antibioticsАнтибиотики и ХимиотерапияAntibiot Khimioter = Antibiotics and Chemotherapy0235-2990ООО «Издательство ОКИ»10.37489/0235-2990-2023-68-1-2-69-76antibiotics-1005Research ArticleОБЗОРЫREVIEWSК вопросу о скрининге и профилактике хронических и оппортунистических инфекций в ревматологииOn the issue of screening and prevention of chronic and opportunistic infections in rheumatologyhttps://orcid.org/0000-0001-7091-2054БеловБ. С.BelovB. S.

Белов Борис Сергеевич — д. м. н., заведующий лабораторией коморбидных инфекций и вакцинопрофилактики

Researcher ID: ABD-2219-2020

Scopus Author ID: 7004592537

Каширское шоссе, 34А, г. Москва, 115522

Boris S. Belov — D. Sc. in Medicine, Head of the Laboratory of Comorbid Infections and Vaccine Prevention

Researcher ID: ABD-2219-2020

Scopus Author ID: 7004592537

34А Kashirskoye Highway, Moscow, 115522

belovbor@yandex.ruhttps://orcid.org/0000-0002-0928-3911ГридневаГ. И.GridnevaG. I.

Гриднева Галина Игоревна — к. м. н., научный сотрудник лаборатории коморбидных инфекций и вакцинопрофилактики

ResearcherID: AFN-9929-2022

Scopus Author ID: 56381565500

Москва

Galina I. Gridneva — Ph. D. in Medicine, Researcher at the Laboratory of Comorbid Infections and Vaccine Prevention

ResearcherID: AFN-9929-2022

Scopus Author ID: 56381565500

Moscow

https://orcid.org/0000-0002-1833-5357АроноваЕ. С.AronovaE. S.

Аронова Евгения Сергеевна — к. м. н., научный сотрудник лаборатории коморбидных инфекций и вакцинопрофилактики

Researher ID AAD-1849-2019

Scopus Author ID 55913403200

Москва

Evgenia S. Aronova — Ph. D. in Medicine, Researcher at the Laboratory of Comorbid Infections and Vaccine Prevention

Researcher ID: AAD-1849-2019

Scopus Author ID: 55913403200

Moscow

https://orcid.org/0000-0003-4327-6720МуравьеваН. В.MuravyevaN. V.

Муравьева Наталья Валерьевна — к. м. н., научный сотрудник лаборатории коморбидных инфекций и вакцинопрофилактики

ResearcherID: AAF-4853-2021

Scopus Author ID: 57210263706

Москва

Natalia V. Muravyeva — Ph. D. in medicine, Researcher at the Laboratory of Comorbid Infections and Vaccine Prevention

Researcher ID: AAF-4853-2021

Scopus Author ID: 57210263706

Moscow

ФГБНУ «Научно-исследовательский институт ревматологии им. В. А. НасоновойРоссияV. A. Nasonova Research Institute of RheumatologyRussian Federation202330042023681-26976Copyright © Белов Б.С., Гриднева Г.И., Аронова Е.С., Муравьева Н.В., 20232023Белов Б.С., Гриднева Г.И., Аронова Е.С., Муравьева Н.В.Belov B.S., Gridneva G.I., Aronova E.S., Muravyeva N.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.antibiotics-chemotherapy.ru/jour/article/view/1005

Проблема коморбидных инфекций в ревматологии по-прежнему сохраняет свою актуальность. На фоне иммуносупрессивной/иммуномодулирующей терапии иммуновоспалительных ревматических заболеваний (ИВРЗ) достаточно часто развиваются хронические и оппортунистические инфекции (ХОИ). Некоторые из этих инфекций можно предотвратить при выполнении своевременных процедур скрининга и профилактических мер. Группой экспертов Европейского альянса ревматологических ассоциаций (EULAR) подготовлены рекомендации, посвящённые процедурам скрининга и мерам профилактики наиболее часто встречающихся ХОИ (туберкулёз, хронические вирусные гепатиты В и С, инфекции, вызванные вирусом иммунодефицита человека и Herpes zoster, пневмоцистная пневмония) в рамках ИВРЗ. В настоящей статье представлены основные положения указанного документа. Подчёркивается необходимость периодического пересмотра скрининговых и превентивных процедур по мере накопления новых научных данных.

The problem of comorbid infections in rheumatology still remains relevant. Against the background of immunosuppressive/immunomodulatory therapy of immuno-inflammatory rheumatic diseases (IIRD), chronic and opportunistic infections (COI) often develop. Some of these infections can be prevented by performing timely screening procedures and preventive measures. A group of experts from the European Alliance of Rheumatology Associations (EULAR) has prepared recommendations on screening procedures and prevention measures for the most common COI (tuberculosis, chronic viral hepatitis B and C, infections caused by the human immunodeficiency virus and Herpes zoster, pneumocystis pneumonia) within the framework of the IIRD. This article presents the main provisions of this document. The need for periodic review of screening and preventive procedures is emphasized as new scientific data are accumulated.

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The authors declare that there are no conflicts of interest present.