TNF and infection: An early systematic review of risk of serious infections in 5014 patients with RA taking anti-TNF therapy (infliximab and adalimumab with etanercept excluded due to differences in structure) in placebo-controlled trials found that serious infections requiring anti-microbial therapy or hospitalization occurred in 126 patients in the treatment arm and 26 patients on placebo (Bongartz et al., 2006).