Discussing problems unique to our region 🌍
🔘Kick-starting the South Asian Rheumatology Symposium with Prof. Syed Atiqul Haq joining us in spirit !
Vaccination in ##Rheumatology
#IRACON22 #vaccine
#RheumTwitter
@IndianRheum
🔘Kick-starting the South Asian Rheumatology Symposium with Prof. Syed Atiqul Haq joining us in spirit !
Vaccination in ##Rheumatology
#IRACON22 #vaccine
#RheumTwitter
@IndianRheum
Pneumococcal 'prime and boost'
🕜PCV13⏩ 8 ⏩ weeks PSV23
🕜PSV23⏩1 year ⏩PCV13
🔁Repeat PSV23 at 5 years and once after 65 years!
🕜PCV13⏩ 8 ⏩ weeks PSV23
🕜PSV23⏩1 year ⏩PCV13
🔁Repeat PSV23 at 5 years and once after 65 years!
👉 Recombinant zoster vaccine (shingrix)
👌immunity
🚫need for past h/o of VZV
2 doses:
first dose 2 weeks prior to immunosuppressant initiation
2nd dose 3 months after end of intensive immunosuppression/ drug holiday
👉Zostavax- more than 50 years if previous VZV exposure
👌immunity
🚫need for past h/o of VZV
2 doses:
first dose 2 weeks prior to immunosuppressant initiation
2nd dose 3 months after end of intensive immunosuppression/ drug holiday
👉Zostavax- more than 50 years if previous VZV exposure
HPV vaccination
If missed during the teens, can be given up to 45 years of age (3 doses)
If missed during the teens, can be given up to 45 years of age (3 doses)
💉💉💉Watch out for the need for boosters!! (Biologics and tsDMARDs) 
Live attenuated vaccines
👉Avoid yellow fever, oral polio
👉Give it 4 weeks before starting IS
👉safe with IS if
💊MTX < 0.4mg/kg
💊AZA < 3mg/kg
💊Low dose steroids <10 mg
🚫 With CYC, biologics, tsDMARDs and above 💊 beyond the dose limits ⏫
What about family 👨👩👦👦 members?
👉Avoid yellow fever, oral polio
👉Give it 4 weeks before starting IS
👉safe with IS if
💊MTX < 0.4mg/kg
💊AZA < 3mg/kg
💊Low dose steroids <10 mg
🚫 With CYC, biologics, tsDMARDs and above 💊 beyond the dose limits ⏫
What about family 👨👩👦👦 members?
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