Author Interviews, Infections, NIH, Rheumatology / 31.03.2014
Biologics Increase Incidence, Not Mortality From Opportunistic Infections
MedicalResearch.com Interview with:
Eleftherios Mylonakis, M.D., Ph.D., FIDSA
Dean's Professor of Medical Science
Chief, Infectious Diseases Division
Alpert Medical School and Brown University
and Dr. Irene Kourbeti MD
Research Associate
Infectious Disease Division
Rhode Island Hospital, Providence, RI
MedicalResearch.com: What are the main findings of the study?
Answer : There was high quality of evidence that biologic agents are associated with increased risk of all opportunistic infections, but there was no difference in mortality attributed to the opportunistic infections. Patients receiving biologics were twice more likely to develop opportunistic infections (OIs) compared to controls (OR 1.79; 95% CI, 1.17-2.74) with a number needed to harm (NNH) of 582 patients. That means that 1 opportunistic infection would occur in every 582 patients receiving biologics. The opportunistic infections usually occurred at the commencement of the use of the biological agent and they were not statistically more in patients with a previous exposure to anti-TNF agents as compared to the patients that had never received an anti-TNF agent..
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