{"id":88225,"date":"2024-03-12T11:23:32","date_gmt":"2024-03-12T11:23:32","guid":{"rendered":"https:\/\/msdconecta.co.cr\/es\/?post_type=product&p=88225"},"modified":"2024-03-13T11:52:29","modified_gmt":"2024-03-13T11:52:29","slug":"perfiles-en-riesgo","status":"publish","type":"product","link":"https:\/\/msdconecta.co.cr\/es\/products\/pneumovax\/perfiles-en-riesgo\/","title":{"rendered":"Perfiles en riesgo"},"content":{"rendered":"\n

\u00bfSus pacientes adultos tienen alguno de estos perfiles? Prot\u00e9jalos contra la infecci\u00f3n neumoc\u00f3cica invasiva<\/strong>

Enfermedad pulmonar cr\u00f3nica<\/strong><\/h2>\n\n\n
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De acuerdo con el estudio de Torres, A. y colsa<\/sup><\/em>, los pacientes con enfermedad pulmonar cr\u00f3nica – enfermedad pulmonar obstructiva cr\u00f3nica (EPOC), bronquitis cr\u00f3nica y\/o asma- se encuentran en mayor riesgo para neumon\u00eda adquirida en la comunidad (NAC) y para enfermedad neumoc\u00f3cica invasiva (ENI) que individuos sin estas patolog\u00edas, con un riesgo de 1.3 hasta 13.5 veces mayor para NAC y de 1.3 hasta 16.8 veces mayor para ENI<\/strong>.
El riesgo para NAC var\u00eda de acuerdo a la edad, siendo mucho m\u00e1s alto en mayores de 65 a\u00f1os que adem\u00e1s cursan con EPOC.1<\/sup><\/p>\n\n\n\n

Se han identificado como factores independientes para NAC recurrente en adultos las siguientes condiciones: tener EPOC, la edad avanzada, la falta de vacunaci\u00f3n contra el neumococo y el uso de corticoesteroides como tratamiento m\u00e9dico.1<\/sup><\/p>\n\n<\/div>\n\n\n

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Diabetes Mellitus<\/strong><\/h2>\n\n\n
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De acuerdo con los datos del estudio de Torres, A. y colsa<\/sup><\/em>,los pacientes con diabetes mellitus tienen riesgo incrementado hasta de 1.4 veces m\u00e1s <\/strong>que en personas sin diabetes para NAC, mientras que para ENI el riesgo es 1.4 a 4.6 veces mayor.1,*<\/sup><\/strong><\/p>\n\n\n\n

Los pacientes diab\u00e9ticos menores de 40 a\u00f1os tienen hasta 3 veces m\u00e1s riesgo de hospitalizaci\u00f3n<\/strong> por neumon\u00eda<\/strong> que individuos de la misma edad sin diabetes. El riesgo incrementa a mayor duraci\u00f3n de la enfermedad y\/o a menor control glic\u00e9mico.1<\/sup><\/p>\n\n\n\n

*El riesgo para enfermedad neumoc\u00f3cica en pacientes diab\u00e9ticos vari\u00f3 seg\u00fan duraci\u00f3n\/control de la enfermedad y la edad del individuo.1<\/sup><\/em><\/p>\n\n<\/div>\n\n <\/div>\n\n <\/div>\n\n\n\n

Enfermedad cr\u00f3nica del coraz\u00f3n<\/strong><\/h2>\n\n\n
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De acuerdo con datos del estudio de Torres, A. y colsa<\/sup><\/em>, los pacientes con enfermedades cr\u00f3nicas del coraz\u00f3n (insuficiencia cardiaca congestiva, enfermedad cardiovascular y valvulopat\u00edas) tienen hasta 3.3 veces mayor riesgo para NAC, y hasta 9.9 veces mayor riesgo para ENI*<\/strong>, que los pacientes sin estas condiciones. Mientras que los pacientes con insuficiencia cardiaca congestiva tienen 2 veces mayor riesgo de hospitalizaci\u00f3n por neumon\u00eda.1<\/sup><\/strong><\/p>\n\n\n\n

*El riesgo para enfermedad neumoc\u00f3cica en pacientes con cardiopat\u00edas cr\u00f3nicas vari\u00f3 de acuerdo a la edad y gravedad de la enfermedad.1<\/sup><\/em><\/p>\n\n<\/div>\n\n\n

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\n \n\n\n \n \n \n Abuso en el consumo de tabaco <\/span>\n \n \n\n \n \n <\/use>\n<\/svg>\n <\/span>\n <\/button>\n <\/h4>\n \n
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En el estudio de Torres, A. y colsa<\/sup><\/em>, se ha identificado al tabaquismo como factor de riesgo para NAC, con variaciones dependiendo del historial.1<\/sup><\/p>\n\n\n\n

El tabaquismo se ha identificado como un factor de riesgo independiente para mortalidad asociada a NAC y a neumon\u00eda neumoc\u00f3cica invasiva.1<\/sup><\/p>\n\n\n\n

*El riesgo para enfermedad neumoc\u00f3cica en personas fumadoras var\u00eda seg\u00fan edad e historia del tabaquismo.1<\/sup><\/em><\/p>\n\n<\/div>\n\n <\/div>\n\n <\/div>\n\n <\/div>\n <\/div>\n<\/section>\n\n\n\n\n \n \n \n Abuso en el consumo de alcohol <\/span>\n \n \n\n \n \n <\/use>\n<\/svg>\n <\/span>\n <\/button>\n <\/h4>\n \n

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Seg\u00fan los datos obtenidos del estudio de Kyaw, M. y colsb<\/sup>,<\/em> entre los a\u00f1os 1999 y 2000, se identificaron 1,570 casos de enfermedad neumoc\u00f3cica invasiva en adultos sanos y 2,765 casos en adultos con ciertas condiciones como diabetes, enfermedades cr\u00f3nicas del coraz\u00f3n y abuso de alcohol, entre otras.2<\/sup><\/p>\n\n\n\n

La incidencia de ENI en adultos con abuso en el consumo de alcohol fue 11 veces mayor en comparaci\u00f3n con adultos sanos<\/strong> (100.4 casos vs<\/em> 8.8 \/100,000 personas).2<\/sup><\/p>\n\n\n\n

En general, el efecto del abuso en el consumo de alcohol en relaci\u00f3n al riesgo para ENI fue m\u00e1s relevante despu\u00e9s de los 35 a\u00f1os de edad.2<\/sup><\/p>\n\n<\/div>\n\n <\/div>\n\n <\/div>\n\n <\/div>\n <\/div>\n<\/section>\n\n<\/div>\n\n\n\n

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a<\/sup>RESUMEN DE ESTUDIO DE TORRES, A. Y COLS. En un an\u00e1lisis comparativo de datos, se determin\u00f3 la raz\u00f3n de posibilidades en individuos con factores de riesgo de enfermedad neumoc\u00f3cica vs. aquellos sin estos factores de riesgo. Se tabularon las razones (excluyendo publicaciones anteriores a 2008 o con datos anteriores a 2000) y se utilizaron para analizar el riesgo de enfermedad neumoc\u00f3cica en personas con estos factores de riesgo.1<\/sup>
b RESUMEN DE ESTUDIO DE KYAW, M. Y COLS. Con los datos obtenidos del Active Bacterial Core surveillance (ABCs) y del National Health Interview Survey (NHIS) de los a\u00f1os 1999 y 2000, se determin\u00f3 la tasa de enfermedad neumoc\u00f3cica invasiva en adultos con varias condiciones de alto riesgo vs. adultos sanos (> 18 a\u00f1os).2<\/sup><\/em><\/p>\n\n\n\n

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Referencia:<\/p>\n\n\n\n

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  1. Torres A, Blasi F, Dartois N, y cols. Which individuals are at increased risk of pneumococcal disease and why? Impact of COPD, asthma, smoking, diabetes, and\/or. Chronic heart disease on community-acquired pneumonia and invasive pneumococcal disease. Thorax. 2015; 70 (10):984\u201398<\/li>
  2. Kyaw MH, Rose CE, Fry AM, y cols. The Influence of Chronic Illnesses on the Incidence of Invasive Pneumococcal Disease in Adults. The Journal of Infectious Diseases.2005; 192:377 – 386.<\/li><\/ol>\n","protected":false},"excerpt":{"rendered":"

    \u00bfSus pacientes adultos tienen alguno de estos perfiles? Prot\u00e9jalos contra la infecci\u00f3n neumoc\u00f3cica invasiva Enfermedad pulmonar cr\u00f3nica Diabetes Mellitus Enfermedad […]<\/p>\n","protected":false},"author":61360,"featured_media":0,"parent":88066,"menu_order":4,"template":"","meta":{"_mhh_mcn_text_direction":"ltr","_mhh_mcn_language":"en_US","_mhh_mcn_left_sidebar_settings":{"entityId":0},"_mhh_mcn_sidebar_settings":{"entityId":0},"mhh_mcn_side_navigation_style":{"fontSize":{"l":"","m":"","s":""},"lineHeight":{"l":1.5,"m":1.5,"s":1.5},"itemColor":"","hoverItemColor":"","currentItemColor":"","borderItemColor":"","backgroundItemHoverColor":"","themeColor":""},"_mhh_mcn_child_page_navigation":{"isActive":true,"isSticky":true},"hide_header":false,"show_top_bar":false,"hide_footer":false,"full_width_layout":false,"product_resource":[],"related_products":"","fact_sheet":null,"scientific_title":"","job_code":"","banner":null,"primary_logo":88114,"secondary_logo":null,"icon":null,"primary_tag":0,"editor_notices":[],"mconnectHideShareThis":true,"footnotes":"","mconnectIsArchiveTemplate":false,"mconnectArchiveFiltersDisabled":false,"mconnectArchiveLockAllPresetFilters":false,"mconnectArchiveHidePageSubmenu":false,"mconnectArchiveShowParentPageOnly":false,"mconnectArchiveDefaultOrder":"DESC","mconnectArchiveDefaultOrderBy":"date","mconnectArchivePostsPerPage":12,"mconnectArchivePostTypes":[],"mconnectArchiveAllowFilterBy":["category","tx-content-type","tx-product","tx-pathology","tx-active-ingredient","tx-therapeutic-area"],"mconnectArchiveFilterSorting":["is_keyword"],"mconnectArchiveContentItemStyle":{"showExcerpt":true,"showImage":true,"showIcon":false,"showPrimaryTag":true,"showBorder":false,"showDates":false,"showCta":true,"isCard":false,"hasBackground":false,"showMetadata":true},"mconnectArchiveLayout":{"type":"list","hasFeatured":false},"mconnectDynamicTaxonomyEntities":[],"mconnectArchiveTerms_category":[],"mconnectArchiveAllowTerms_category":[],"mconnectArchiveTerms_tx-content-type":[],"mconnectArchiveAllowTerms_tx-content-type":[],"mconnectArchiveTerms_tx-product":[],"mconnectArchiveAllowTerms_tx-product":[],"mconnectArchiveTerms_tx-pathology":[],"mconnectArchiveAllowTerms_tx-pathology":[],"mconnectArchiveTerms_tx-active-ingredient":[],"mconnectArchiveAllowTerms_tx-active-ingredient":[],"mconnectArchiveTerms_tx-therapeutic-area":[],"mconnectArchiveAllowTerms_tx-therapeutic-area":[],"mconnectArchiveAllowTerms_dynamic-taxonomy":[],"mconnectArchiveLegacyDefaultTermsApplied":false,"mconnectContentUpdatesPerPage":10,"mconnectContentUpdatesViewMoreUrl":"","mconnectContentUpdatesTerms_tx-content-type":[],"mconnectContentUpdatesTerms_tx-product":[],"mconnectContentUpdatesTerms_tx-pathology":[],"mconnectContentUpdatesTerms_tx-active-ingredient":[],"mconnectContentUpdatesTerms_tx-therapeutic-area":[],"sidebar_toogle":0,"sidebar_toogle_notification_warning":true,"sidebar_toogle_notification_alert":true,"content_expiration_sidebar_date":"","content_expiration_sidebar_expired_post_status":"","content_expiration_sidebar_redirection":""},"categories":[],"tags":[],"ga4_page_audience":[1187],"ga4_page_birn_id":[],"ga4_page_branding":[],"ga4_page_businessunit":[],"ga4_page_campaign":[],"ga4_page_content_purpose":[],"ga4_page_customer_journey_stage":[],"ga4_page_customer_specialty":[],"ga4_page_experience":[],"ga4_page_indication":[],"ga4_page_material_intent":[],"ga4_page_product":[],"ga4_page_region":[921],"ga4_page_therapeuticarea":[],"tx-therapeutic-area":[],"tx-product":[],"tx-pathology":[],"tx-content-type":[],"tx-active-ingredient":[],"mhh-area-of-interest":[],"access":[],"user_status":[],"user_role":[],"class_list":["post-88225","product","type-product","status-publish","hentry"],"yoast_head":"\nPerfiles en riesgo - 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\/products\/pneumovax\/perfiles-en-riesgo\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Perfiles en riesgo - MConnect Cenca Spanish\" \/>\n<meta property=\"og:description\" content=\"\u00bfSus pacientes adultos tienen alguno de estos perfiles? 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