RESUMEN
A joint meeting of the Latin American Society of Pediatric Infectious Diseases, the Dominican Society of Pediatrics and the Dominican Society of Vaccinology was held in the Dominican Republic. This report highlights the most relevant issues that were presented and discussed about vaccine-preventable diseases, their epidemiology and impact in Latin American children, the need to move forward and expand national immunization programs and the economical and political obstacles to introduce 'new' vaccines. These include those against Streptococcus pneumoniae, rotavirus, hepatitis A, varicella, Neisseria meningitidis, Bordetella pertussis, influenza and human papillomavirus, among others.
Asunto(s)
Vacunas Bacterianas/administración & dosificación , Enfermedades Transmisibles/terapia , Vacunas Virales/administración & dosificación , Vacunas Bacterianas/normas , Vacunas Bacterianas/uso terapéutico , Niño , Control de Enfermedades Transmisibles/organización & administración , Enfermedades Transmisibles/epidemiología , Enfermedades Transmisibles/inmunología , Enfermedades Transmisibles/microbiología , Enfermedades Transmisibles/virología , Humanos , Programas de Inmunización/organización & administración , América Latina/epidemiología , Vacunación/normas , Vacunas Virales/normas , Vacunas Virales/uso terapéuticoRESUMEN
A post hoc analysis of 654 children with bacterial meningitis showed that the level of consciousness is the most important predictor of death and/or neurological sequelae, more than is etiology per se. This finding emphasizes the need of including a measurement of the presenting status in all studies examining treatment efficacy.
Asunto(s)
Meningitis Bacterianas/mortalidad , Meningitis Bacterianas/patología , Causas de Muerte , Estado de Conciencia , Femenino , Humanos , Lactante , Modelos Logísticos , Masculino , Análisis Multivariante , Pronóstico , Factores de RiesgoRESUMEN
The examination of fecal mucus for detecting yeast cells of Histoplasma capsulatum has proved to be a useful tool for diagnosing disseminated histoplasmosis in paediatric patients in a study of 13 cases carried out in Ecuador.