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

...atment...

...acologic Therapies...

...cussion of healthy, age-appropriate diet is stro...

Use of a specific diet to treat JIA is s...

...lemental or herbal interventions spe...

...al and occupational therapy (PT/OT) are condition...


...ication Monitoring...

...roidal anti-inflammatory drugs (NSAIDS): Mo...

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

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

...ic/folinic acid in conjunction with me...

...alazine: Monitoring via CBC counts, LFTs, and re...

...ng the sulfasalazine dosage or withho...

...flunomide: Monitoring via CBC counts and...

...ltering leflunomide administration is conditiona...

...aseline and annual retinal screening after st...

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

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

Abatacept: Doing no routine laboratory mo...

...ng via CBC counts and LFTs within the first 1...

...lipid levels every 6 months is conditional...

...g tocilizumab administration is con...

...akinra: Monitoring via CBC counts and LF...

...Monitoring via CBC counts and LFTs within the fir...

...via CBC counts and LFTs within the...

...oring of lipid levels 1–2 months aft...

...tofacitinib administration is strongly recomm...


...ection Surveillance/Immunizations

...consensus achieved. ( Very l...

...munization is conditionally recommended f...

...is (TB) screening is conditionally recommended p...

...ns (live and inactivated) are stron...

...inactivated influenza immunization is stron...

...ed vaccines are strongly recommended for children...

...ve attenuated vaccines are conditionally recom...

...ongly recommended for household contact...


...magin...

...ographs as a screening test prior to...

...ce is conditionally recommended for use with in...


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...MonitoringaHaving trouble viewing table? Expand...