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Publication Name World Journal of Virology
Manuscript ID 121081
DOI 10.5501/wjv.121081
Country India
Category Gastroenterology & Hepatology
Manuscript Type Minireviews
Article Title Herpes zoster vaccination in inflammatory bowel disease: Evidence, guidelines, and reality
Manuscript Source Invited Manuscript
All Author List Manish Manrai, Aditya V Pachisia, Atul A Jha, Rajat Shukla, Vivek Hande and Sandeep Thareja
Funding Agency and Grant Number
Corresponding Author Manish Manrai, AGAF, FRCPE, Professor, Department of Gastroenterology, Command Hospital, Cariappa Road, Lucknow Cantt, Lucknow 226002, Uttar Pradesh, India. manishmanrai75@gmail.com
Key Words Herpes zoster; Shingles; Recombinant zoster vaccine; Inflammatory bowel disease; Immunosuppression; Janus kinase inhibitors; Vaccination; Postherpetic neuralgia; Crohn’s disease; Ulcerative colitis
Core Tip Patients with inflammatory bowel disease (IBD) have an elevated risk of herpes zoster due to disease-related immune dysregulation and the widespread use of immunosuppressive therapies, including corticosteroids, thiopurines, biologics, and Janus kinase inhibitors. Major international guidelines now recommend recombinant zoster vaccine for adults aged ≥ 50 years and for younger adults who are or will be immunosuppressed. The recombinant zoster vaccine, a non-live adjuvanted vaccine, is highly effective and safe in immunocompromised populations, including those with IBD. The vaccination uptake among IBD patients remains low, largely due to gaps in awareness, uncertainty regarding timing around therapy, and cost barriers. In the setting of constrained healthcare resources, a risk-stratified approach is more feasible than blanket vaccination.
Citation Manrai M, Pachisia AV, Jha AA, Shukla R, Hande V, Thareja S. Herpes zoster vaccination in inflammatory bowel disease: Evidence, guidelines, and reality. World J Virol 2026; In press
PDF 121081-in-press.pdf
Received
2026-03-16 03:43
Peer-Review Started
2026-03-16 03:43
First Decision by Editorial Office Director
2026-04-23 08:30
Return for Revision
2026-04-23 08:30
Revised
2026-06-01 19:28
Publication Fee Transferred
Second Decision by Editor
2026-06-29 02:21
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2026-06-29 07:54
Articles in Press
2026-06-29 07:54
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ISSN 2220-3249 (online)
Open Access This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
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