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

Publication Date: February 23, 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

...harmacologic Therapies...

...n of healthy, age-appropriate diet is str...

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

...plemental or herbal interventions sp...

...hysical and occupational therapy (PT/OT) are con...


...ication Monitoring...

Non-steroidal anti-inflammatory drugs (NSAI...

...hotrexate: Monitoring via CBC counts, LF...

...ethotrexate dosage or withholding methotrexa...

...of folic/folinic acid in conjunction with methot...

...ne: Monitoring via CBC counts, LFTs, and ren...

...ulfasalazine dosage or withholding sulfasal...

...itoring via CBC counts and LFTs with...

...lunomide administration is conditional...

Baseline and annual retinal screening after s...

...oxychloroquine: Monitoring via CBC counts and...

...ecrosis factor inhibitors (TNFi): Monitoring via C...

...g no routine laboratory monitoring is conditi...

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

...onitoring of lipid levels every 6 month...

...umab administration is conditional...

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

...akinumab: Monitoring via CBC counts and LFTs...

...a CBC counts and LFTs within the first 1–2 month...

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

...tofacitinib administration is stro...


...nfection Surveillance/Im...

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

...n is conditionally recommended for children...

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

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

...ual inactivated influenza immunizat...

...activated vaccines are strongly recommended for...

...vaccines are conditionally recomme...

...rongly recommended for household c...


...magin...

...adiographs as a screening test prior to advanced i...

...dance is conditionally recommended for u...


...ventionsHaving trouble viewing table? Expand...


...onitoringaHaving trouble viewing table? Expand...