Juvenile Idiopathic Arthritis — Non-Pharmacologic Therapies, Medication Monitoring, Immunizations, and Imaging

Publication Date: February 24, 2022

Key Points

Key Points

These treatment recommendations emphasize:
  • Non-pharmacologic therapies
  • Tailored monitoring for medication toxicity by pharmacologic agent
  • Importance of immunizations for all children with juvenile idiopathic arthritis ( JIA)
  • Judicious use of imaging modalities
  • Importance of shared decision-making with the patient/caregiver

Treatment

...reatment

...on-Pharmacologic Therapies...

...cussion of healthy, age-appropriate die...

...f a specific diet to treat JIA is strongly recomme...

...supplemental or herbal interventions sp...

...ccupational therapy (PT/OT) are con...


Medication Monitorin...

...eroidal anti-inflammatory drugs (NSAIDS): Monit...

...onitoring via CBC counts, LFTs, and r...

...ng the methotrexate dosage or withholding...

...folinic acid in conjunction with methot...

...zine: Monitoring via CBC counts, LFTs, and...

...creasing the sulfasalazine dosage or withholdi...

...nomide: Monitoring via CBC counts and LFTs withi...

...eflunomide administration is conditi...

...aseline and annual retinal screening aft...

...loroquine: Monitoring via CBC counts and LFTs a...

...is factor inhibitors (TNFi): Monitoring via CBC...

...t: Doing no routine laboratory monitoring is con...

...ia CBC counts and LFTs within the first 1–2 mon...

...nitoring of lipid levels every 6 mo...

...umab administration is conditionally recomme...

Anakinra: Monitoring via CBC counts a...

...kinumab: Monitoring via CBC counts...

...onitoring via CBC counts and LFTs with...

...lipid levels 1–2 months after starting treatmen...

...g tofacitinib administration is stro...


...ion Surveillance/Immuniza...

...sensus achieved. ( Very low , )608...

Immunization is conditionally recommended...

...B) screening is conditionally recommended prior...

...ns (live and inactivated) are strongly recomm...

Annual inactivated influenza immunization...

...ccines are strongly recommended for...

...attenuated vaccines are conditionally recommended...

...ines are strongly recommended for household c...


...aging...

...f radiographs as a screening test prior t...

...idance is conditionally recommended for use with...


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