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Challenges in vaccinating infants born to mothers taking immunoglobulin biologicals during pregnancy

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Pages 239-256 | Received 29 Jun 2015, Accepted 29 Oct 2015, Published online: 07 Dec 2015

References

• Four cases of severe and moderate neonatal neutropenia in newborns exposed to infliximab in utero are described

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• A recently published study with 1-year follow-up outcomes among children born to mothers from anti-tumor necrosis factor (TNF) early stop group, continue group and non-inflammatory bowel disease control group.

• A large PIANO registry long-term report on the first-year infection rate of infants prenatally exposed to anti-TNFs and natalizumab

  • Arsenescu R, Arsenescu V, de Villiers WJS. TNF-α and the development of the neonatal immune system: implications for inhibitor use in pregnancy. Am J Gastroenterol [Internet]. 2011;106(4):559–562. DOI:10.1038/ajg.2011.5.
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  • Seirafi M, de Vroey B, Amiot A, et al. Factors associated with pregnancy outcome in anti-TNF treated women with inflammatory bowel disease. Aliment Pharmacol Ther [Internet]. 2014;40(4):363–373. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24980270
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• A long-term study on the immune development of infants prenatally exposed to anti-TNF agents

•• Updated ECCO statements on the safety, pregnancy outcomes and vaccination of newborns exposed to anti-TNFs

••The London Position Statement on the pregnancy outcomes and vaccinations of infants and mothers exposed to biologicals during pregnancy

• Information on vaccinating children receiving immunosuppressive therapies, including biologicals

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