Postgraduate Course at DDW: Complete Clinical Updates for Today's Practice

BO_Farraye Vaccination

Pdf Summary

Dr. Francis A. Farraye, Director of the Inflammatory Bowel Disease Center at the Mayo Clinic, focuses on health maintenance and vaccination updates for patients with Inflammatory Bowel Disease (IBD). Patients with IBD face heightened infection risks and require regular health checks, including vaccinations, cancer screenings, mental health evaluations, and lifestyle assessments. Proper vaccination is crucial for these patients, particularly before starting immunosuppressive therapy. Vaccines recommended for IBD patients include non-live vaccines like pneumococcal, herpes zoster, and influenza vaccines.<br /><br />Updated guidelines advise providing all prescribed vaccines at the first consultation, whenever possible. Live vaccines are typically contraindicated for immunosuppressed individuals, with certain exceptions through shared decision-making. The recent approval of new vaccines such as the pneumococcal PCV 21 and RSV vaccines highlights the evolving strategies to protect against severe infections.<br /><br />In addition to immunizations, cancer screening is vital. Recommendations include regular colorectal, skin, and cervical cancer screenings, given the increased cancer risk associated with immune-modulating therapies like thiopurines. <br /><br />Patients are also advised to undergo bone density tests to monitor osteoporosis risk due to potential complications, such as prolonged steroid use. Assessing mental health status is critical, as up to 25% of IBD patients suffer from anxiety or depression. Non-vaccine guidelines emphasize quitting smoking and monitoring nutritional status to enhance overall health maintenance.<br /><br />This comprehensive approach, backed by clinical evidence, aims to reduce infection risks, optimize health outcomes, and improve the quality of life for IBD patients.Clinicians are encouraged to leverage checklists and electronic medical records to ensure effective monitoring and intervention.

Keywords

Inflammatory Bowel Disease

vaccination updates

infection risks

immunosuppressive therapy

non-live vaccines

cancer screenings

mental health evaluations

osteoporosis risk

smoking cessation

health maintenance