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dc.contributor.authorPileggi, Gecilmara Salviatopt_BR
dc.contributor.authorMota, Licia Maria Henrique dapt_BR
dc.contributor.authorKakehasi, Adriana Mariapt_BR
dc.contributor.authorSouza, Alexandre Wagner dept_BR
dc.contributor.authorRocha, Alinept_BR
dc.contributor.authorMelo, Ana Karla Guedes dept_BR
dc.contributor.authorFonte, Caroline Araujo M. dapt_BR
dc.contributor.authorBortoletto, Ceciliapt_BR
dc.contributor.authorBrenol, Claiton Viegaspt_BR
dc.contributor.authorMarques, Claudia Diniz Lopespt_BR
dc.contributor.authorZaltman, Cyrlapt_BR
dc.contributor.authorBorba, Eduardo Ferreirapt_BR
dc.contributor.authorReis, Enio Ribeiropt_BR
dc.contributor.authorFreire, Eutilia Andrade Medeirospt_BR
dc.contributor.authorKlumb, Evandro Mendespt_BR
dc.contributor.authorChristopoulos, Georges Basilept_BR
dc.contributor.authorLaurindo, Ieda Maria M.pt_BR
dc.contributor.authorBallalai, Isabellapt_BR
dc.contributor.authorCosta, Izaias Pereira dapt_BR
dc.contributor.authorMichelin, Lessandrapt_BR
dc.contributor.authorValadares, Lilian David de Azevêdopt_BR
dc.contributor.authorChebli, Liliana Andradept_BR
dc.contributor.authorLacerda, Marcuspt_BR
dc.contributor.authorToscano, Maria Amazile Ferreirapt_BR
dc.contributor.authorYazbek, Michel Alexandrept_BR
dc.contributor.authorVieira, Rejane Maria R. de Abreupt_BR
dc.contributor.authorMagalhães, Renatapt_BR
dc.contributor.authorKfouri, Renatopt_BR
dc.contributor.authorRichtmann, Rosanapt_BR
dc.contributor.authorMerenlender, Selma da Costa Silvapt_BR
dc.contributor.authorValim, Valeriapt_BR
dc.contributor.authorAssis, Marcos Renato dept_BR
dc.contributor.authorKowalski, Sergio Candidopt_BR
dc.contributor.authorTrevisani, Virginia Fernandes Moçapt_BR
dc.date.accessioned2020-01-24T10:33:22Z-
dc.date.available2020-01-24T10:33:22Z-
dc.date.issued2019pt_BR
dc.identifier.citationPILEGGI, Gecilmara Salviato et al. Brazilian recommendations on the safety and effectiveness of the yellow fever vaccination in patients with chronic immune-mediated inflammatory diseases. Advances in Rheumatology, v. 59,17, 2019. DOI: https://doi.org/10.1186/s42358-019-0056-x. Disponível em: http://scielo.br/scielo.php?script=sci_arttext&pid=S2523-31062019000100302. Acesso em: 23 jan. 2020.pt_BR
dc.identifier.urihttps://repositorio.unb.br/handle/10482/36701-
dc.language.isoenpt_BR
dc.publisherSociedade Brasileira de Reumatologiapt_BR
dc.rightsAcesso Abertopt_BR
dc.titleBrazilian recommendations on the safety and effectiveness of the yellow fever vaccination in patients with chronic immune-mediated inflammatory diseasespt_BR
dc.typeArtigopt_BR
dc.rights.license© The Author(s). 2019 Open Access - This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.-
dc.identifier.doihttps://doi.org/10.1186/s42358-019-0056-xpt_BR
dc.description.abstract1Background: In Brazil, we are facing an alarming epidemic scenario of Yellow fever (YF), which is reaching the most populous areas of the country in unvaccinated people. Vaccination is the only effective tool to prevent YF. In special situations, such as patients with chronic immune-mediated inflammatory diseases (CIMID), undergoing immunosuppressive therapy, as a higher risk of severe adverse events may occur, assessment of the risk-benefit ratio of the yellow fever vaccine (YFV) should be performed on an individual level. Main body of the abstract: Faced with the scarcity of specific orientation on YFV for this special group of patients, the Brazilian Rheumatology Society (BRS) endorsed a project aiming the development of individualized YFV recommendations for patients with CIMID, guided by questions addressed by both medical professionals and patients, followed an internationally validated methodology (GIN-McMaster Guideline Development). Firstly, a systematic review was carried out and an expert panel formed to take part of the decision process, comprising BRS clinical practitioners, as well as individuals from the Brazilian Dermatology Society (BDS), Brazilian Inflammatory Bowel Diseases Study Group (GEDIIB), and specialists on infectious diseases and vaccination (from Tropical Medicine, Infectious Diseases and Immunizations National Societies); in addition, two representatives of patient groups were included as members of the panel. When the quality of the evidence was low or there was a lack of evidence to determine the recommendations, the decisions were based on the expert opinion panel and a Delphi approach was performed. A recommendation was accepted upon achieving ≥80% agreement among the panel, including the patient representatives. As a result, eight recommendations were developed regarding the safety of YFV in patients with CIMID, considering the immunosuppression degree conferred by the treatment used. It was not possible to establish recommendations on the effectiveness of YFV in these patients as there is no consistent evidence to support these recommendations. Conclusion: This paper approaches a real need, assessed by clinicians and patient care groups, to address specific questions on the management of YFV in patients with CIMID living or traveling to YF endemic areas, involving specialists from many areas together with patients, and might have global applicability, contributing to and supporting vaccination practices. We recommended a shared decision-making approach on taking or not the YFV.-
dc.identifier.orcidhttp://orcid.org/0000-0003-0054-7754-
dc.description.unidadeFaculdade de Medicina (FMD)-
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