{"id":79032,"date":"2006-10-03T00:00:00","date_gmt":"2006-10-03T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/efectividad-de-la-vacunacion-antineumococica-en-la-poblacion-mayor-de-65-anos\/"},"modified":"2006-10-03T00:00:00","modified_gmt":"2006-10-03T00:00:00","slug":"efectividad-de-la-vacunacion-antineumococica-en-la-poblacion-mayor-de-65-anos","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/enfermedades-pulmonares\/efectividad-de-la-vacunacion-antineumococica-en-la-poblacion-mayor-de-65-anos\/","title":{"rendered":"Efectividad de la vacunaci\u00f3n antineumococica en la poblacion mayor de 65 a\u00f1os"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Angel Vila Corcoles <\/strong><\/h2>\n<p>La actual vacuna antineumoc\u00f3cica polisac\u00e1rida de 23 serotipos (van-23s) est\u00e1 disponible desde 1983 y es corrientemente recomendada para personas mayores y grupos de alto riesgo. Sin embargo, pese al tiempo transcurrido desde su introducci\u00f3n desde su introducci\u00f3n, su efectividad sigue siendo discutida. la presente tesis tuvo como objetivo evaluar la efectividad de la van-23s para la prevenci\u00f3n de enfermedad invasiva, neumon\u00eda y muerte entre las personas mayores de 65 a\u00f1os. En el conjunto de la poblaci\u00f3n estudiada, la van-23s tuvo una efectividad del 69% (intervalo de confianza del 95%: -20% a 82%) para prevenir enfermedad neumoc\u00f3cica invasiva por serotipos vacunales, del 59% (1% a 83%) para prevenir enfermedad invasiva por todos los serotipos, del 64% (1% a 87%) para prevenir neumon\u00eda neumoc\u00f3cica bacteri\u00e9mica, y del 52% ( 10% a 74%) para prevenir neumon\u00eda neumoc\u00f3cica no bacteri\u00e9mica). Aunque no alcanz\u00f3 significaci\u00f3n estad\u00edstica debido al bajo n\u00famero de eventos, la van-23s tambi\u00e9n mostr\u00f3 una reducci\u00f3n del 57% (-76% a 90%) en el riesgo de muerte por infecci\u00f3n neumoc\u00f3cica entre los sujetos vacunados. La vacuna no ha evidenciado un efecto significativo para prevenir hospitalizaciones por neumon\u00eda ni neumon\u00edas totales en los sujetos vacunados puesto que, aunque se observ\u00f3 una reducci\u00f3n del 18% (-4$ a 36%) en el riesgo de hospitalizaci\u00f3n por neumon\u00eda y del 17% (-3% a 33%) en el riesgo total de neumon\u00eda, estos efectos no alcanzaron significaci\u00f3n. Finalmente, la van-23s mostr\u00f3 una efectividad del 60% (29% a 78%) para prevenir la muerte causada por neumon\u00eda entre los sujetos vacunados.  2,- metodolog\u00eda empleada y conclusiones m\u00e1s relevantes     estudio de cohortes prospectivo con 40 meses de seguimiento (entre 1 de enero de 2002 y 30 de abril de 2005), que incluy\u00f3 todos los individuos mayor 65 a\u00f1os asignados a 8 \u00e1reas b\u00e1sicas de salud en tarragona (n= 11.241) los eventos principales considerados fueron enfermedad neumoc\u00f3cica inva<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Efectividad de la vacunaci\u00f3n antineumococica en la poblacion mayor de 65 a\u00f1os<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Efectividad de la vacunaci\u00f3n antineumococica en la poblacion mayor de 65 a\u00f1os <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Angel Vila Corcoles <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Rovira i virgili<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 10\/03\/2006<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Carles Llor Vila<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: francesc Gudiol munt\u00e9 <\/li>\n<li>eduardo Diogene fadini (vocal)<\/li>\n<li>rosa Sola alberich (vocal)<\/li>\n<li>gloria Morello castro (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Angel Vila Corcoles La actual vacuna antineumoc\u00f3cica polisac\u00e1rida de 23 serotipos (van-23s) est\u00e1 disponible desde 1983 y [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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