Prevention of infective complications in systemic lupus erythematosus: A systematic literature review for the APLAR consensus statements

Int J Rheum Dis. 2021 Jul;24(7):880-895. doi: 10.1111/1756-185X.14125. Epub 2021 May 17.

Abstract

Systemic lupus erythematosus (SLE) is a more common autoimmune rheumatic disease in the Asia-Pacific region. The prognosis of SLE remains unsatisfactory in some Asian countries because of delayed diagnosis, limited access to medications, increased complications and issues of tolerability and adherence to treatment. The Asia-Pacific League of Associations for Rheumatology SLE special interest group has recently published a set of consensus recommendations on the management of SLE for specialists, family physicians, specialty nurses, and other healthcare professionals in the Asia-Pacific region. This article reports a systematic literature review of the infective complications of SLE in Asia and evidence for prevention of these infections by pre-emptive antimicrobial therapy and vaccination.

Keywords: COVID-19; hepatitis B; hepatitis C; infection; lupus; pneumocystis; tuberculosis; vaccine.

Publication types

  • Systematic Review

MeSH terms

  • Anti-Infective Agents / therapeutic use*
  • Consensus
  • Humans
  • Immunocompromised Host
  • Lupus Erythematosus, Systemic / drug therapy*
  • Lupus Erythematosus, Systemic / epidemiology
  • Lupus Erythematosus, Systemic / immunology
  • Opportunistic Infections / epidemiology
  • Opportunistic Infections / immunology
  • Opportunistic Infections / prevention & control*
  • Practice Guidelines as Topic
  • Risk Assessment
  • Risk Factors
  • Treatment Outcome
  • Vaccination*

Substances

  • Anti-Infective Agents