Chinese Journal of Pharmacovigilance ›› 2018, Vol. 15 ›› Issue (11): 682-685.

• Orginal Article • Previous Articles     Next Articles

Literature Analysis of Tuberculosis Induced by Adalimumab

CAI Jun1, WEI Jing2, JI Liwei3, *   

  1. 1 Department of Pharmacy, Nanjing Drum Tower Hospital Affiliated to Medical College of Nanjing University, Jiangsu Nanjing 210008, China;
    2 Jiangsu Province Hospital of TCM Affiliated to Nanjing University of Chinese Medicine, Jiangsu Nanjing 210029, China;
    3 Beijing Hospital, National Center of Gerontology, Beijing 100730, China
  • Received:2019-01-09 Revised:2019-01-09 Online:2018-11-20 Published:2019-01-09

Abstract: Objective To investigate the characteristics and patterns of tuberculosis induced by adalimumab, to find its risk factors and provide technical support for safe and rational use of drugs in clinic. Methods Literatures of tuberculosis induced by adalimumab published until July 2018 were retrieved from CNKI, Wanfang database, VIP Chinese full-text database and Pubmed. According to inclusion and exclusion criteria, the literatures were analyzed. Results A total of 39 papers, 39 cases were included. The proportion of tuberculosis occurring in men was almost the same as women. Patients aged over 40 years old had the highest percentage(79.49%), and the primary disease was rheumatoid arthritis (41.02%). The rate of tuberculosis screening before medication was 97.44%. The incidence of extrapulmonary tuberculosis was 53.85%. 94.87% patients suffered tuberculosis within 3 years after drug use. One patient (2.56%) died. Conclusion Attention of medical staff should be paid to the risk of tuberculosis induced by adalimumab, and the rational follow-up should be made to ensure the safe drug use in clinic.

Key words: adalimumab, tuberculosis, literature analysis

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