Elena Candia, Stela Samaniego, Duilio Núñez, Rebeca Guerín, Rocío Olmedo, L. Pérez, Hernán Rodríguez, Cristina Vicenti, Analía Penayo, Desiré Almirón, G. Benítez, Virgilio Lezcano, Elianne Amarilla, Edgar Eugenio Ortega Portillo, N. García, María Belén Giménez, Giulia Cipolla, J. Mongelós, M. Duarte, Rita Denis, Lidiane Andino, Víctor Salinas, Alba Armoa, Perla Alcaraz, Doris Mora, José Daniel Andrada, Ricardo Antonio Mendoza León, Félix Ordano, R. Rolón, M. Echeverría, Olga Franco, E. Irala, L. Davalos, Alberto Marecos, Dahiana Ibarrola, Juan Acosta, Vicente Quiñonez, Marcos Martínez, Verónica Rotela Fisch, Celeste Valiente Rebull, Sofía Henegard, A. Guerrero, L. Vázquez, Tatiana Roy
{"title":"Primer Consenso Nacional Intersociedades de Inmunización del Adulto. 2023","authors":"Elena Candia, Stela Samaniego, Duilio Núñez, Rebeca Guerín, Rocío Olmedo, L. Pérez, Hernán Rodríguez, Cristina Vicenti, Analía Penayo, Desiré Almirón, G. Benítez, Virgilio Lezcano, Elianne Amarilla, Edgar Eugenio Ortega Portillo, N. García, María Belén Giménez, Giulia Cipolla, J. Mongelós, M. Duarte, Rita Denis, Lidiane Andino, Víctor Salinas, Alba Armoa, Perla Alcaraz, Doris Mora, José Daniel Andrada, Ricardo Antonio Mendoza León, Félix Ordano, R. Rolón, M. Echeverría, Olga Franco, E. Irala, L. Davalos, Alberto Marecos, Dahiana Ibarrola, Juan Acosta, Vicente Quiñonez, Marcos Martínez, Verónica Rotela Fisch, Celeste Valiente Rebull, Sofía Henegard, A. Guerrero, L. Vázquez, Tatiana Roy","doi":"10.18004/imt/2023.18.1.14","DOIUrl":"https://doi.org/10.18004/imt/2023.18.1.14","url":null,"abstract":"Las vacunas previenen millones de muertes cada año y su eficacia y seguridad han sido ampliamente establecidas. En términos económicos, la vacunación es una de las intervenciones sanitarias más costo efectivas, generando un importante ahorro y crecimiento económico que supone a largo plazo. Se ha demostrado que la vacunación de adultos disminuye la morbilidad y la mortalidad asociadas a enfermedades infecciosas prevenibles, reduciendo las complicaciones y las hospitalizaciones, incluidos los ingresos a las unidades de cuidados intensivos. Hemos elaborado este documento de consenso con el objeto de diseñar un esquema de vacunación pragmático, accesible y estandarizado del adulto, según categoría de riesgo y edad, sobre la base de la evidencia disponible de vacunas accesibles y nuevas vacunas habiendo utilizado el Tercer Consenso de la Sociedad Paraguaya de Infectología del 2019 como base para las recomendaciones finales.","PeriodicalId":52959,"journal":{"name":"Revista del Instituto de Medicina Tropical","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42694425","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gloria Celeste Samudio-Domínguez, Karin Edith Volkart-Fernández, Martha Rosa Marín-Ricart, Gloria Elizabeth Gómez-Duarte
{"title":"Infecciones causadas por Staphylococcus aureus de la Comunidad. Estudio de sensibilidad y tendencias en población pediátrica. Años 2015 a 2020","authors":"Gloria Celeste Samudio-Domínguez, Karin Edith Volkart-Fernández, Martha Rosa Marín-Ricart, Gloria Elizabeth Gómez-Duarte","doi":"10.18004/imt/2023.18.1.4","DOIUrl":"https://doi.org/10.18004/imt/2023.18.1.4","url":null,"abstract":"Introducción: Staphylococcus aureus (SA) puede ocasionar cuadros infecciosos severos y muerte. La emergencia de cepas resistentes a meticilina constituye un desafío terapéutico. Objetivos: determinar el perfil de resistencia antimicrobiana de: Staphylococcus aureus adquirido en la comunidad (SA-CA), obtenidos de muestras biológicas de niños, entre 2015 a 2020. Material y Método: estudio descriptivo, observacional y retrospectivo. Las muestras para cultivos se extrajeron al ingreso hospitalario del paciente. Para determinación de resistencia y sensibilidad se utilizó normas de CSLI. Resultados: 244 aislamientos de SA-CA. Masculinos 99 (59%), menores de un año: 42 (25%), de 2 a 5 años: 34 (20%), de 6 a 11 años: 50 (30%) y entre 12 a 15 años: 42 (25%). De los aislados, 72% fueron SAMR (121/168) y 28% SAMS (47/168). Se observó un incremento de tasas anuales de aislamientos SAMR en infecciones de la comunidad desde el 2015 al 2020. Los aislamientos se originaron en piel y partes blandas 53,2 %; sangre 37,4%, orina 3,5%, LCR 2,4%, liquido articular 1,7%, abscesos profundos 1,2% y liquido pleural 0,6%. La prevalencia de SAMR-CA fue de 60,5 en el 2015, 59,6 %, 61,5%, 72,2 %, 67,3% y 75,5 % en los años sucesivos. No se aisló ninguna cepa resistente a la vancomicina. El 10,1% de las cepas estudiadas presentó resistencia inducida a la clindamicina. Conclusión: El SAMR se ha establecido como patógeno de la comunidad. La resistencia inducida por clindamicina fue del 10,1%. Un tercio de las infecciones fueron causadas por SAMS. Las prevalencias de SAMS muestran tendencia a la disminución.","PeriodicalId":52959,"journal":{"name":"Revista del Instituto de Medicina Tropical","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48730759","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Fin de la Pandemia por Covid-19. ¿Estamos listos para otra prueba?","authors":"Gustavo G Benítez E","doi":"10.18004/imt/2023.18.1.13","DOIUrl":"https://doi.org/10.18004/imt/2023.18.1.13","url":null,"abstract":"","PeriodicalId":52959,"journal":{"name":"Revista del Instituto de Medicina Tropical","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49540076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Leticia Jiménez, G. Llanes, Camila Melo, Maisa Vallejos
{"title":"Endocarditis infecciosa y eritema multiforme minor","authors":"Leticia Jiménez, G. Llanes, Camila Melo, Maisa Vallejos","doi":"10.18004/imt/2023.18.1.9","DOIUrl":"https://doi.org/10.18004/imt/2023.18.1.9","url":null,"abstract":"El eritema multiforme es una reacción inmunomediada que envuelve la piel y algunas veces a la mucosa. Las infecciones y medicamentos constituyen las causas más comunes. Típicamente se presenta como lesiones “en diana” sobreelevadas con centro pálido y borde eritematoso o lesiones atípicas como vesículas o ampollas. Se presenta el caso de una mujer de 68 años que acude por tumoración a nivel del antebrazo derecho con signos inflamatorios más fiebre, se constata por ecografía aneurisma micótico en dicho miembro y se realiza ecocardiografía transtorácica donde se observan vegetaciones en válvulas aortica y mitral. Durante la internación presenta aparición de lesiones ampollosas con bordes eritematosos distribuidas en tronco y brazos con biopsia que informa erupción liquenoide ampollosa compatible con eritema multiforme minor.","PeriodicalId":52959,"journal":{"name":"Revista del Instituto de Medicina Tropical","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41347563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Neonates in pediatric emergency department. Comparative study of bronchiolitis with other pathologies that required hospitalization","authors":"Mirna Palomino, M. Mesquita, Laura Godoy","doi":"10.18004/imt/2022.17.2.3","DOIUrl":"https://doi.org/10.18004/imt/2022.17.2.3","url":null,"abstract":"","PeriodicalId":52959,"journal":{"name":"Revista del Instituto de Medicina Tropical","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46350723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gustavo Villar, G. Benítez, J. Villalba, Desirée Almirón
{"title":"Invasive disease by Streptococcus pneumoniae, in adult patients. Period 2016 to 2018","authors":"Gustavo Villar, G. Benítez, J. Villalba, Desirée Almirón","doi":"10.18004/imt/2022.17.2.5","DOIUrl":"https://doi.org/10.18004/imt/2022.17.2.5","url":null,"abstract":"","PeriodicalId":52959,"journal":{"name":"Revista del Instituto de Medicina Tropical","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43048899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Leticia Marín-Mundo, F. Galeano, D. Lovera, Celia Martínez-de Cuellar
{"title":"Parental knowledge level regarding vaccination against COVID-19 in children under 18 years of age","authors":"Leticia Marín-Mundo, F. Galeano, D. Lovera, Celia Martínez-de Cuellar","doi":"10.18004/imt/2022.17.2.7","DOIUrl":"https://doi.org/10.18004/imt/2022.17.2.7","url":null,"abstract":"","PeriodicalId":52959,"journal":{"name":"Revista del Instituto de Medicina Tropical","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43549681","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Monkeypox: challenges of an old disease in a new perspective","authors":"H. Yeh-Li","doi":"10.18004/imt/2022.17.2.1","DOIUrl":"https://doi.org/10.18004/imt/2022.17.2.1","url":null,"abstract":"","PeriodicalId":52959,"journal":{"name":"Revista del Instituto de Medicina Tropical","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42875539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Influence of Climate Change on Vector-Borne Diseases","authors":"A. Arbo, G. Sanabria, C. Martínez","doi":"10.18004/imt/2022.17.2.4","DOIUrl":"https://doi.org/10.18004/imt/2022.17.2.4","url":null,"abstract":"","PeriodicalId":52959,"journal":{"name":"Revista del Instituto de Medicina Tropical","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47509903","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Irma Riquelme, Rebeca Guerin, Isidro Cabral, Ana Zubeldia, F. Ovando, Juana Ortellado
{"title":"Carbapenemase-producing microorganisms in clinical samples of inpatients of Hospital de Clínicas during the years 2020-2021","authors":"Irma Riquelme, Rebeca Guerin, Isidro Cabral, Ana Zubeldia, F. Ovando, Juana Ortellado","doi":"10.18004/imt/2022.17.2.2","DOIUrl":"https://doi.org/10.18004/imt/2022.17.2.2","url":null,"abstract":"","PeriodicalId":52959,"journal":{"name":"Revista del Instituto de Medicina Tropical","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41569166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}