Asunto(s)
Fármacos Dermatológicos/uso terapéutico , Enfermedades de la Piel/tratamiento farmacológico , Anticuerpos Monoclonales Humanizados/efectos adversos , Anticuerpos Monoclonales Humanizados/uso terapéutico , Antiparasitarios/efectos adversos , Antiparasitarios/uso terapéutico , Bencimidazoles/efectos adversos , Bencimidazoles/uso terapéutico , Niño , Fármacos Dermatológicos/efectos adversos , Histiocitosis de Células de Langerhans/tratamiento farmacológico , Humanos , Ivermectina/efectos adversos , Ivermectina/uso terapéutico , Síndrome de Netherton/tratamiento farmacológico , Neurofibromatosis 1/tratamiento farmacológico , Escabiosis/tratamiento farmacológico , Vemurafenib/efectos adversos , Vemurafenib/uso terapéuticoAsunto(s)
Antiinfecciosos/uso terapéutico , Vesícula/etiología , Dapsona/uso terapéutico , Dermatosis Bullosa IgA Lineal/diagnóstico , Dermatosis Bullosa IgA Lineal/tratamiento farmacológico , Dorso , Vesícula/patología , Preescolar , Frente , Genitales Masculinos , Humanos , Dermatosis Bullosa IgA Lineal/complicaciones , MasculinoAsunto(s)
Dermatitis Atópica/tratamiento farmacológico , Fármacos Dermatológicos/uso terapéutico , Janus Quinasa 1/antagonistas & inhibidores , Janus Quinasa 2/antagonistas & inhibidores , Azetidinas/efectos adversos , Azetidinas/uso terapéutico , Fármacos Dermatológicos/efectos adversos , Compuestos Heterocíclicos con 3 Anillos/efectos adversos , Compuestos Heterocíclicos con 3 Anillos/uso terapéutico , Humanos , Nitrilos/efectos adversos , Nitrilos/uso terapéutico , Purinas/efectos adversos , Purinas/uso terapéutico , Pirazoles/efectos adversos , Pirazoles/uso terapéutico , Pirimidinas/efectos adversos , Pirimidinas/uso terapéutico , Sulfonamidas/efectos adversos , Sulfonamidas/uso terapéuticoAsunto(s)
Vesícula/microbiología , Vesícula/patología , Impétigo/diagnóstico , Impétigo/patología , Antibacterianos/uso terapéutico , Cefaclor/uso terapéutico , Preescolar , Ácido Fusídico/uso terapéutico , Humanos , Iminas/uso terapéutico , Impétigo/complicaciones , Impétigo/tratamiento farmacológico , Masculino , Piridinas/uso terapéutico , Crema para la PielRESUMEN
The increasingly frequent use of immunomodulatory agents in dermatology requires the observance of specific recommendations for immunization. These recommendations are developed and regularly updated by the German Standing Committee on Vaccination (STIKO), an independent advisory group at the Robert Koch Institute. Dermatological patients on immunosuppressive treatment should ideally receive all vaccinations included in the standard immunization schedule. Additionally, it is recommended that they also undergo vaccination against the seasonal flu, pneumococci, and herpes zoster (inactivated herpes zoster subunit vaccine for patients ≥ 50 years). Additional immunizations against Haemophilus influenzae type B, hepatitis B and meningococci may be indicated depending on individual comorbidities and exposure risk. Limitations of use, specific contraindications and intervals to be observed between vaccination and immunosuppression depend on the immunosuppressive agent used and its dosing. Only under certain conditions may live-attenuated vaccines be administered in patients on immunosuppressive therapy. Given its strong suppressive effect on the humoral immune response, no vaccines - except for flu shots - should be given within six months after rituximab therapy. This CME article presents current recommendations on immunization in immunocompromised individuals, with a special focus on dermatological patients. Its goal is to enable readers to provide competent counseling and to initiate necessary immunizations in this vulnerable patient group.