@article{discovery10188451,
            note = {This version is the author accepted manuscript. For information on re-use, please refer to the publisher's terms and conditions},
          volume = {82},
           pages = {1123--1129},
           month = {June},
          number = {9},
         journal = {Annals of the Rheumatic Diseases},
           title = {Approach to vaccination in systemic lupus erythematosus on biological treatment},
            year = {2023},
       publisher = {BMJ PUBLISHING GROUP},
        keywords = {Science \& Technology, Life Sciences \& Biomedicine, Rheumatology, Lupus Erythematosus, Systemic, Rituximab, Immune System Diseases, INFLUENZA VACCINATION, RHEUMATOID-ARTHRITIS, HERPES-ZOSTER, PNEUMOCOCCAL VACCINATION, POLYSACCHARIDE VACCINE, ANTIBODY-RESPONSES, IMMUNOGENICITY, SAFETY, IMMUNIZATION, AUTOIMMUNE},
          author = {Yildirim, Resit and Oliveira, Tatiana and Isenberg, David Alan},
        abstract = {In recent years, treat-to-target strategy and early intervention strategies with immunosuppressive agents have attempted to improve the prognosis and outcome in patients with autoimmune inflammatory rheumatic diseases. However, infectious complications due to side effects of medication remain a major concern in routine practice. In this regard, vaccine immunity and vaccination programmes are of the utmost importance in patients with systemic lupus erythematosus (SLE) in terms of morbidity and mortality. Encouragingly, research investigations have increased exponentially, both in monitoring the vaccines efficacy, and in determining the immune response while patients are on immunosuppression., However, in this biological era in rheumatology, relatively little data have been published investigating these parameters in those receiving biological agents, therefore, no definitive consensus about a vaccination policy for patients with SLE is currently available. In this review, we aim to address what is established about vaccinating patients with SLE on biological agents and discuss potential problems.},
             url = {http://dx.doi.org/10.1136/ard-2023-224071}
}