<?xml version="1.0" encoding="UTF-8"?>
<article xmlns:xlink="http://www.w3.org/1999/xlink" xml:lang="en" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
  <front>
    <journal-meta>
      <journal-id journal-id-type="ojs">journal</journal-id>
      <journal-title-group>
        <journal-title xml:lang="en">Journal For International Medical Graduates</journal-title>
        <abbrev-journal-title xml:lang="en">Journal For International Medical Graduates</abbrev-journal-title>
      </journal-title-group>
      <publisher>
        <publisher-name>California Institute of Behavioral Neurosciences and Psychology</publisher-name>
        <publisher-loc>
          <country>US</country>
          <uri>https://www.cibnp.com</uri>
        </publisher-loc>
      </publisher>
      <issn pub-type="epub">2832-9864</issn>
      <self-uri xlink:href="https://www.jimgs.com/ojs/index.php/journal"/>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="publisher-id">38</article-id>
      <article-categories>
        <subj-group xml:lang="en" subj-group-type="heading">
          <subject>Articles</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title xml:lang="en">Risk of Infections in Patients Using Anti-TNF Medications: A Literature Review</article-title>
      </title-group>
      <contrib-group content-type="author">
        <contrib corresp="yes">
          <name-alternatives>
            <string-name specific-use="display">Asokan Santhosh Ram</string-name>
            <name name-style="western" specific-use="primary">
              <surname>Santhosh Ram</surname>
              <given-names>Asokan</given-names>
            </name>
          </name-alternatives>
          <email>asokan.santhosh.ram@jimgs.com</email>
          <xref ref-type="aff" rid="aff-1"/>
        </contrib>
      </contrib-group>
      <aff id="aff-1">
        <institution-wrap>
          <institution content-type="orgname">California Institute of Behavioral Neurosciences and Psychology (United States)</institution>
          <institution-id institution-id-type="ROR">https://ror.org/01ytd2n62</institution-id>
        </institution-wrap>
      </aff>
      <pub-date date-type="pub" publication-format="epub">
        <day>28</day>
        <month>09</month>
        <year>2022</year>
      </pub-date>
      <pub-history>
        <event event-type="received">
          <event-desc>Received: <date date-type="received" iso-8601-date="2022-09-28T04:02:11+00:00"><day>28</day><month>9</month><year>2022</year></date></event-desc>
        </event>
      </pub-history>
      <permissions>
        <copyright-statement>Copyright (c) 2022 Journal For International Medical Graduates</copyright-statement>
        <copyright-year>2022</copyright-year>
        <copyright-holder>Journal For International Medical Graduates</copyright-holder>
      </permissions>
      <self-uri xlink:href="https://www.jimgs.com/ojs/index.php/journal/article/view/38"/>
      <kwd-group xml:lang="en">
        <kwd>Autoimmune Rheumatic Disorders (ARDs)</kwd>
        <kwd>bDMARDs (biologic DMARDs)</kwd>
        <kwd>Infection risk</kwd>
        <kwd>Rheumatoid Arthritis (RA)</kwd>
        <kwd>TNF inhibitors &amp; vaccination</kwd>
      </kwd-group>
      <custom-meta-group>
        <custom-meta>
          <meta-name>production-ready-file-url</meta-name>
          <meta-value>
            <ext-link ext-link-type="uri" xlink:href="https://www.jimgs.com/ojs/index.php/journal/jatsTemplate/download?submissionFileId=136&amp;fileId=92&amp;submissionId=38&amp;stageId=5"/>
          </meta-value>
        </custom-meta>
      </custom-meta-group>
    </article-meta>
  </front>
  <body/>
  <back>
    <ref-list>
      <ref id="R1">
        <mixed-citation>Pap, M., Sapina, I., Laktašić Žerjavić, N., et al. (2021). Anti-TNF Therapy and the Risk of Malignancies and Infections in Inflammatory Rheumatic Diseases -Our Experience. Psychiatria Danubina, 33(Suppl 4), 625–631.</mixed-citation>
      </ref>
      <ref id="R2">
        <mixed-citation>Wasson, N. J., Varley, C. D., Schwab, P., Fu, R., &amp; Winthrop, K. L. (2013). "Serious skin &amp; soft tissue infections in rheumatoid arthritis patients taking anti-tumor necrosis factor alpha drugs: a nested case-control study". BMC infectious diseases, 13, 533. https://doi.org/10.1186/1471-2334-13-533</mixed-citation>
      </ref>
      <ref id="R3">
        <mixed-citation>Chiu, Y.-M., Lang, H.-C., Lin, H.-Y., et al. (2014), Risk of tuberculosis, serious infection and lymphoma with disease-modifying biologic drugs in rheumatoid arthritis patients in Taiwan. Int J Rheum Dis, 17: 9-19. https://doi.org/10.1111/1756-185X.12539</mixed-citation>
      </ref>
      <ref id="R4">
        <mixed-citation>Downey, C. (2016), Serious infection during etanercept, infliximab and adalimumab therapy for rheumatoid arthritis: A literature review. Int J Rheum Dis, 19: 536-550. https://doi.org/10.1111/1756-185X.12659</mixed-citation>
      </ref>
      <ref id="R5">
        <mixed-citation>Singh J. A. (2016). Infections With Biologics in Rheumatoid Arthritis and Related Conditions: a Scoping Review of Serious or Hospitalized Infections in Observational Studies. Current rheumatology reports, 18(10), 61. https://doi.org/10.1007/s11926-016-0609-5</mixed-citation>
      </ref>
      <ref id="R6">
        <mixed-citation>Atzeni, F., Gianturco, L., Talotta, R., Varisco, V., Ditto, M. C., Turiel, M., &amp; Sarzi-Puttini, P. (2015). Investigating the potential side effects of anti-TNF therapy for rheumatoid arthritis: cause for concern?. Immunotherapy, 7(4), 353–361. https://doi.org/10.2217/imt.15.4</mixed-citation>
      </ref>
      <ref id="R7">
        <mixed-citation>Chandrashekara, S., Shobha, V., Rao, V., et al. (2019). Incidence of infection other than tuberculosis in patients with autoimmune rheumatic diseases treated with bDMARDs: a real-time clinical experience from India. Rheumatology international, 39(3), 497–507. https://doi.org/10.1007/s00296-019-04245-4</mixed-citation>
      </ref>
      <ref id="R8">
        <mixed-citation>Kisacik, B., Pamuk, O. N., Onat, A. M., et al. (2016). Characteristics Predicting Tuberculosis Risk under Tumor Necrosis Factor-α Inhibitors: Report from a Large Multicenter Cohort with High Background Prevalence. The Journal of rheumatology, 43(3), 524–529. https://doi.org/10.3899/jrheum.150177</mixed-citation>
      </ref>
      <ref id="R9">
        <mixed-citation>Sakai, R., Komano, Y., Tanaka, M., et al., … Real Study Group (2012). Time-dependent increased risk for serious infection from continuous use of tumor necrosis factor antagonists over three years in patients with rheumatoid arthritis. Arthritis care &amp; research, 64(8), 1125–1134. https://doi.org/10.1002/acr.21666</mixed-citation>
      </ref>
      <ref id="R10">
        <mixed-citation>Curtis, J. R., Xie, F., Chen, L., et al. (2012). Use of a disease risk score to compare serious infections associated with anti-tumor necrosis factor therapy among high- versus lower-risk rheumatoid arthritis patients. Arthritis care &amp; research, 64(10), 1480–1489. https://doi.org/10.1002/acr.21805</mixed-citation>
      </ref>
      <ref id="R11">
        <mixed-citation>Liao, H., Zhong, Z., Liu, Z., &amp; Zou, X. (2017). Comparison of the risk of infections in different anti-TNF agents: a meta-analysis. International journal of rheumatic diseases, 20(2), 161–168. https://doi.org/10.1111/1756-185X.12970</mixed-citation>
      </ref>
      <ref id="R12">
        <mixed-citation>Chiu, Y. M., &amp; Chen, D. Y. (2020). Infection risk in patients undergoing treatment for inflammatory arthritis: non-biologics versus biologics. Expert review of clinical immunology, 16(2), 207–228. https://doi.org/10.1080/1744666X.2019.1705785</mixed-citation>
      </ref>
      <ref id="R13">
        <mixed-citation>Germano, V., Cattaruzza, M. S., Osborn, J., Tarantino, A., Di Rosa, R., Salemi, S., &amp; D'Amelio, R. (2014). Infection risk in rheumatoid arthritis and spondyloarthropathy patients under treatment with DMARDs, corticosteroids and TNF-α antagonists. Journal of translational medicine, 12, 77. https://doi.org/10.1186/1479-5876-12-77</mixed-citation>
      </ref>
      <ref id="R14">
        <mixed-citation>Y Wu &amp; B P Zhou. (2010). TNF-α/NF-κB/Snail pathway in cancer cell migration and invasion. British Journal of Cancer, 102, 639–644. https://www.nature.com/articles/6605530</mixed-citation>
      </ref>
      <ref id="R15">
        <mixed-citation>Goel, N., Torralba, K., Downey, C., &amp; Salto, L. (2020). Screening for acquired latent tuberculosis in rheumatoid arthritis patients on tumor necrosis factor inhibition therapy in Southern California. Clinical rheumatology, 39(8), 2291–2297. https://doi.org/10.1007/s10067-020-04991-y</mixed-citation>
      </ref>
      <ref id="R16">
        <mixed-citation>Soare, A., Gheorghiu, A. M., Aramă, V., et al. (2018). Risk of active tuberculosis in patients with inflammatory arthritis receiving TNF inhibitors: a look beyond the baseline tuberculosis screening protocol. Clinical rheumatology, 37(9), 2391–2397. https://doi.org/10.1007/s10067-017-3916-y</mixed-citation>
      </ref>
      <ref id="R17">
        <mixed-citation>Minozzi, S., Bonovas, S., Lytras, T., et al. (2016). Risk of infections using anti-TNF agents in rheumatoid arthritis, psoriatic arthritis, and ankylosing spondylitis: a systematic review and meta-analysis. Expert opinion on drug safety, 15(sup1), 11–34. https://doi.org/10.1080/14740338.2016.1240783</mixed-citation>
      </ref>
      <ref id="R18">
        <mixed-citation>Brode, S. K., Jamieson, F. B., Ng, R., et al. (2015). Increased risk of mycobacterial infections associated with anti-rheumatic medications. Thorax, 70(7), 677–682. https://doi.org/10.1136/thoraxjnl-2014-206470</mixed-citation>
      </ref>
      <ref id="R19">
        <mixed-citation>Galloway, J. B., Mercer, L. K., Moseley, A., et al. (2013). Risk of skin and soft tissue infections (including shingles) in patients exposed to anti-tumour necrosis factor therapy: results from the British Society for Rheumatology Biologics Register. Annals of the rheumatic diseases, 72(2), 229–234. https://doi.org/10.1136/annrheumdis-2011-201108</mixed-citation>
      </ref>
      <ref id="R20">
        <mixed-citation>Winthrop, K. L., Baddley, J. W., Chen, L., et al. (2013). Association between the initiation of anti-tumor necrosis factor therapy and the risk of herpes zoster. JAMA, 309(9), 887–895. https://doi.org/10.1001/jama.2013.1099</mixed-citation>
      </ref>
      <ref id="R21">
        <mixed-citation>Skalkou, A., Manoli, S. M., Sachinidis, A., et al. (2018). Pyoderma gangrenosum and pyogenic arthritis presenting as severe sepsis in a rheumatoid arthritis patient treated with golimumab. Rheumatology international, 38(1), 161–167. https://doi.org/10.1007/s00296-017-3861-8</mixed-citation>
      </ref>
      <ref id="R22">
        <mixed-citation>Giardina, A. R., Ferraro, D., Ciccia, F., Ferrante, A., Di Stefano, R., Craxì, A., &amp; Triolo, G. (2013). No detection of occult HBV-DNA in patients with various rheumatic diseases treated with anti-TNF agents: a two-year prospective study. Clinical and experimental rheumatology, 31(1), 25–30.</mixed-citation>
      </ref>
      <ref id="R23">
        <mixed-citation>Lee, Y. H., Bae, S. C., &amp; Song, G. G. (2013). Hepatitis B virus (HBV) reactivation in rheumatic patients with hepatitis core antigen (HBV occult carriers) undergoing anti-tumor necrosis factor therapy. Clinical and experimental rheumatology, 31(1), 118–121.</mixed-citation>
      </ref>
      <ref id="R24">
        <mixed-citation>Aikawa, N. E., Rosa, D. T., Del Negro, G. M., et al. (2016). Systemic and localized infection by Candida species in patients with rheumatic diseases receiving anti-TNF therapy. Revista brasileira de reumatologia, 56(6), 478–482. https://doi.org/10.1016/j.rbre.2015.08.004</mixed-citation>
      </ref>
      <ref id="R25">
        <mixed-citation>Cavazzana, I., Taraborelli, M., Fredi, M., Tincani, A., &amp; Franceschini, F. (2014). Aseptic meningitis occurring during anti-TNF-alpha therapy in rheumatoid arthritis and ankylosing spondylitis. Clinical and experimental rheumatology, 32(5), 732–734.</mixed-citation>
      </ref>
      <ref id="R26">
        <mixed-citation>Liang, S. J., Zheng, Q. Y., Yang, Y. L., Yang, Y., &amp; Liu, C. Y. (2017). Use of etanercept to treat rheumatoid arthritis in an HIV-positive patient: a case-based review. Rheumatology international, 37(7), 1207–1212. https://doi.org/10.1007/s00296-017-3690-9</mixed-citation>
      </ref>
    </ref-list>
  </back>
</article>
