Prevention of Infections During Primary Immunodeficiency

Because infectious diseases are a major source of morbidity and mortality in the majority of patients with primary immunodeficiencies (PIDs), the application of a prophylactic regimen is often necessary. However, because of the variety of PIDs and pathogens involved, and because evidence is scarce,...

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Veröffentlicht in:Clinical infectious diseases 2014-11, Vol.59 (10), p.1462-1470
Hauptverfasser: Aguilar, Claire, Malphettes, Marion, Donadieu, Jean, Chandesris, Olivia, Coignard-Biehler, Hélène, Catherinot, Emilie, Pellier, Isabelle, Stephan, Jean-Louis, Le Moing, Vincent, Barlogis, Vincent, Suarez, Felipe, Gérart, Stéphane, Lanternier, Fanny, Jaccard, Arnaud, Consigny, Paul-Henri, Moulin, Florence, Launay, Odile, Lecuit, Marc, Hermine, Olivier, Oksenhendler, Eric, Picard, Capucine, Blanche, Stéphane, Fischer, Alain, Mahlaoui, Nizar, Lortholary, Olivier
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container_end_page 1470
container_issue 10
container_start_page 1462
container_title Clinical infectious diseases
container_volume 59
creator Aguilar, Claire
Malphettes, Marion
Donadieu, Jean
Chandesris, Olivia
Coignard-Biehler, Hélène
Catherinot, Emilie
Pellier, Isabelle
Stephan, Jean-Louis
Le Moing, Vincent
Barlogis, Vincent
Suarez, Felipe
Gérart, Stéphane
Lanternier, Fanny
Jaccard, Arnaud
Consigny, Paul-Henri
Moulin, Florence
Launay, Odile
Lecuit, Marc
Hermine, Olivier
Oksenhendler, Eric
Picard, Capucine
Blanche, Stéphane
Fischer, Alain
Mahlaoui, Nizar
Lortholary, Olivier
description Because infectious diseases are a major source of morbidity and mortality in the majority of patients with primary immunodeficiencies (PIDs), the application of a prophylactic regimen is often necessary. However, because of the variety of PIDs and pathogens involved, and because evidence is scarce, practices are heterogeneous. To homogenize practices among centers, the French National Reference Center for PIDs aimed at elaborating recommendations for anti-infectious prophylaxis for the most common PIDs. We performed a literature review of infectious complications and prophylactic regimens associated with the most frequent PIDs. Then, a working group including different specialists systematically debated about chemoprophylaxis, immunotherapy, immunization, and recommendations for patients. Grading of prophylaxis was done using strength of recommendations (decreasing from A to D) and evidence level (decreasing from I to III). These might help infectious diseases specialists in the management of PIDs and improving the outcome of patients with PIDs.
doi_str_mv 10.1093/cid/ciu646
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However, because of the variety of PIDs and pathogens involved, and because evidence is scarce, practices are heterogeneous. To homogenize practices among centers, the French National Reference Center for PIDs aimed at elaborating recommendations for anti-infectious prophylaxis for the most common PIDs. We performed a literature review of infectious complications and prophylactic regimens associated with the most frequent PIDs. Then, a working group including different specialists systematically debated about chemoprophylaxis, immunotherapy, immunization, and recommendations for patients. Grading of prophylaxis was done using strength of recommendations (decreasing from A to D) and evidence level (decreasing from I to III). 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Immunoglobulinopathies ; Immunoglobulins ; Immunologic Deficiency Syndromes ; Immunologic Deficiency Syndromes - complications ; Immunologic Deficiency Syndromes - diagnosis ; Immunology ; Immunopathology ; Immunotherapy ; Infection - etiology ; Infection Control ; Infections ; Infectious diseases ; Influenza vaccines ; Life Sciences ; Measles mumps rubella vaccines ; Medical disorders ; Medical sciences ; Physiological immunosuppression ; Pneumococcal vaccines ; Pre-Exposure Prophylaxis ; Preventive medicine ; Yellow fever vaccines</subject><ispartof>Clinical infectious diseases, 2014-11, Vol.59 (10), p.1462-1470</ispartof><rights>Copyright © 2014 Oxford University Press on behalf of the Infectious Diseases Society of America</rights><rights>2015 INIST-CNRS</rights><rights>The Author 2014. Published by Oxford University Press on behalf of the Infectious Diseases Society of America. All rights reserved. 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Malphettes, Marion ; Donadieu, Jean ; Chandesris, Olivia ; Coignard-Biehler, Hélène ; Catherinot, Emilie ; Pellier, Isabelle ; Stephan, Jean-Louis ; Le Moing, Vincent ; Barlogis, Vincent ; Suarez, Felipe ; Gérart, Stéphane ; Lanternier, Fanny ; Jaccard, Arnaud ; Consigny, Paul-Henri ; Moulin, Florence ; Launay, Odile ; Lecuit, Marc ; Hermine, Olivier ; Oksenhendler, Eric ; Picard, Capucine ; Blanche, Stéphane ; Fischer, Alain ; Mahlaoui, Nizar ; Lortholary, Olivier</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c471t-8362a3fb4db12fdffa24dd981b350581ab64953cd3f8a63132b44ee5db5290893</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Agammaglobulinemia</topic><topic>Biological and medical sciences</topic><topic>Chronic granulomatous disease</topic><topic>Communicable Disease Control</topic><topic>Communicable Diseases</topic><topic>Communicable Diseases - etiology</topic><topic>Disease management</topic><topic>Fungal infections</topic><topic>Human health and pathology</topic><topic>Humans</topic><topic>Immune system</topic><topic>IMMUNOCOMPROMISED HOSTS</topic><topic>Immunodeficiencies</topic><topic>Immunodeficiencies. 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source Jstor Complete Legacy; Oxford University Press Journals All Titles (1996-Current); MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection
subjects Agammaglobulinemia
Biological and medical sciences
Chronic granulomatous disease
Communicable Disease Control
Communicable Diseases
Communicable Diseases - etiology
Disease management
Fungal infections
Human health and pathology
Humans
Immune system
IMMUNOCOMPROMISED HOSTS
Immunodeficiencies
Immunodeficiencies. Immunoglobulinopathies
Immunoglobulins
Immunologic Deficiency Syndromes
Immunologic Deficiency Syndromes - complications
Immunologic Deficiency Syndromes - diagnosis
Immunology
Immunopathology
Immunotherapy
Infection - etiology
Infection Control
Infections
Infectious diseases
Influenza vaccines
Life Sciences
Measles mumps rubella vaccines
Medical disorders
Medical sciences
Physiological immunosuppression
Pneumococcal vaccines
Pre-Exposure Prophylaxis
Preventive medicine
Yellow fever vaccines
title Prevention of Infections During Primary Immunodeficiency
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