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Pneumonia V: Nursing management and Prevention01:30

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Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
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Enhance airway patency
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Pneumonia I: Introduction01:30

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Pneumonia poses the potential for numerous complications that warrant consideration. These complications include the following:
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Following in Real Time the Impact of Pneumococcal Virulence Factors in an Acute Mouse Pneumonia Model Using Bioluminescent Bacteria
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[Pneumococcal vaccination].

Mathias W Pletz1, Christina Bahrs2,3

  • 1Institut für Infektionsmedizin und Krankenhaushygiene, Universitätsklinikum Jena, Friedrich-Schiller-Universität, Am Klinikum 1, 07747, Jena, Deutschland. mathias.pletz@med.uni-jena.de.

Der Internist
|July 12, 2021
PubMed
Summary
This summary is machine-generated.

Pneumococcal vaccines like PPV23 and PCV13 offer protection against pneumonia. PCV13 provides longer-lasting immunity and herd protection, making it preferable for certain high-risk groups.

Keywords:
Community-acquired pneumoniaConjugate vaccineHerd immunityPolysaccharide vaccineSerotype 3

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Area of Science:

  • Immunology
  • Vaccinology
  • Infectious Diseases

Background:

  • Pneumococci are a leading cause of community-acquired pneumonia and vaccine-preventable deaths globally.
  • Pneumococcal polysaccharide vaccine 23 (PPV23) covers 23 serotypes but lacks immunologic memory and T-cell stimulation.
  • Pneumococcal conjugate vaccine 13 (PCV13) covers fewer serotypes but induces immunologic memory and mucosal immunity, offering herd protection.

Purpose of the Study:

  • To compare the efficacy and immunological memory of PPV23 and PCV13.
  • To inform vaccination recommendations for different populations, including immunocompromised individuals.

Main Methods:

  • Review of existing literature on pneumococcal vaccines (PPV23 and PCV13).
  • Analysis of vaccine characteristics, including serotype coverage, T-cell response, and immunologic memory induction.
  • Evaluation of current vaccination guidelines from the German Standing Commission on Vaccination Practices (STIKO).

Main Results:

  • PPV23 provides good protection against invasive pneumococcal disease but does not establish immunologic memory.
  • PCV13, despite fewer serotypes, induces immunologic memory and mucosal immunity, leading to herd-protective effects.
  • STIKO recommends PPV23 for individuals over 60 and those with comorbidities, with specific sequential vaccination protocols (PCV13 followed by PPV23) for immunocompromised patients.

Conclusions:

  • Sequential vaccination with PCV13 followed by PPV23 is recommended for immunocompromised individuals, those with chronic renal or liver failure due to increased infection risk and limited PPV23 efficacy.
  • PCV13 offers advantages in immunologic memory and herd protection compared to PPV23.
  • Vaccination strategies should consider individual risk factors and vaccine-specific immunological responses.