{"id":17857,"date":"2022-12-14T14:44:18","date_gmt":"2022-12-14T14:44:18","guid":{"rendered":"https:\/\/msdconecta.co.cr\/es\/?page_id=17857"},"modified":"2023-02-08T02:19:52","modified_gmt":"2023-02-08T02:19:52","slug":"cuando-recomendar-la-vacuna-de-gardasil-9","status":"publish","type":"page","link":"https:\/\/msdconecta.co.cr\/es\/cuando-recomendar-la-vacuna-de-gardasil-9\/","title":{"rendered":"\u00bfCu\u00e1ndo recomendar la vacuna de Gardasil 9?"},"content":{"rendered":"<div class=\"mhh-mcn-columns mhh-mcn-columns--align-center mhh-mcn-columns--vertical-alignment-center mhh-mcn-v1-columns--ad3c4df658253dc41e78f7038c0f58e0 mhh-mcn-v1-columns mhh-mcn-columns--gutter-m\">\n    <div class=\"mhh-mcn-columns-inner\">\n        \n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--c55f2304030e9e2cad575a03d2cf5287 mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-12 mhh-mcn-column--l-8\">\n    \n<figure class=\"mhh-mcn-v1-image mhh-mcn-v1-image--align-center mhh-mcn-v1-image--90d748f40c4125ed4a8a03dcb9a95712\">\n                    <img loading=\"lazy\" decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--full wp-image-17858\"\n        src=\"https:\/\/msdconecta.co.cr\/es\/wp-content\/uploads\/sites\/77\/2022\/12\/1055-\u00bfCua\u0301ndo-recomendar-la-vacuna-de-Gardasil-9_-copia-01.png?quality=80&#038;lossy=1\"\n        width=\"1024\"\n        height=\"683\"\n                alt=\"\"\n            \/>\n            <\/figure>\n\n<\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--5c94faf9346eaa1742bd254ee4879523 mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-12 mhh-mcn-column--l-4\">\n    \n\n<h1 class=\"has-teal-500-color has-text-color has-object-object-font-size wp-block-heading mhh-mcn-v1-heading--left mhh-mcn-v1-heading mhh-mcn-v1-heading--f9907a609406911b83f33e3c08bad769\">Aproveche cada oportunidad para recomendar <sup>1<\/sup><\/h1>\n\n\n<figure class=\"mhh-mcn-v1-image mhh-mcn-v1-image--align-center mhh-mcn-v1-image--8fa09072af938a1057260d149ff73383\">\n                    <img decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--full wp-image-17887\"\n        src=\"https:\/\/msdconecta.co.cr\/es\/wp-content\/uploads\/sites\/77\/2022\/12\/logo-gardasil9.png?quality=80&#038;lossy=1\"\n        width=\"490\"\n        height=\"235\"\n        loading=\"lazy\"        alt=\"\"\n            \/>\n            <\/figure>\n\n<\/div>\n\n    <\/div>\n\n    <\/div>\n\n\n<figure class=\"mhh-mcn-v1-image mhh-mcn-v1-image--6a93fba19092938cc6915e3f35ad0a8f\">\n                    <img decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--full wp-image-17859\"\n        src=\"https:\/\/msdconecta.co.cr\/es\/wp-content\/uploads\/sites\/77\/2022\/12\/1055-\u00bfCua\u0301ndo-recomendar-la-vacuna-de-Gardasil-9_-copia-03.png?quality=80&#038;lossy=1\"\n        width=\"1024\"\n        height=\"128\"\n        loading=\"lazy\"        alt=\"\"\n            \/>\n            <\/figure>\n\n\n<div class=\"mhh-mcn-columns mhh-mcn-v1-columns--615e5d10842c671ef5ecbc38a95748df mhh-mcn-v1-columns mhh-mcn-columns--gutter-m\">\n    <div class=\"mhh-mcn-columns-inner\">\n        \n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--1a499bd20ca5d1d880b8c13e9c3f2bfa mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-2 mhh-mcn-column--l-2\">\n    <\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--a4189d944aae46125ea8a22caa029820 mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-8 mhh-mcn-column--l-8\">\n    \n\n<p class=\"has-teal-500-color has-text-color has-object-object-font-size mhh-mcn-v1-paragraph--center  mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--04052cc2dac90d75bd2e0f22f6033113\">\u00bfCu\u00e1ndo recomendar la vacuna contra el VPH para adultos?<\/p>\n\n<\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--1a499bd20ca5d1d880b8c13e9c3f2bfa mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-2 mhh-mcn-column--l-2\">\n    <\/div>\n\n    <\/div>\n\n    <\/div>\n\n\n<div class=\"mhh-mcn-columns mhh-mcn-v1-columns--775c41949b7711eda8207499925087bb mhh-mcn-v1-columns mhh-mcn-columns--gutter-m\">\n    <div class=\"mhh-mcn-columns-inner\">\n        \n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--1a499bd20ca5d1d880b8c13e9c3f2bfa mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-2 mhh-mcn-column--l-2\">\n    <\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--87738683b39a09043d72589209533bfa mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-8 mhh-mcn-column--l-8\">\n    \n\n<p class=\"has-teal-500-color has-text-color has-object-object-font-size mhh-mcn-v1-paragraph--center  mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--d8b123a41afab56907850db48aaa3ee8\"><em>&#8220;\u00bfHan recibido sus pacientes adultos la primera dosis de GARDASIL 9? \u00bfNecesitan completar la serie? <strong>Para adultos de hasta 26 a\u00f1os que no est\u00e9n adecuadamente vacunados, se recomienda completar el esquema de vacunaci\u00f3n contra el VPH. Se recomienda la toma de decisiones cl\u00ednicas compartidas con respecto a la vacunaci\u00f3n contra el VPH para adultos de 27 a 45 a\u00f1os.<\/strong>\u00b2&#8221;<\/em><\/p>\n\n<\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--1a499bd20ca5d1d880b8c13e9c3f2bfa mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-2 mhh-mcn-column--l-2\">\n    <\/div>\n\n    <\/div>\n\n    <\/div>\n\n\n\n<hr class=\"wp-block-separator has-text-color has-teal-500-color has-alpha-channel-opacity has-teal-500-background-color has-background\" \/>\n\n\n\n<section class=\"mhh-mcn-v1-section mhh-mcn-v1-section--bef4d1d4542de3345aa70c2fd68bb78d mhh-mcn-section mhh-mcn-v1-section--align-full\">\n    <div class=\"mhh-mcn-container\">\n    \n\n<p class=\"has-teal-500-color has-text-color has-object-object-font-size   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--213b79b089a43ed229fc8f3414c5f31d\">Su pr\u00f3xima visita podr\u00eda ser su oportunidad de hablar sobre la vacunaci\u00f3n contra el VPH.<sup>3,4,5<\/sup> Hable sobre GARDASIL 9 con sus pacientes femeninas durante:<\/p>\n\n\n\n<ul class=\"mhh-mcn-v1-clist mhh-mcn-v1-clist--886510c693dff2d0d4e59eed4c829d68 mhh-mcn-v1-clist--order-starts-2-digits mhh-mcn-list list-style-type-dot\" start=\"1\">\n    <li>Visitas de rutina al ginec\u00f3logo\/obstetra\u00b3<\/li><li>Ex\u00e1menes de detecci\u00f3n de c\u00e1ncer de cuello uterino\u2075<\/li><\/ul>\n\n\n\n<p class=\"has-teal-500-color has-text-color has-object-object-font-size   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--f500f152f25f58ec8cfc3100c6cb76cf\">Y con sus pacientes masculinos y femeninos durante:<\/p>\n\n\n\n<ul class=\"mhh-mcn-v1-clist mhh-mcn-v1-clist--171f11122734aa1723503880d63775b2 mhh-mcn-v1-clist--order-starts-2-digits mhh-mcn-list list-style-type-dot\" start=\"1\">\n    <li>Visitas relacionadas con la salud sexual, que incluyen:<ul><li>Asesoramiento y ex\u00e1menes de prevenci\u00f3n de ITS\u2075<\/li><li>Conversaci\u00f3nes sobre anticoncepci\u00f3n\u2075<\/li><\/ul><\/li><li>Ex\u00e1menes f\u00edsicos de rutina\u2076<\/li><li>Citas de vacunaci\u00f3n de adultos<ul><li>Considere usar citas para vacunas de adultos (como las requeridas para viajar), como oportunidades para recomendar la vacunaci\u00f3n contra el VPH.\u2074<\/li><\/ul><\/li><\/ul>\n\n    <\/div>\n<\/section>\n\n\n\n<hr class=\"wp-block-separator has-text-color has-teal-500-color has-alpha-channel-opacity has-teal-500-background-color has-background\" \/>\n\n\n<div class=\"mhh-mcn-columns mhh-mcn-v1-columns--66fc64e9e898acf7fceeaa70d0b8ebc8 mhh-mcn-v1-columns mhh-mcn-columns--gutter-m\">\n    <div class=\"mhh-mcn-columns-inner\">\n        \n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--1a499bd20ca5d1d880b8c13e9c3f2bfa mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-2 mhh-mcn-column--l-2\">\n    <\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--5fa3473e34fadf2f05af9352d083743f mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-8 mhh-mcn-column--l-8\">\n    \n\n<p class=\"has-teal-500-color has-text-color has-object-object-font-size mhh-mcn-v1-paragraph--center  mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--0a78a7d0692dce51fbc4d8fdb0b86a8b\">\u00bfCu\u00e1ndo recomendar la vacuna VPH para adolescentes?<\/p>\n\n<\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--1a499bd20ca5d1d880b8c13e9c3f2bfa mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-2 mhh-mcn-column--l-2\">\n    <\/div>\n\n    <\/div>\n\n    <\/div>\n\n\n<div class=\"mhh-mcn-columns mhh-mcn-v1-columns--ced001acb4607bf03bb6aae0aa2b27e9 mhh-mcn-v1-columns mhh-mcn-columns--gutter-m\">\n    <div class=\"mhh-mcn-columns-inner\">\n        \n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--1a499bd20ca5d1d880b8c13e9c3f2bfa mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-2 mhh-mcn-column--l-2\">\n    <\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--dd9f3993ca2b8c7ac451b7921472c3eb mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-8 mhh-mcn-column--l-8\">\n    \n\n<p class=\"has-text-color has-object-object-font-size mhh-mcn-v1-paragraph--center  mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--395d373bfa0681ffcf7bb20da9ccc1a1\" style=\"color:#676766\"><em>&#8220;Antes de cada visita de rutina, verifique si su paciente tiene edad<br>suficiente para recibir su primera dosis de GARDASIL 9 o si est\u00e1<br>al d\u00eda con su vacuna contra el VPH.&#8221;<\/em><\/p>\n\n<\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--1a499bd20ca5d1d880b8c13e9c3f2bfa mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-2 mhh-mcn-column--l-2\">\n    <\/div>\n\n    <\/div>\n\n    <\/div>\n\n\n\n<hr class=\"wp-block-separator has-text-color has-teal-500-color has-alpha-channel-opacity has-teal-500-background-color has-background\" \/>\n\n\n\n<section class=\"mhh-mcn-v1-section mhh-mcn-v1-section--8299a18214c06a20e3e829f88acc2ad1 mhh-mcn-section mhh-mcn-v1-section--align-full\">\n    <div class=\"mhh-mcn-container\">\n    \n\n<p class=\"has-teal-500-color has-text-color has-object-object-font-size   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--b45412f9a5439f5896555d34c112b0d0\">Consideraciones para cada visita de rutina:<\/p>\n\n\n\n<ul class=\"mhh-mcn-v1-clist mhh-mcn-v1-clist--502765e595204461808617c505774845 mhh-mcn-v1-clist--order-starts-2-digits mhh-mcn-list list-style-type-dot\" start=\"1\">\n    <li>La serie GARDASIL 9 puede empezar en ni\u00f1os y ni\u00f1as de 9 a\u00f1os.<\/li><li>Un buen momento para recomendar la vacunaci\u00f3n contra el VPH puede ser mientras el paciente est\u00e1 citado para recibir otras vacunas.\u2074<ul><li>GARDASIL 9 puede administrarse concomitantemente en un sitio de inyecci\u00f3n diferente con las vacunas meningoc\u00f3cica, TDap y dTap-IPV.<sup>a,b<\/sup><\/li><\/ul><\/li><\/ul>\n\n    <\/div>\n<\/section>\n\n\n\n<hr class=\"wp-block-separator has-text-color has-teal-500-color has-alpha-channel-opacity has-teal-500-background-color has-background\" \/>\n\n\n<div class=\"mhh-mcn-columns mhh-mcn-v1-columns--2c4a0e8c816d7271077afc5dfcd997d3 mhh-mcn-v1-columns mhh-mcn-columns--gutter-m\">\n    <div class=\"mhh-mcn-columns-inner\">\n        \n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--6bc0b3691ae618b8834122b87516a4eb mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-2 mhh-mcn-column--l-2\">\n    \n<figure class=\"mhh-mcn-v1-image mhh-mcn-v1-image--49e9a2099b56614e09b3bab3e9533a58 with-aspect-ratio with-aspect-ratio--square\">\n    <div class=\"figure-outer\">\n    <div class=\"figure-inner\">\n                            <img decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--full wp-image-17877\"\n        src=\"https:\/\/msdconecta.co.cr\/es\/wp-content\/uploads\/sites\/77\/2022\/12\/1055-\u00bfCua\u0301ndo-recomendar-la-vacuna-de-Gardasil-9_-copia-04.png?quality=80&#038;lossy=1\"\n        width=\"203\"\n        height=\"405\"\n        loading=\"lazy\"        alt=\"\"\n            \/>\n                <\/div>\n    <\/div>\n    <\/figure>\n\n<\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--875a1849b0ab131b7aa608ff6fbebe81 mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-8 mhh-mcn-column--l-8\">\n    \n\n<h2 class=\"has-teal-500-color has-text-color has-object-object-font-size wp-block-heading mhh-mcn-v1-heading--center mhh-mcn-v1-heading mhh-mcn-v1-heading--d14fd6144745e4ffee6ad17cd67a9a1f\"><strong>Su rol es muy importante en la prevenci\u00f3n de ciertos c\u00e1nceres relacionados con el vph.<sup>5,7,8<\/sup><\/strong><\/h2>\n\n<\/div>\n\n\n<div class=\"mhh-mcn-v1-column mhh-mcn-v1-column--a024525ee15577135ddb7c1ef460a5ff mhh-mcn-column mhh-mcn-column--12 mhh-mcn-column--m-2 mhh-mcn-column--l-2\">\n    \n<figure class=\"mhh-mcn-v1-image mhh-mcn-v1-image--6dd991b584060e8829874788411117ff with-aspect-ratio with-aspect-ratio--square\">\n    <div class=\"figure-outer\">\n    <div class=\"figure-inner\">\n                            <img decoding=\"async\"\n        class=\"mhh-mcn-image mhh-mcn-image--full wp-image-17878\"\n        src=\"https:\/\/msdconecta.co.cr\/es\/wp-content\/uploads\/sites\/77\/2022\/12\/1055-\u00bfCua\u0301ndo-recomendar-la-vacuna-de-Gardasil-9_-copia-05.png?quality=80&#038;lossy=1\"\n        width=\"252\"\n        height=\"405\"\n        loading=\"lazy\"        alt=\"\"\n            \/>\n                <\/div>\n    <\/div>\n    <\/figure>\n\n<\/div>\n\n    <\/div>\n\n    <\/div>\n\n\n<div class=\"mhh-mcn-v1-links mhh-mcn-v1-links--align-center mhh-mcn-v1-links--justified-center mhh-mcn-v1-links--f16d9fd356c79aff21a284f39b2ae79b\">\n    <a class=\"mhh-mcn-v1-link mhh-mcn-v1-link--center mhh-mcn-v1-link--vertical-alignment-center mhh-mcn-v1-link--4240b64e47d60806b4479658a678ee6e mhh-mcn-v1-link--is-variation mhh-mcn-v1-link--button-custom\" href=\"https:\/\/msdconecta.co.cr\/es\/wp-content\/uploads\/sites\/77\/2023\/01\/IPC-GARDASIL-9-espanol-WP-0187.pdf?utm_source=WHATSAPP&#038;utm_medium=TEXT&#038;utm_campaign=CENCA_GARDASIL9_REGIONALHCP&#038;utm_id=FW-0163\" target=\"_self\">\n                    <span class=\"mhh-mcn-v1-link__label\">Conozca m\u00e1s<\/span>\n                <\/a><\/div>\n\n\n\n<p class=\"has-object-object-font-size   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--2c2c6a98e4ab5a81f749b947a2c533a8\"><br><br>VPH= virus del papiloma humano<br><br><sup>a<\/sup>Resultados de los estudios cl\u00ednicos indican que GARDASIL 9 puede administrarse concomitantemente con Menactra [vacuna conjugada de toxoide dift\u00e9rico polisac\u00e1rido meningoc\u00f3cico (grupos A, C, Y y W-135)], Adacel [toxoide tet\u00e1nico, toxoide dift\u00e9rico reducido y tos ferina acelular adsorbida (Tdap) ], y Repevax vacuna contra la difteria, el t\u00e9tanos, la tos ferina (componente acelular) y la poliomielitis (inactivada) (adsorbida, contenido antog\u00e9nico reducido). <br><br><sup>b<\/sup>Menactra [meningoc\u00f3cica (grupos A, C, Y y W-135) vacuna conjugada de toxoide dift\u00e9rico polisac\u00e1rido], Adacel [vacuna adsorbida con toxoide tet\u00e1nico, toxoide dift\u00e9rico reducido y tos ferina acelular (Tdap)] y Repevax [suspensi\u00f3n para inyecci\u00f3n, en jeringa precargada contra la difteria, el t\u00e9tanos, la tos ferina (acelular, componente) y la vacuna contra la poliomielitis (inactivada) (adsorbida, contenido antg\u00e9nico reducido)] son marcas comerciales de sus respectivos propietarios y no son marcas comerciales de Merck Sharp &amp; Dohme Corp., una subsidiaria de Merck &amp; Co., Inc.<br><br><br><\/p>\n\n\n\n<p class=\"has-teal-500-color has-text-color has-object-object-font-size   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--859810b40a8ff7305adf064d231ce3c0\"><strong>References:<\/strong><\/p>\n\n\n\n<ol class=\"mhh-mcn-v1-clist mhh-mcn-v1-clist--b7d8b59a90477d1ce0cdaccc67c70978 mhh-mcn-v1-clist--order-starts-2-digits mhh-mcn-list list-style-type-line\" start=\"1\">\n    <li>World Health Organization (WHO). Human papillomavirus vaccines: WHO position paper, May 2017. Wkly Epidemiol Rec. 2017;19(92):241-268.<\/li><li>Meites E, Gee J, Unger E, Markowitz L. Epidemiology and Prevention of Vaccine-Preventable Diseases (Pink Book). 14th edition. Chapter 11: Human Papillomavirus. Centers for Disease Control and Prevention (CDC). Updated October 2020. Accessed August 25, 2021. https:\/\/www.cdc.gov\/vaccines\/pubs\/pinkbook\/downloads\/hpv.pdf.<\/li><li>Guo F, Hirth JM, Berenson AB. Human papillomavirus vaccination and pap smear uptake among young women in the United States: Role of provider and patient. Journal of Women\u2019s Health. 2017:26(10)1114-1122.<\/li><li>World Health Organization. Vaccine-preventable diseases and vaccines (2019 update). In: World Health Organization. International Travel and Health. World Health Organization; 2019; 1-53.<\/li><li>Workowski KA, Bachmann LH, Chan PA, et al. Sexually Transmitted Infections Treatment Guidelines, 2021. MMWR Morb Mortal Wkly Rep. 2021;70(4)1-192.<\/li><li>Barrow RY, Ahmed F, Bolan GA, Workowski KA. Recommendations for provided quality sexually transmitted diseases clinical services, 2020. MMWR Morb Mortal Wkly Rep. 2020;68(5)1-20.<\/li><li>Gilkey MB, Calo WA, Moss JL, Shah PD, Marciniak MW, Brewer NT. Provider communication and HPV vaccination: the impact of recommendation quality. Vaccine. 2016;34(9):1187-1192. doi:10.1016\/j.vaccine.2016.01.023.<\/li><li>Wheldon CW, Garg A, Galvin AM, Moore JD, Thomson EL. Decision support needs for shared clinical decision-making regarding HPV vaccination among adults 27-45 years of age. Patient Educ Couns. 2021. doi.org\/10.1016\/j.pec.2021.04.016i.<br><br><\/li><\/ol>\n\n\n\n<p class=\"has-teal-500-color has-text-color has-object-object-font-size   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--70fb26d5ad72f0f0ebbf4308fde1dff1\"><strong>INFORMACI\u00d3N SELECCIONADA DE SEGURIDAD GARDASIL 9<\/strong><\/p>\n\n\n\n<p class=\"has-teal-500-color has-text-color   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--1bfc93c95c73ed4fabf83841627e815c\"><strong>Usos terap\u00e9uticos<\/strong><\/p>\n\n\n\n<p class=\"   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--f0b414bc983641b2dd278bf2a8c2412b\">Gardasil 9 est\u00e1 indicada para la inmunizaci\u00f3n activa de individuos a partir de los 9 a\u00f1os de edad frente a las siguientes enfermedades por VPH:<br>\u2022Lesiones precancerosas y canceres que afectan al cuello de \u00fatero, vulva, vagina y ano causados por los tipos del VPH de la vacuna.<br>\u2022Verrugas genitales (condiloma acuminata) causados por tipos espec\u00edficos del VPH.<br><\/p>\n\n\n\n<p class=\"has-teal-500-color has-text-color   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--4bc0127ca504bb706ca3f8107551e92f\"><strong>Dosis y v\u00eda de administraci\u00f3n<\/strong><\/p>\n\n\n\n<p class=\"   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--de541862943965a1b94c8111402b7983\">Gardasil 9 se puede administrar siguiendo una pauta de dos dosis (0, 6 \u2013 12 meses). La segunda dosis se debe administrar entre los 5 y 13 meses despu\u00e9s de la administraci\u00f3n de la primera dosis. Si la segunda dosis de la vacuna se administra antes de 5 meses despu\u00e9s de la primera dosis, se debe administrar siempre una tercera dosis. <br><br>Gardasil 9 se puede administrar siguiendo una pauta de tres dosis (0, 2, 6 meses). La segunda dosis se debe administrar al menos un mes despu\u00e9s de la primera dosis y la tercera dosis se debe administrar al menos tres meses despu\u00e9s de la segunda dosis. Las tres dosis se deben administrar dentro del periodo de 1 a\u00f1o. <br><br>Individuos de 15 a\u00f1os en adelante en el momento de la primera inyecci\u00f3n: Gardasil 9 se debe administrar siguiendo una pauta de tres dosis (0, 2, 6 meses). <br><br>La vacuna se debe administrar mediante inyecci\u00f3n intramuscular. El lugar preferido es la regi\u00f3n deltoidea de la parte superior del brazo o en la zona anterolateral superior del muslo. <br><br>Gardasil 9 no debe ser inyectada por v\u00eda intravascular, subcut\u00e1nea o intrad\u00e9rmica. La vacuna no se debe mezclar en la misma jeringa con ninguna otra vacuna o soluci\u00f3n.<br><\/p>\n\n\n\n<p class=\"has-teal-500-color has-text-color   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--dffe2c9dd58bc31ab20a53b41797e343\"><strong>Contraindicaciones<\/strong><\/p>\n\n\n\n<p class=\"   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--04c6a7e0caf044251ddd33d2c175497a\">Hipersensibilidad a los principios activos o a alguno de los excipientes.<br><br>Los individuos con hipersensibilidad despu\u00e9s de la administraci\u00f3n previa de Gardasil 9 o Gardasil no deben recibir m\u00e1s dosis de Gardasil 9.<br><\/p>\n\n\n\n<p class=\"has-teal-500-color has-text-color   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--ee17df4d0ab1af5371abaf6bdf9e2a22\"><strong>Precauciones<\/strong><\/p>\n\n\n\n<p class=\"   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--be2ba5ec8203d5936ff490186e9268c5\">Con objeto de mejorar la trazabilidad de los medicamentos biol\u00f3gicos, el nombre y el n\u00famero de lote del medicamento administrado deben estar claramente registrados. <br><br>La decisi\u00f3n de vacunar a un individuo debe tener en cuenta el riesgo de exposici\u00f3n previa al VPH y el beneficio potencial de la vacunaci\u00f3n. <br><br>Como cualquier vacuna, puede que la vacunaci\u00f3n con Gardasil 9 no resulte en protecci\u00f3n en todos los receptores de la vacuna. <br><br>Esta vacuna no proteger\u00e1 contra enfermedades que no son causadas por el VPH. <br><br>Como con todas las vacunas inyectables, siempre debe estar f\u00e1cilmente disponible el tratamiento y supervisi\u00f3n m\u00e9dica apropiada para el caso raro de que se produzcan reacciones anafil\u00e1cticas tras la administraci\u00f3n de la vacuna. <br><br>Puede seguir un s\u00edncope (desvanecimiento) a cualquier vacunaci\u00f3n, especialmente en adolescentes y adultos j\u00f3venes. Un s\u00edncope, algunas veces asociado con ca\u00edda, se presenta despu\u00e9s de la vacunaci\u00f3n para el VPH. Por lo tanto, los individuos vacunados deber\u00edan ser siempre observados cuidadosamente por aproximadamente 15 minutos despu\u00e9s de la administraci\u00f3n de Gardasil 9. <br><br>La decisi\u00f3n de administrar o retrasar la vacunaci\u00f3n, debido a una enfermedad febril presente o reciente, depende en gran medida de la severidad de los s\u00edntomas y de su etiolog\u00eda. La fiebre en bajo grado en s\u00ed y la infecci\u00f3n leve del tracto respiratorio superior no son generalmente contraindicaciones para la vacunaci\u00f3n.<br><\/p>\n\n\n\n<p class=\"has-teal-500-color has-text-color   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--143d2949f71c0163949592c77e07dda5\"><strong>Embarazo<\/strong><\/p>\n\n\n\n<p class=\"   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--405d22dc6e55512a5d7123dde95c2814\">Existen gran cantidad de datos en mujeres embarazadas (m\u00e1s de 1,000 embarazos) que indican que Gardasil 9 no produce malformaciones ni toxicidad fetal\/neonatal. <br><br>Los estudios realizados en animales no han mostrado indicios de toxicidad reproductiva. Sin embargo, estos datos son considerados insuficientes para recomendar el uso de Gardasil 9 durante el embarazo. La vacunaci\u00f3n se debe posponer hasta el t\u00e9rmino del embarazo.<br><\/p>\n\n\n\n<p class=\"has-teal-500-color has-text-color   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--05bea64dff9560286c94cabd0a95e3f0\"><strong>Lactancia<\/strong><\/p>\n\n\n\n<p class=\"   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--f1234211f8583dc986e162ec61d0f562\">Gardasil 9 puede ser utilizada durante el per\u00edodo de lactancia.<br><\/p>\n\n\n\n<p class=\"has-teal-500-color has-text-color   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--84b9f2c41119db1e5bfdf3cee3470e12\"><strong>Fertilidad<\/strong><\/p>\n\n\n\n<p class=\"   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--27606b219f5103697b64dde51a61c5e4\">No hay estudios disponibles en humanos sobre el efecto de Gardasil 9 sobre la fertilidad. Los estudios en animales no indican efectos perjudiciales sobre la fertilidad<br><\/p>\n\n\n\n<p class=\"has-teal-500-color has-text-color   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--036969f9571ee487cc6d235134947378\"><strong>Poblaci\u00f3n pedi\u00e1trica (ni\u00f1os &lt;9 a\u00f1os de edad)<\/strong><\/p>\n\n\n\n<p class=\"   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--3fcec2da3562c72aac8ea26ac365ffd0\">No se ha establecido la seguridad y eficacia de Gardasil 9 en ni\u00f1os menores de 9 a\u00f1os. No se dispone de datos.<br><\/p>\n\n\n\n<p class=\"has-teal-500-color has-text-color   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--2a10fe2e0907bcf18bba78c7c83d9e5e\"><strong>Uso en otras poblaciones especiales<\/strong><\/p>\n\n\n\n<p class=\"   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--9f7e1f63e87fc84c6a28bea281cd8b04\">No se han evaluado plenamente la seguridad, inmunogenicidad y eficacia de Gardasil 9 en personas infectadas por el VIH.<br><\/p>\n\n\n\n<p class=\"has-teal-500-color has-text-color   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--c723fde49b7d9d207a54849d819b2eeb\"><strong>Reacciones adversas<\/strong><\/p>\n\n\n\n<p class=\"   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--04dd11eea413fde236051a3c6f12bf53\">En 7 ensayos cl\u00ednicos, se administr\u00f3 Gardasil 9 a individuos el d\u00eda del reclutamiento y aproximadamente 2 y 6 meses despu\u00e9s. Se evalu\u00f3 la seguridad mediante una tarjeta de registro de vacunaci\u00f3n (VRC) durante los 14 d\u00edas posteriores a cada inyecci\u00f3n de Gardasil 9. Un total de 15,776 individuos recibieron Gardasil 9 (10,495 individuos de 16 a 26 a\u00f1os y 5,281 adolescentes de 9 a 15 a\u00f1os en el momento del reclutamiento). Pocos individuos (0.1 %) interrumpieron la vacunaci\u00f3n debido a reacciones adversas. <br><br>En uno de estos ensayos cl\u00ednicos en los que se reclutaron 1,053 adolescentes sanos de 11 a 15 a\u00f1os, se observ\u00f3 que despu\u00e9s, de la administraci\u00f3n concomitante de la primera dosis de Gardasil 9 con una vacuna de refuerzo combinada de difteria, t\u00e9tanos, tos ferina (componente acelular) y poliomielitis [inactivada], se notificaron m\u00e1s reacciones en el lugar de la inyecci\u00f3n (hinchaz\u00f3n, eritema), cefalea y fiebre. Las diferencias observadas fueron inferiores al 10 % y las reacciones adversas fueron notificadas, en la mayor\u00eda de los individuos, como de intensidad leve a moderada. <br><br>En un ensayo cl\u00ednico que incluy\u00f3 640 individuos de 27 a 45 a\u00f1os y 570 individuos de 16 a 26 a\u00f1os que recibieron Gardasil 9, el perfil de seguridad de Gardasil 9 fue comparable entre los dos grupos de edad. <br><br>Las reacciones adversas observadas con m\u00e1s frecuencia con Gardasil 9 fueron reacciones adversas en el lugar de inyecci\u00f3n (84.8 % de los vacunados en los 5 d\u00edas siguientes a cualquier visita de vacunaci\u00f3n) y dolor de cabeza (13.2 % de los vacunados en los 15 d\u00edas siguientes a cualquier visita relacionada con la vacunaci\u00f3n). Estas reacciones adversas fueron normalmente de intensidad leve o moderada.<\/p>\n\n\n\n<p class=\"has-teal-500-color has-text-color   mhh-mcn-v1-paragraph mhh-mcn-v1-paragraph--b6fe76c029d2955bd0ca504113ada6a1\"><strong>Antes de administrar Gardasil 9, consulte la informaci\u00f3n para prescribir completa.<br><\/strong><\/p>\n\n\n","protected":false},"excerpt":{"rendered":"<p>VPH= virus del papiloma humano aResultados de los estudios cl\u00ednicos indican que GARDASIL 9 puede administrarse concomitantemente con Menactra [vacuna 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This site is optimized with the Yoast SEO plugin v23.9 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>\u00bfCu\u00e1ndo recomendar la vacuna de Gardasil 9? - MConnect Cenca Spanish<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/msdconecta.co.cr\/es\/cuando-recomendar-la-vacuna-de-gardasil-9\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"\u00bfCu\u00e1ndo recomendar la vacuna de Gardasil 9? - MConnect Cenca Spanish\" \/>\n<meta property=\"og:description\" content=\"VPH= virus del papiloma humano aResultados de los estudios cl\u00ednicos indican que GARDASIL 9 puede administrarse concomitantemente con Menactra [vacuna [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/msdconecta.co.cr\/es\/cuando-recomendar-la-vacuna-de-gardasil-9\/\" 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