Infections in immunosuppressed travellers with autoimmune inflammatory diseases—a narrative review and advice for clinical practice

Author:

Allen Victoria1,Longley Nicky23

Affiliation:

1. Department of Academic Rheumatology, King’s College London

2. Hospital for Tropical Diseases

3. London School of Hygiene and Tropical Medicine, London, UK

Abstract

Abstract The management of autoimmune, inflammatory diseases has been revolutionized by biologic therapies. A beneficial consequence of better disease control is that more patients are well enough to travel the world. There is now a class of traveller, the significantly immunosuppressed person with autoimmune disease, with specific risks and requirements. This review introduces the concept of the pre-travel risk assessment and discusses the major vaccine-preventable and non-vaccine-preventable travel-associated infections. The challenges and controversies around vaccination and immunosuppression are reviewed with advice for clinical practice.

Funder

Academic Clinical Fellowship funded by the National Institute for Health Research

Integrated Academic Training (IAT) Programme

Publisher

Oxford University Press (OUP)

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