Actualización de estrategias de prevención de tos ferina en lactantes
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2016-07-21
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Jaén: Universidad de Jaén
Resumen
[ES] Introducción: Actualmente se ha producido una reemergencia de tos ferina en países con altas coberturas de
vacunación, afectando principalmente a lactantes, quienes sufren las peores consecuencias de la enfermedad. En
respuesta a esta situación han surgido nuevas estrategias de prevención. Objetivo: Conocer y analizar las nuevas
estrategias de prevención de tos ferina en lactantes y su efectividad. Metodología: Realizamos una búsqueda en 6
bases de datos nacionales e internacionales. Se incluyeron un total de 15 artículos. Resultados: La vacunación
durante el embarazo previene de tos ferina en los lactantes, ya que protege a la madre y al bebé a través del
traspaso transplancentario de anticuerpos. La estrategia cocooning puede reducir la transmisión entre los contactos
más próximo al lactante, pero resulta difícil de llevar a la práctica. Sobre el resto de estrategias existe escasa
evidencia. Conclusión: La vacunación durante el embarazo es la estrategia más costo‐efectiva para reducir la
morbilidad y mortalidad por tos ferina en los lactantes.
[EN] Introduction: Currently there has been a re‐emergence of pertussis in countries with high vaccination coverage, affecting mainly infants, who suffer the worst consequences of the disease. New prevention strategies have emerged in response to this situation. Objective: Understand and analyze new strategies for the prevention of pertussis in infants and its effectiveness. Methods: We performed a search on 6 national and international databases. A total of 15 ítems were included. Results: Vaccination during pregnancy prevents of pertussis in infants, since it protects the mother and the baby through the transfer of antibodies transplancentario. The cocooning strategy can reduce transmission among contacts closer to the infant, but it is difficult to put into practice. There is little evidence on the rest of strategies. Conclusion: Vaccination during pregnancy is the most cost‐effective strategy for reducing morbidity and mortality from whooping cough in infants.
[EN] Introduction: Currently there has been a re‐emergence of pertussis in countries with high vaccination coverage, affecting mainly infants, who suffer the worst consequences of the disease. New prevention strategies have emerged in response to this situation. Objective: Understand and analyze new strategies for the prevention of pertussis in infants and its effectiveness. Methods: We performed a search on 6 national and international databases. A total of 15 ítems were included. Results: Vaccination during pregnancy prevents of pertussis in infants, since it protects the mother and the baby through the transfer of antibodies transplancentario. The cocooning strategy can reduce transmission among contacts closer to the infant, but it is difficult to put into practice. There is little evidence on the rest of strategies. Conclusion: Vaccination during pregnancy is the most cost‐effective strategy for reducing morbidity and mortality from whooping cough in infants.