Evidence map›Paper›PMID 42853403›Full record

ReviewRheumatology international2026

Infectious comorbidities in pregnant patients with rheumatic diseases.

Kenzhekul Konysbayeva, Dinara Yerlanova, Dinara Makhanbetkulova, Umida Khojakulova, Ahmet Usen, Yuliya Fedorchenko

Abstract readReview
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In one paragraph

Review in Rheumatology international, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Kenzhekul KonysbayevaScientific Center for Innovative Technologies and Research, Almaty, Kazakhstan.ORCID https://orcid.org/0009-0006-8989-4208
Dinara YerlanovaDepartment of Chemical Disciplines, Biology and Biochemistry, South Kazakhstan Medical Academy, Shymkent, Kazakhstan.ORCID https://orcid.org/0009-0003-5714-2325
Dinara MakhanbetkulovaDepartment of Nursing, Asfendiyarov Kazakh National Medical University, Almaty, Kazakhstan.ORCID https://orcid.org/0000-0001-9524-2675
Umida KhojakulovaDepartment of Emergency Medicine and Nursing, South Kazakhstan Medical Academy, Shymkent, Kazakhstan.ORCID https://orcid.org/0009-0004-6967-4641
Ahmet UsenDepartment of Physical Medicine and Rehabilitation, Medipol University Faculty of Medicine, Istanbul, Türkiye.ORCID https://orcid.org/0000-0002-2754-1232
Yuliya FedorchenkoDepartment of Pathophysiology, Ivano-Frankivsk National Medical University, Halytska Str. 2, Ivano-Frankivsk, 76018, Ukraine. yufedorchenko@ifnmu.edu.ua.ORCID http://orcid.org/0000-0002-5042-1191

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pregnancy fundamentally reshapes maternal immunity, creating a state of immune tolerance that simultaneously increases susceptibility to infections. In women with rheumatic diseases (RDs), this vulnerability is further amplified by underlying autoimmune dysregulation and immunosuppressive therapies. Infectious comorbidities in this population represent a major challenge as they may precipitate rheumatic disease flares, contribute to maternal morbidity, and adversely affect pregnancy, including miscarriage, preterm birth, fetal growth restriction, and neonatal complications. This review aims to overview current evidence on infectious comorbidities in pregnant patients with RDs, with a focus on rheumatoid arthritis, systemic lupus erythematosus, systemic sclerosis, and primary Sjögren syndrome. Disease-specific infection patterns and their impact on maternal and fetal outcomes are discussed. Literature searches were performed in Medline/PubMed, Scopus, Web of Science, and Directory of Open Access Journals (DOAJ) to identify documents on infections, prevention, and outcomes in pregnant women with RDs published up to September 2026. The influence of pregnancy-related immune modulation and immunosuppressive treatments, including corticosteroids, disease-modifying antirheumatic drugs, and biologic agents, on infection risk is examined. Preventive strategies, including preconception counseling, vaccination, targeted screening, and multidisciplinary management, are also addressed. Available evidence suggests that infectious comorbidities remain underrecognized in pregnancy counseling for women with RDs. Early risk stratification, individualized adjustment of immunosuppressive therapy, and close collaboration between rheumatologists, obstetricians, and infectologists are essential to optimize maternal and fetal outcomes.

Indexed as

Pregnancy ComplicationsPregnancy Complications, InfectiousRheumatic DiseasesAntirheumatic AgentsComorbidityFemaleHumansImmunosuppressive AgentsPregnancyPregnancy OutcomeAntirheumatic AgentsImmunosuppressive AgentsImmunosuppressive agentsInfection riskMaternal–fetal outcomesPregnancyRheumatic diseases

Identifiers

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.