/
Abstract

INTRODUCTION

Psoriasis and its treatments may predispose patients to various infections. This is considered one of the most significant complications in patients with psoriasis.

OBJECTIVES

In the present study, we aimed to determine the prevalence of infection in hospitalized psoriasis patients and its relationship with systemic and biologic treatments.

METHODS

All hospitalized patients with psoriasis from 2018 to 2020 in Razi Hospital in Tehran, Iran, were studied and cases of infection were recorded.

RESULTS

Overall, 516 patients were studied and 25 types of infection in 111 patients were found. The most common types of infection were pharyngitis and cellulitis, followed by oral candida, urinary tract infections, common cold, fever of unknown origin, and pneumonia. Female sex and pustular psoriasis were significantly associated with infection in psoriatic patients. Those patients who received prednisolone had a higher risk of infection, and those under treatment with methotrexate or infliximab had a lower risk of infection.

CONCLUSION

Overall, 21.5% of psoriasis patients in our study had at least one episode of infection. This demonstrates that the prevalence of infection in these patients is not low. Using systemic steroids was associated with a higher risk of infection, while using methotrexate or infliximab was concomitant with a lower risk of infection.

摘要

引言

银屑病及其治疗可能使患者易患各种感染。这被认为是银屑病患者最重要的并发症之一。

目的

在本研究中,我们旨在确定住院银屑病患者的感染发生率及其与全身治疗和生物治疗的关系。

方法

对2018年至2020年在伊朗德黑兰拉齐医院住院的所有银屑病患者进行研究,并记录感染病例。

结果

总体而言,共研究了516例患者,发现111例患者发生了25种类型的感染。最常见的感染类型是咽炎和蜂窝织炎,其次是口腔念珠菌感染、尿路感染、普通感冒、不明原因发热和肺炎。女性和脓疱型银屑病与银屑病患者的感染显著相关。接受泼尼松龙治疗的患者感染风险较高,而接受甲氨蝶呤或英夫利昔单抗治疗的患者感染风险较低。

结论

总体而言,我们研究中的银屑病患者中有21.5%至少发生过一次感染。这表明这些患者的感染发生率并不低。使用全身类固醇与较高的感染风险相关,而使用甲氨蝶呤或英夫利昔单抗则与较低的感染风险相关。