Inmunización y quimioprofilaxis en pacientes con artritis reumatoide

The most widely used vaccines in rheumatic diseases are the pneumococcal and influenza vaccines, which are recommended in vaccination guidelines. The data accumulated on the safety and efficacy of these vaccines support their use in patients with chronic autoimmune or inflammatory diseases. Immunization recommendations for this population should be applied in our daily clinical practice, as the evidence is sufficiently strong to encourage general vaccination against influenza, pneumococcus and hepatitis B in patients with rheumatic diseases. Screening strategies for tuberculosis, with the use of chemoprophylaxis if required, should also be applied in rheumatoid arthritis patients receiving immunosuppressive therapy.