在马德里一家三级医院的侵入性肺炎球菌病:我们正确使用肺炎球菌疫苗吗?
María Isabel Serrano-Tomás1, Margarita Cabello1, Paloma Moreno-Nuñez2
1Servicio de Microbiología Clínica, Hospital Universitario Ramón y Cajal, Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, Spain.
概括
侵袭性肺炎球菌病 (IPD) 是一个严重的问题,特别是在成年人中. 这项研究发现,接种疫苗的坚持率很低,这突显了预防IPD爆发的关键差距.
科学领域:
- 传染性疾病 传染性疾病
- 流行病学 流行病学
- 疫苗学 疫苗学 疫苗学
背景情况:
- 侵入性肺炎球菌病 (IPD) 是一个严重的公共卫生问题.
- 了解IPD的流行病学对于有效的预防策略至关重要.
研究的目的:
- 描述2019-2021年期间马德里北部IPD的流行病学.
- 评估疫苗接种计划在该人群中预防IPD的充分性.
主要方法:
- 追溯收集临床,实验室和疫苗接种数据.
- 使用EUCAST指南进行抗菌敏感性测试.
- 通过Pneumotest-agglutination/Quellung进行的血清型鉴定.
主要成果:
- 确定了103名IPD患者 (平均年龄71岁),细菌病率高 (85.4%) 和死亡率高 (19.4%).
- 主导的血清型是8 (29.9%),3和22F (8%),所有这些都是对抗生素敏感的.
- 在符合条件的成年人中,接种疫苗的坚持率低 (10.5%),许多病例涉及非疫苗可预防的血清型.
结论:
- 马德里北部的IPD以抗生素敏感血清型8为特征,影响有风险的成年人.
- 尽管有建议,但接种疫苗的坚持率仍然非常低.
- 这些发现强调了需要改进的疫苗接种策略来解决IPD.
相关概念视频
Pneumonia III: Complications and Assessment
131
Pneumonia poses the potential for numerous complications that warrant consideration. These complications include the following:
131
Pneumonia IV: Management
276
The treatment of pneumonia varies based on its severity and the causative pathogen. Here is a structured approach to managing pneumonia, integrating pharmaceutical and supportive care strategies.
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
276
Pneumonia V: Nursing management and Prevention
1.7K
Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
1.7K
Pneumonia I: Introduction
199
Pneumonia is an acute respiratory infection that targets the lungs, specifically the alveoli. These tiny air sacs, essential for oxygen exchange, become engorged with pus and fluid, severely hindering breathing, decreasing oxygen absorption, and causing significant pain and discomfort during respiration.
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
199
Transmission-based Precautions II: Airborne and Protective Environment
1.2K
Transmission-based precautions are for patients infected or suspected to be infected (or colonized) with organisms posing a significant risk to others. The transmission precautions include airborne and protective environment precautions.
Airborne precautions:
Use airborne precautions when treating patients known or suspected to have diseases that spread through the air—for example, tuberculosis or measles. These organisms are present in smaller droplets expelled by an infected person and...
Airborne precautions:
Use airborne precautions when treating patients known or suspected to have diseases that spread through the air—for example, tuberculosis or measles. These organisms are present in smaller droplets expelled by an infected person and...
1.2K


