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Post by kickingfrog on Nov 18, 2011 19:38:53 GMT
The American Journal of Gastroenterology 106, 933-939 (May 2011) | doi:10.1038/ajg.2010.506
Causes of Death in People With Celiac Disease Spanning the Pre- and Post-Serology Era: A Population-Based Cohort Study From Derby, UK
Matthew J Grainge, Joe West, Timothy R Card and Geoffrey K T Holmes
....
CONCLUSIONS:
Mortality in people with celiac disease has not materially changed over the 25 years of this study with the introduction of serological tests to aid diagnosis.
The excess overall mortality we observed was partly explained by deaths from cancer, digestive disease, and respiratory diseases, of which the majority were deaths from pneumonia, supporting existing guidelines that advise pneumococcal vaccination for celiac patients.
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Post by kickingfrog on Oct 24, 2012 13:14:56 GMT
************************** Primary Care Society for Gastroenterology Coeliac Disease Patients should be considered for: · Vaccination against pneumococcus and Haemophilus influenzae type b ... · Vaccination against influenza ...· Guidance about the increased risks attached to tropical infections e.g. malaria Read more: coeliac.proboards.com/index.cgi?board=about&action=display&thread=1267#ixzz2ACv3Gua7 ************* Patient.co.uk Having coeliac disease can cause your spleen to work less effectively, making you more vulnerable to infection from certain germs. You may therefore need to have several immunisations including: The flu (influenza) jab. The Hib vaccine - which protects against blood poisoning, pneumonia, and Hib meningitis. The pneumococcal vaccine - which protects against infections caused by the bacterium Streptococcus pneumoniae. |
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Post by kickingfrog on Oct 24, 2012 16:10:17 GMT
Pneumococcal vaccinePneumococcal disease is an infection caused by a bacterium that usually lives harmlessly at the back of many people’s throats. However, it can invade other parts of the body and cause serious, possibly life-threatening illnesses including pneumonia, septicaemia or meningitis. The Department of Health recommends a vaccination for pneumococcal disease for: infants people aged 65 and over people aged between 2 and 65 years of age who are at higher risk from pneumococcal disease, including individuals with a damaged or absent spleen children and adults with certain long term health conditions such as serious heart, liver and kidney conditions and diabetes. Some people with coeliac disease are ‘hyposplenic’, that is, they have a spleen which does not function very well. This potentially puts them at risk of pneumococcal infections and those people who are known to be hyposplenic should receive the pneumococcal vaccine and also vaccines to meningitis C and influenza. However, the Department of Health has not made a universal recommendation to everyone with coeliac disease, but rather recommends that clinical assessments are made on an individual basis. Based on advice from our Health Advisory Committee, Coeliac UK recommends that everyone with coeliac disease is vaccinated against pneumococcal infection. This is based upon the potential for people with coeliac disease to develop overwhelming pneumococcal sepsis due to hyposplenism. Since 2006, all infants receive vaccination against pneumococcal infection as part of the routine childhood immunisation programme. Therefore, at the moment this recommendation will require a one-off vaccination for children and adults born before 2006. Seasonal FluIf you have coeliac disease, vaccination against seasonal flu needs to be considered on an individual basis. If you are concerned about this issue, your GP is best placed to discuss this with you. It is also recommended that pregnant women are offered the seasonal flu vaccination. If you are concerned about vaccinations, Coeliac UK advise that you speak to your GP. You can also find more information on the NHS Choices website www.coeliac.org.uk/gluten-free-diet-lifestyle/vaccinations
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Post by kickingfrog on Oct 24, 2012 16:16:50 GMT
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