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Erschienen in: Zeitschrift für Rheumatologie 9/2013

01.11.2013 | Originalien

Medikamentöse Prophylaxe während intensivierter Immunsuppression bei Kindern und Jugendlichen

Teil 2

Erschienen in: Zeitschrift für Rheumatologie | Ausgabe 9/2013

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Zusammenfassung

Ziel einer modernen Rheumatherapie ist eine möglichst gute Kontrolle der Grunderkrankung. Dies wird im Einzelfall durch die Kombination verschiedener Wirkstoffe erzielt. Dabei ergibt sich eine immer umfangreichere Immunsuppression (IS). Im Sinne einer Risikobegrenzung wäre bei intensivierter IS eine standardisierte Überwachung auf immunologische Veränderungen wünschenswert. Dies kann anhand von Checklisten erfolgen (s. Teil 1 „Vorsorgeuntersuchungen während intensivierter Immunsuppression bei Kindern und Jugendlichen“). Eine individuelle Risikostratifizierung der geplanten IS erlaubt eine Vorhersage von Infektionsrisiken und ermöglicht so eine auf den Patienten zugeschnittene Infektionsprophylaxe. Zusätzlich sollte ein standardisiertes Vorgehen betreffend Diagnostik und Therapie bei Fieber unter intensivierter IS vor weiteren Komplikationen schützen.
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Metadaten
Titel
Medikamentöse Prophylaxe während intensivierter Immunsuppression bei Kindern und Jugendlichen
Teil 2
Publikationsdatum
01.11.2013
Erschienen in
Zeitschrift für Rheumatologie / Ausgabe 9/2013
Print ISSN: 0340-1855
Elektronische ISSN: 1435-1250
DOI
https://doi.org/10.1007/s00393-013-1203-0

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