[Pneumococcal disease in old patients suffering from respiratory diseases]
1Service de pneumologie, CHU de Bordeaux Haut-Lévêque, Bordeaux, France.
Abstract:
Patients with respiratory diseases are at increased risk of severe respiratory infections. The risk factor of "respiratory disease" is cumulative with the risk factor of "age," resulting in a higher incidence of pneumococcal infections, which are associated with high mortality as well as later complications such as cardiovascular events and loss of functional independence.Streptococcus pneumoniae remains the leading bacterial cause of community-acquired acute pneumonia and must be covered by initial empiric antibiotic therapy.These infections can be prevented by vaccination, which is simple, effective, and well tolerated. Vaccination coverage remains insufficient, partly due to missed opportunities. Scientific societies are mobilizing to promote vaccine prescription through the development of vaccination guidelines.
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