{"id":8022,"date":"2023-08-21T06:27:44","date_gmt":"2023-08-21T04:27:44","guid":{"rendered":"https:\/\/gastropedia.pub\/es\/?p=8022"},"modified":"2023-12-29T19:37:12","modified_gmt":"2023-12-29T18:37:12","slug":"lista-de-verificacion-para-iniciar-terapia-biologica-en-la-eii","status":"publish","type":"post","link":"https:\/\/gastropedia.pub\/es\/gastroenterologia\/lista-de-verificacion-para-iniciar-terapia-biologica-en-la-eii\/","title":{"rendered":"Lista de verificaci\u00f3n para iniciar terapia biol\u00f3gica en la EII"},"content":{"rendered":"<div><a class=\"pdfprnt-button pdfprnt-button-pdf\" href=\"https:\/\/gastropedia.com.br\/wp-json\/wp\/v2\/posts?per_page=100&amp;print=pdf#038;status=draft\" target=\"_blank\" rel=\"noopener\"><img decoding=\"async\" title=\"Ver PDF\" src=\"https:\/\/gastropedia.com.br\/wp-content\/plugins\/pdf-print-pro\/images\/pdf.png\" alt=\"image_pdf\" data-rel=\"penci-gallery-image-content\" \/><\/a><a class=\"pdfprnt-button pdfprnt-button-print\" href=\"https:\/\/gastropedia.com.br\/wp-json\/wp\/v2\/posts?per_page=100&amp;print=print#038;status=draft\" target=\"_blank\" rel=\"noopener\"><img decoding=\"async\" title=\"Contenido de impresi\u00f3n\" src=\"https:\/\/gastropedia.com.br\/wp-content\/plugins\/pdf-print-pro\/images\/print.png\" alt=\"image_print\" \/><\/a><\/div>\n<p>Los pacientes con fenotipo de <strong>EII <\/strong>(Enfermedad Inflamatoria Intestinal) <strong>moderada a grave<\/strong> y\/o con factores de riesgo para un peor pron\u00f3stico, una vez elegidos para <strong>terapia avanzada con biol\u00f3gicos<\/strong>, deben pasar por una preparaci\u00f3n para el inicio del tratamiento con seguridad.<\/p>\n<p class=\"has-very-light-gray-to-cyan-bluish-gray-gradient-background has-background\"><strong>Esta etapa pasa por la evaluaci\u00f3n de 3 pilares:<\/strong><\/p>\n<ul class=\"has-very-light-gray-to-cyan-bluish-gray-gradient-background has-background\">\n<li>Verificar si hay contraindicaci\u00f3n relativa o absoluta al uso de tales medicamentos;<\/li>\n<li>Rastreo de infecciones activas o latentes;<\/li>\n<li>Actualizaci\u00f3n del estado vacunal<\/li>\n<\/ul>\n<h2 id=\"h-no-que-se-refere-as-contraindicacoes-ou-sinais-de-maior-atencao-ao-uso-de-biologicos-temos\" class=\"wp-block-heading\"><strong>En lo que se refiere a las contraindicaciones o se\u00f1ales de mayor atenci\u00f3n al uso de biol\u00f3gicos, tenemos:<\/strong><\/h2>\n<ul>\n<li>Infecci\u00f3n grave en curso, incluyendo absceso perianal;<\/li>\n<li>Tuberculosis latente no tratada (debe esperarse un per\u00edodo desde el inicio del tratamiento para iniciar el biol\u00f3gico, preferentemente uno no anti-TNF);<\/li>\n<li>ICC descompensada o fracci\u00f3n de eyecci\u00f3n de VE ? 35% (contraindicaci\u00f3n absoluta a anti-TNF);<\/li>\n<li>Historia de reacci\u00f3n de infusi\u00f3n grave previa a biol\u00f3gicos;<\/li>\n<li>Esclerosis m\u00faltiple u otras enfermedades desmielinizantes; neuritis \u00f3ptica; linfoma previo (en estas condiciones el anti-TNF tiene contraindicaci\u00f3n absoluta, los dem\u00e1s pesar riesgo x beneficio);<\/li>\n<li>Malignidad corriente;<\/li>\n<li>Enfermedad hep\u00e1tica descompensada (cirrosis Child B o C);<\/li>\n<li>Infecci\u00f3n cr\u00f3nica no tratada por el virus de la hepatitis B;<\/li>\n<li>Infecci\u00f3n por VIH no controlada;<\/li>\n<li>Historia de melanoma (contraindicaci\u00f3n absoluta a anti-TNF) o displasia de cuello uterino recurrente (contraindicaci\u00f3n relativa a anti-TNF)<\/li>\n<\/ul>\n<h2 id=\"h-o-proximo-passo-e-a-realizacao-do-rastreio-infeccioso-que-inclui\" class=\"wp-block-heading\"><strong>El pr\u00f3ximo paso es la realizaci\u00f3n del rastreo infeccioso, que incluye:<\/strong><\/h2>\n<ul>\n<li>Radiograf\u00eda de t\u00f3rax;<\/li>\n<li>PPD y\/o IGRA (prueba de liberaci\u00f3n de interfer\u00f3n gamma);<\/li>\n<li>Serolog\u00edas para hepatitis B, C y VIH (considerar tambi\u00e9n agregar rastreo de sarampi\u00f3n, CMV, varicela zoster y Epstein-Barr \u2013 tener en cuenta que la infecci\u00f3n primaria por EBV en pacientes inmunosuprimidos aumenta el riesgo de enfermedades linfoproliferativas, en este escenario se debe tener precauci\u00f3n al prescribir tiopurinas asociadas);<\/li>\n<li>En presencia de diarrea, excluir la presencia de Clostridium difficile como agente mimetizador;<\/li>\n<li>En la poblaci\u00f3n femenina, tambi\u00e9n se recomienda la colpocitolog\u00eda para el cribado de la infecci\u00f3n por VPH.<\/li>\n<\/ul>\n<p>El rastreo de TB latente debe renovarse anualmente mientras el paciente est\u00e9 en uso del biol\u00f3gico, especialmente si es de la clase anti-TNF, ya que sabemos cu\u00e1nto es primordial el TNF-alfa para la estabilidad del granuloma.<\/p>\n<p>En caso de pacientes con PPD ? 5mm, o IGRA + o secuelas en la radiograf\u00eda de t\u00f3rax sugestivas, primero se debe iniciar el tratamiento de la TB latente y solo iniciar el biol\u00f3gico despu\u00e9s de 30 d\u00edas del comienzo del tratamiento.<\/p>\n<p>Pacientes con HBsAg + o con anti-HBc + aislado deben recibir terapia antiviral durante el uso de biol\u00f3gicos o inmunosupresores orales. En el primer caso, el tiempo de tratamiento ser\u00e1 guiado por la enfermedad hep\u00e1tica. En el segundo caso (infecci\u00f3n oculta), por al menos 6 meses despu\u00e9s del final del tratamiento (si es el caso).<\/p>\n<h2 id=\"h-status-vacinal\" class=\"wp-block-heading\"><strong>Estado vacunal<\/strong><\/h2>\n<p>En lo que respecta al esquema de vacunaci\u00f3n, las vacunas inactivadas son extremadamente seguras e indicadas para todos los pacientes con EII, e idealmente deben administrarse al menos 2 semanas antes del biol\u00f3gico, para no comprometer la respuesta vacunal. Las <strong>vacunas atenuadas est\u00e1n<\/strong> <strong>contraindicadas<\/strong> para los pacientes que ya est\u00e1n en uso de inmunosupresores o biol\u00f3gicos, o que est\u00e1n planeando iniciar tales medicamentos en las pr\u00f3ximas 4 a 6 semanas. Solo podr\u00e1n usar vacunas atenuadas despu\u00e9s de 3 meses de suspensi\u00f3n de tales medicamentos (si es el caso).<\/p>\n<p>Las vacunas inactivadas a considerar en pacientes con EII son: Influenza, Neumoc\u00f3cica, T\u00e9tano\/Difteria (Doble Adulta), Meningococo, Hepatitis A, Hepatitis B (incluso se pueden hacer 4 dosis dobles apuntando a anti-HBs &gt;10), VPH, COVID-19. Recientemente, tambi\u00e9n se lanz\u00f3 la vacuna de herpes zoster inactivada recombinante, permitiendo su uso en pacientes en inmunosupresi\u00f3n o en planificaci\u00f3n de iniciar biol\u00f3gicos, a diferencia de la vacuna disponible hasta entonces que era de virus atenuado.<\/p>\n<p>Refuerzo, las vacunas atenuadas que <strong>no deben<\/strong> hacerse en el escenario de pacientes inmunosuprimidos son: triple viral (sarampi\u00f3n, paperas y rub\u00e9ola), varicela, fiebre amarilla y la versi\u00f3n m\u00e1s antigua de la vacuna de herpes zoster compuesta de virus vivo atenuado.<\/p>\n<h2 id=\"h-referencias\" class=\"wp-block-heading\"><strong>Referencias:<\/strong><\/h2>\n<ol>\n<li>T. Kucharzik et al. ECCO Guidelines on the Prevention, Diagnosis, and Management of Infections in Inflammatory Bowel Disease. Journal of Crohn\u2019s and Colitis, 2021, 879\u2013913<\/li>\n<li>Chebli JMF et al. Preparing Patients With Inflammatory Bowel Diseases For Biological Therapies In Clinical Practice. Journal of Gastroenterology and Hepatology Research 2018; 7(2): 2535-2554<\/li>\n<li>Beaugerie et al. Predicting, Preventing, and Managing Treatment-Related Complications in Patients With Inflammatory Bowel Diseases. Clinical Gastroenterology and Hepatology 2020;18:1324\u20131335<\/li>\n<li>S. Riestra et al. Recommendations of the Spanish Working Group on Crohn\u2019s Disease and Ulcerative Colitis (GETECCU) on screening and treatment of tuberculosis infection in patients with inflammatory bowel disease. Gastroenterolog\u00eda y Hepatolog\u00eda 44 2021 51\u201466<\/li>\n<li>R. Ferreiro-Iglesias et al. Recommendations of the Spanish Group on Crohn\u2019s Disease and Ulcerative Colitis on the importance, screening and vaccination in inflammatory bowel disease patients. Gastroenterolog\u00eda y Hepatolog\u00eda 45 (2022) 805\u2014818<\/li>\n<\/ol>\n<h2 id=\"h-como-citar-este-artigo\" class=\"wp-block-heading\"><strong>C\u00f3mo citar este art\u00edculo<\/strong><\/h2>\n<p class=\"has-background\" style=\"background-color: #dde1e7;\">Vilela PBM, Lista de verificaci\u00f3n para iniciar terapia biol\u00f3gica en EII Gastropedia 2023, Vol 2. Disponible en: gastropedia.com.br\/sem-categoria\/check-list-para-iniciar-terapia-biologica-na-dii\/<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Los pacientes con fenotipo de EII (Enfermedad Inflamatoria Intestinal) moderada a grave y\/o con factores de riesgo para un peor pron\u00f3stico, una vez elegidos para terapia avanzada con biol\u00f3gicos, deben&hellip;<\/p>\n","protected":false},"author":5704,"featured_media":8008,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[18,22],"tags":[],"ano":[137],"tipo":[121],"volumen":[44],"class_list":["post-8022","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-gastroenterologia","category-intestino","ano-137","tipo-temas-generales","volumen-volume-ii"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.2 (Yoast SEO v27.3) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Lista de verificaci\u00f3n para iniciar terapia biol\u00f3gica en la EII - 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