IBD Preventative Care

Question 1

All adult patients w/ IBD should undergo annual vaccination against influenza

Answer 1

conditional, very low evidence

Question 2

Those on immunosuppressive therapies and their household contacts should receive the non-live trivalent inactivated influenza vaccine, but not the live inhaled influenza vaccine

Answer 2

conditional, very low evidence

Question 3

Adult patients w/ IBD receiving immunosuppressive therapy should receive pneumococcal vaccination w/ both the PCV13 and PPSV23

Answer 3

conditional, very low evidence

Question 4

Adults w/ IBD over the age of 50 should consider vaccination against herpes zoster, including certain subgroups of immunosuppressed patients

Answer 4

strong, low evidence

Question 5

Adults w/ IBD should be assessed for prior exposure to varicella and vaccinated if naive before initiation of immunosuppressive therapy when possible

Answer 5

conditional, very low evidence

Question 6

Patient w/ IBD who are immunosuppressed and traveling to endemic areas for yellow fever should consult w/ a travel medicine or ID specialist prior to travel

Answer 6

conditional, very low evidence

Question 7

Adolescents with IBD should receive meningococcal vaccination in accordance w/ routine vaccination recommendations

Answer 7

conditional, very low evidence

Question 8

Household members of immunosuppressed patients can receive liver vaccines w/ certain precautions

Answer 8

conditional, very low evidence

Question 9

Adults w/ IBD should receive age-appropriate vaccinations before initiation of immune suppression when possible

Answer 9

conditional, very low evidence

Question 10

Vaccination against Tdap, HAV, HBV, and HPV should be administered as per Advisory Committee on Immunization Practice guidelines

Answer 10

conditional, very low evidence

Question 11

Women w/ IBD on immunosuppressive therapy should undergo annual cervical cancer screening

Answer 11

conditional, very low evidence

Question 12

Screening for depression and anxiety is recommended in patients w/ IBD

Answer 12

conditional, low evidence

Question 13

Patients w/ IBD should undergo screening for melanoma independent of the use of biologic therapy

Answer 13

strong, low evidence

Question 14

IBD patients on immunomodulators (6-MP or azathioprine) should undergo screening for NMSC while using these agents, particularly over the age of 50

Answer 14

strong, low evidence

Question 15

Patients w/ conventional risk factors for abnormal bone mineral density w/ UC and CD should undergo screening for osteoporosis w/ BMD testing at the time of diagnosis and periodically after diagnosis

Answer 15

conditional, very low evidence

Question 16

Patients w/ CD who smoke should be counseled to quit

Answer 16

strong, low evidence