A 49-year-old woman has rheumatoid arthritis treated with methotrexate. She is stable and planning to travel to visit family in a tuberculosis-endemic...

Question

A 49-year-old woman has rheumatoid arthritis treated with methotrexate. She is stable and planning to travel to visit family in a tuberculosis-endemic country. According to Canadian vaccination guidance, which immunisation strategy is most appropriate?

Accepted Answer

Update inactivated vaccines such as influenza and pneumococcal vaccines before travel

Answer

Administer live attenuated zoster vaccine while she remains on methotrexate

Answer

Avoid all vaccines because of immunosuppression

Answer

No vaccinations are necessary for travel

Answer

Stop methotrexate abruptly and give multiple live vaccines immediately before travel

ca-mccqe1 MCQ (SBA): Vaccination in immunosuppressed traveller

A 49-year-old woman has rheumatoid arthritis treated with methotrexate. She is stable and planning to travel to visit family in a tuberculosis-endemic country. According to Canadian vaccination guidance, which immunisation strategy is most appropriate?