Secondary prevention
Patients who continue to smoke cigarettes should be counselled to quit (see Smoking cessation). University of Virginia Health System: idiopathic pulmonary fibrosis Opens in new window
Vaccination schedules vary by location; consult local guidance for recommendations. Further information on recommended US and UK vaccines, including special patient groups, can be found in their respective vaccination schedules. CDC: adult immunization schedule by medical condition and other indication Opens in new window[163] Immunisations against pneumococcal pneumonia and influenza are typically required.
Various inhaled agents (e.g., vapours, gas, dust, and fumes; metal dust; wood [pine] dust; silica dust; and agricultural dust) and toxic medications (e.g., bleomycin, amiodarone, acetylsalicylic acid, methotrexate, busulfan, mitomycin) may result in additional irreversible lung injury. These should be avoided or withdrawn to prevent deterioration.[91]
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