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1.
Ann Bot ; 132(6): 1145-1158, 2023 12 05.
Artigo em Inglês | MEDLINE | ID: mdl-37856076

RESUMO

BACKGROUND AND AIMS: Olive (Olea europaea subsp. europaea var. europaea) is the most extensively cultivated fruit crop worldwide. It is considered a wind-pollinated and strictly outcrossing crop. Thus, elevated pollen production is crucial to guarantee optimum fruit set and yield. Despite these facts, the variability of pollen production within the cultivated olive has been scarcely studied. This study aimed to characterize this feature by analysing a representative set of worldwide olive cultivars. METHODS: We evaluated the average number of pollen grains per anther in 57 principal cultivars over three consecutive years. We applied a standard generalized linear model (GLM) approach to study the influence of cultivar, year and the previous year's fruit load on the amount of pollen per anther. Additionally, the K-means method was used for cluster analysis to group cultivars based on their pollen production capacity. KEY RESULTS: Pollen production per anther was highly variable among olive cultivars. The cultivar significantly accounted for 51.3 % of the variance in pollen production and the year for 0.3 %. The interaction between the two factors explained 8.4 % of the variance, indicating that not all cultivars were equally stable in producing pollen across the years. The previous year's fruit load and its interaction with the year were significant, but barely accounted for 1.5 % of the variance. Olive cultivars were classified into four clusters according to their capacity to produce pollen. Interestingly, the fourth cluster was composed of male-sterile cultivars, which presumably share this character by inheritance. CONCLUSIONS: Pollen production per anther varied extensively within the cultivated olive. This variation was mainly driven by the cultivar and its interaction with the year. The differential capacity of olive cultivars to produce pollen should be considered not only for designing new orchards but also gardens where this species is used as an ornamental.


Assuntos
Olea , Olea/genética , Pólen , Frutas/genética
2.
Enferm Intensiva ; 27(3): 120-8, 2016.
Artigo em Espanhol | MEDLINE | ID: mdl-26822814

RESUMO

OBJECTIVE: To determine the level of knowledge of the prevention of ventilator-associated pneumonia guidelines of nurses working in three intensive care units (ICU) in 3 university hospitals in a Spanish region, and evaluate the relationship between this level of knowledge and years worked in the ICU. METHOD: A descriptive, prospective, cross-sectional, multicentre study was conducted using a validated and reliable questionnaire, made up by 9 questions with closed answers drawn from the EVIDENCE study. A total of 98 questionnaires were collected from ICU nurses of the three university hospitals (A, B, and C) from January to April 2014. The sample from hospital A responded the most, in contrast with the sample from hospital B, which was the one with the less participation. The Pearson correlation was calculated in order to determine the relationship between nurse years worked in ICU and level of knowledge. RESULTS: Hospital A obtained in the best mean score in the questionnaire, 6.33 (SD 1.4) points, followed by hospital C with 6.21 (SD 1.4), and finally, the hospital B with 6.06 (SD 1.5) points. A p=.08 was obtained on relating years worked with the level of knowledge. CONCLUSION: The results showed a high level of knowledge compared other studies. There was a tendency between the years worked in the unit and the level of knowledge in ventilator-associated pneumonia prevention.


Assuntos
Competência Clínica , Unidades de Terapia Intensiva , Pneumonia Associada à Ventilação Mecânica/prevenção & controle , Cuidados Críticos , Estudos Transversais , Feminino , Pesquisas sobre Atenção à Saúde , Hospitais Universitários , Humanos , Masculino , Estudos Prospectivos
3.
Plant Dis ; 99(1): 58-64, 2015 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-30699745

RESUMO

The evaluation of the relative susceptibility of new cultivars to the main diseases of a crop is a key point to consider prior to their release to the nursery industry. This study provides a rigorous characterization of the resistance of 15 new olive cultivars and their genitors ('Arbequina,' 'Frantoio,' and 'Picual') to the three main aerial diseases, peacock spot, anthracnose, and cercosporiosis caused by Spilocaea oleagina, Colletotrichum acutatum, and Pseudocercospora cladosporioides, respectively. To do so, developing leaves and detached green-yellowish fruit were inoculated in laboratory tests with S. oleagina and C. acutatum, respectively, using conidial suspensions of both pathogens. Additionally, a previously validated rating scale was used to assess the incidence of leaves with symptoms of S. oleagina or P. cladosporioides and the fruit rot incidence of C. acutatum in the trees for four years under field conditions. As a result, only two of the cultivars were susceptible to peacock spot, most likely because these new cultivars were previously screened for resistance to the disease on previous phases of the breeding program. Conversely, the 15 cultivars were susceptible or moderately susceptible to cercosporiosis. Five of the 15 new cultivars were classified as resistant to anthracnose, with four of them descendants of 'Frantoio' × 'Picual' crosses. In addition, the cultivars resistance to C. acutatum showed a negative linear correlation with the total phenols content of olive oil. This information regarding disease reaction of the new olive cultivars is essential for nursery industry and growers.

4.
Food Chem ; 342: 128357, 2021 Apr 16.
Artigo em Inglês | MEDLINE | ID: mdl-33508902

RESUMO

Phenolic compounds in virgin olive oil (VOO) contribute to its health properties, organoleptic features and oxidative stability. In this study, a total of 44 olive tree cultivars categorized by the International Olive Council to be among the most internationally widespread varieties were exhaustively and homogenously evaluated by analysis of the VOO phenolic profile during three consecutive crop seasons. Differences among cultivars resulted in up to 15-fold variations in the total phenol concentration. The 'cultivar' factor contributed the most to the variance (66.8% for total phenolic concentration) for almost all the phenols. However, the 'interannual variability' factor and the interaction 'cultivar x interannual variability' exhibited significant influences on specific phenols. According to the phenolic profile of the VOOs, we determined the presence of three groups of cultivars marked by the predominance of secoiridoid derivatives, which supports the phenolic profile as a criterion to be considered in olive breeding programs.


Assuntos
Azeite de Oliva/análise , Fenóis/análise , Cromatografia Líquida de Alta Pressão , Extração Líquido-Líquido , Olea/genética , Olea/crescimento & desenvolvimento , Olea/metabolismo , Fenóis/isolamento & purificação , Melhoramento Vegetal , Análise de Componente Principal , Estações do Ano , Espectrometria de Massas em Tandem
5.
Plant Dis ; 92(8): 1252, 2008 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-30769471

RESUMO

Traditional olive orchards in Spain have been planted at a density of 70 to 80 trees per ha with three trunks per tree. During the last decade, the hedgerow orchard, in which planting density is approximately 2,000 trees per ha, was developed. In 2006 and 2007, we noted a severe outbreak of fruit rot in FS-17, a new cultivar from Italy, in an experimental hedgerow planting in Córdoba, southern Spain. The incidence of fruit rot in 'FS-17' was 80% in January of 2006 and 24% in January of 2007. Cvs. Arbosana, IRTA-i18 (a selected clone from 'Arbequina'), and Koroneiki had no symptoms in either year of the study. Disease incidence in 'Arbequina' was <0.1% only in 2006. Affected fruits were soft with gray-white skin and they eventually mummified. Black-green sporodochia were observed on the surface of diseased fruits. A fungus was isolated from diseased fruits on potato dextrose agar (PDA) and incubated at 22 to 26°C with a 12-h photoperiod. After 8 days of growing on PDA, fungal colonies formed conidial chains having a main axis with up to 10 conidia and secondary and tertiary short branches with two to four conidia. Conidia were obpyriform, ovoid, or ellipsoidal, without a beak or with a short beak, had up to four transverse septa, and measured 11.7 to 24.7 (mean 19.6) µm long and 7.7 to 13.0 (mean 9.6) µm wide at the broadest part of the conidium. The length of the beak of conidia was variable, ranging from 0 to 28.6 (mean 5.5) µm. The fungus was identified as Alternaria alternata (1). Pathogenicity tests were performed by spraying 40 mature fruits of 'FS-17' with a spore suspension (1 × 106 spores per ml). The same number of control fruits was treated with water. After 21 days, inoculated fruit developed symptoms that had earlier been observed in the field. A. alternata was reisolated from lesions on all infected fruits. The fungus was not isolated from any of the control fruits. The experiment was performed twice. The new growing system and the high susceptibility of some olive cultivars, such as FS-17, may result in a high incidence of disease caused by a pathogen that is generally characterized as weakly virulent. To our knowledge, this is the first report of A. alternata causing a severe outbreak of fruit rot on olive trees in the field. References: (1) B. M. Pryor and T. J. Michailides. Phytopathology 92:406, 2002.

6.
Food Chem ; 266: 192-199, 2018 Nov 15.
Artigo em Inglês | MEDLINE | ID: mdl-30381176

RESUMO

Despite the evident influence of the cultivar on olive oil composition, few studies have been devoted to exploring the variability of phenols in a representative number of monovarietal olive oils. In this study, oil samples from 80 cultivars selected for their impact on worldwide oil production were analyzed to compare their phenolic composition by using a method based on LC-MS/MS. Secoiridoid derivatives were the most concentrated phenols in virgin olive oil, showing high variability that was significantly due to the cultivar. Multivariate analysis allowed discrimination between four groups of cultivars through their phenolic profiles: (i) richer in aglycon isomers of oleuropein and ligstroside; (ii) richer in oleocanthal and oleacein; (iii) richer in flavonoids; and (iv) oils with balanced but reduced phenolic concentrations. Additionally, correlation analysis showed no linkage among aglycon isomers and oleocanthal/oleacein, which can be explained by the enzymatic pathways involved in the metabolism of both oleuropein and ligstroside.


Assuntos
Variação Biológica da População , Olea/química , Azeite de Oliva/análise , Fenóis/análise , Compostos Fitoquímicos/análise , Aldeídos/análise , Cromatografia Líquida , Monoterpenos Ciclopentânicos , Flavonoides/análise , Glucosídeos/análise , Glucosídeos Iridoides , Iridoides/análise , Análise Multivariada , Piranos/análise , Espectrometria de Massas em Tandem
7.
J Int Med Res ; 46(6): 2202-2218, 2018 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-29584539

RESUMO

Objective To evaluate the effectiveness of an interdisciplinary programme led by nurses in relation to metabolic syndrome (MS) and cardiovascular risk (CVR). Methods This randomized, controlled, clinical trial included 74 patients diagnosed with MS (experimental group [EG], n = 37; control group [CG], n = 37). The intervention consisted of a 12-month interdisciplinary programme (pre-test, 6 months of intervention, 12 months of intervention, and 1-year follow-up post-intervention) coordinated by nursing. Results We found a progressive and significant reduction for all clinical, biochemical, and anthropometric parameters analysed at different time points. In the EG, remission of MS by 48.1% in the short term was observed (83.8% in the medium term) and maintained at 1 year post-intervention. In the CG, the prevalence of MS increased by 2.7% from the initial evaluation to study completion. A similar trend was observed for CVR. In the EG, 100% of subjects had a moderate-low risk of CVR at 1 year post-intervention, whereas the CG had CVR in all categories. Conclusion An interdisciplinary, nurse-led programme improves participants' metabolic and cardiovascular health, while maintaining long-term effects. Our findings suggest an important role of the professional nurse as a nexus between the patient, different professionals, and the community.


Assuntos
Doenças Cardiovasculares/terapia , Promoção da Saúde , Síndrome Metabólica/terapia , Obesidade/terapia , Idoso , Doenças Cardiovasculares/enfermagem , Centros Comunitários de Saúde , Feminino , Comportamentos Relacionados com a Saúde , Humanos , Masculino , Síndrome Metabólica/enfermagem , Pessoa de Meia-Idade , Papel do Profissional de Enfermagem , Obesidade/enfermagem , Equipe de Assistência ao Paciente , Serviços Preventivos de Saúde , Avaliação de Programas e Projetos de Saúde , Fatores de Risco
8.
Euro Surveill ; 12(9): E7-8, 2007 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-17991417

RESUMO

The objective of this study was to describe the incidence (1982-2005) and epidemiologic characteristics of pertussis cases (1998-2005) in the Autonomous Region of Madrid using data drawn from the epidemiologic surveillance network and computerised hospital discharge data. In the 1990s, the trend in the pertussis incidence in the Autonomous Region of Madrid was clearly falling. The typical seasonal pattern of pertussis remained. A peak in incidence were observed in 2000, and another peak, 2.5 times higher, in 2003. They affected all age groups, but children under one year of age were the most frequent cases, followed by the five to nine year-olds. The greatest increase was seen in the age groups from 10 to 14 and from five to nine. Since 2002, the proportion of cases diagnosed serologically has increased. The incidence of hospital discharges among small children exceeded that of reported cases. More than half of the cases with known vaccination status had received at least three doses of vaccine. The upward trend observed since 2002 could be due to improved case detection, availability of serologic techniques, and a rise in the susceptible population aged five to 14 years. The fact that epidemic peaks continue to occur and that there is a seasonality to the disease seems to indicate that despite the vaccination programme the circulation of the bacteria has not been interrupted. The introduction of the acellular vaccine in 2000 does not appear to have played a significant role in the increase in disease incidence.


Assuntos
Surtos de Doenças/prevenção & controle , Surtos de Doenças/estatística & dados numéricos , Vacinação em Massa/estatística & dados numéricos , Vigilância da População , Medição de Risco/métodos , Coqueluche/epidemiologia , Coqueluche/prevenção & controle , Adolescente , Adulto , Criança , Pré-Escolar , Análise por Conglomerados , Feminino , Humanos , Incidência , Lactente , Recém-Nascido , Masculino , Pessoa de Meia-Idade , Fatores de Risco , Espanha/epidemiologia
9.
Biol Res Nurs ; 19(2): 162-169, 2017 03.
Artigo em Inglês | MEDLINE | ID: mdl-28198200

RESUMO

BACKGROUND: Roux-en-Y gastric bypass (RYGB) is considered the gold standard for gastric bypass, displaying better results for metabolic disorders than other surgical procedures over the long term. The aim of this study was to determine the effects of bariatric surgery, in particular the RYGB technique, on metabolic syndrome (MS) and other biochemical parameters implicit in the comorbid conditions associated with obesity, as well as to explore the influence of this surgical procedure on psychiatric comorbidity in the study population. METHOD: An observational retrospective cohort study based on 146 clinical records of patients having undergone RYGB between January 1, 2011, and January 1, 2014, was performed. Data related to metabolic and psychiatric comorbidity were gathered at three stages: prior to surgery and at 3 and 9 months following surgery. RESULTS: There was a progressive and statistically significant reduction of all biochemical parameters analyzed at 3 and 9 months following surgery except high-density lipoprotein cholesterol, which significantly increased (beneficial) in value. These changes imply a remission of >90% for all metabolic disorders and the consequent tendency toward a reduction in prescribed pharmacological treatments, with MS found in only one subject at 9 months. There was, however, no significant reduction in pharmacological treatments for psychiatric comorbidities. CONCLUSION: Findings suggest that RYGB is an effective treatment for MS and other metabolic disorders but not for psychiatric comorbidities accompanying MS.


Assuntos
Derivação Gástrica/psicologia , Síndrome Metabólica/psicologia , Síndrome Metabólica/cirurgia , Obesidade Mórbida/psicologia , Obesidade Mórbida/cirurgia , Adulto , Estudos de Coortes , Comorbidade , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Espanha , Resultado do Tratamento
10.
J Cereb Blood Flow Metab ; 9(6): 886-91, 1989 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-2511213

RESUMO

19F NMR was used to determine washout curves of an inert, diffusible gas (CHF3) from the cat brain. The cerebral blood flow was estimated from a bi- or tri-phasic fit to the deconvoluted wash-out curve, using the Kety-Schmidt approach. Cerebral blood flow values determined by 19F NMR show the expected responsiveness to alterations in Paco2, but are approximately 28% lower than cerebral blood flow values determined simultaneously by radioactive microsphere techniques. High concentrations of CHF3 have little effect on intracranial pressure, mean arterial blood pressure or Paco2, but cause small changes in the blood flow to certain regions of the brain. We conclude that 19F NMR techniques utilizing low concentrations of CHF3 have potential for the noninvasive measurement of cerebral blood flow.


Assuntos
Encéfalo/metabolismo , Circulação Cerebrovascular , Animais , Barreira Hematoencefálica , Dióxido de Carbono/sangue , Gatos , Flúor , Espectroscopia de Ressonância Magnética/métodos , Microesferas , Especificidade de Órgãos , Pressão Parcial
11.
J Neurosurg ; 71(6): 868-74, 1989 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-2585079

RESUMO

The relationship between cerebral blood flow (CBF) and cerebral metabolic rate of glucose (CMRgl) in the white matter was studied in a plasma infusion model of vasogenic edema in cats. Local CBF, as determined by iodoantipyrine testing, was found to be significantly decreased in edematous white matter (mean +/- standard error of the mean: 17.3 +/- 1.5 ml/100 gm/min) when compared with CBF in the contralateral control white matter (24.8 +/- 1.8 ml/100 gm/min). When the values for edematous brain were corrected for dilution, however, the local CBF averaged 25.3 +/- 1.7 ml/100 gm/min, which was similar to the control value. Local CMRgl was found to be significantly increased in plasma-infused white matter (16.3 +/- 2.2 mumol/100 gm/min) compared with that in control white matter (10.7 +/- 1.3 mumol/100 gm/min). This difference remained, despite correction for dilution and recalculation of local CMRgl values based on altered kinetic constants found in edematous brain. A similar increase in local CMRgl was noted with saline-infusion edema. It is concluded that the increased tissue water level does not alter CBF, but does induce an increase in anaerobic metabolism.


Assuntos
Edema Encefálico/fisiopatologia , Encéfalo/metabolismo , Circulação Cerebrovascular , Glucose/metabolismo , Animais , Edema Encefálico/metabolismo , Gatos , Desoxiglucose , Distribuição Tecidual
12.
Arch Med Res ; 23(1): 73-7, 1992.
Artigo em Inglês | MEDLINE | ID: mdl-1308797

RESUMO

This paper describes that the previous addition of Verapamil does not block the spastic response to Praziquantel (Pz) in larvae of Taenia pisiformis kept in vitro, where opposite results were found in the literature using mammalian tissue. It is possible that Pz stimulates other Ca++ transport channels not sensitive to Verapamil action and promotes Ca++ liberation from calcareous corpuscles stimulating phospholipase C of the tegument surface generating inositol triphosphate. These hypotheses require experimental approaches to define the exact mechanism of action.


Assuntos
Contração Muscular/efeitos dos fármacos , Praziquantel/farmacologia , Taenia/efeitos dos fármacos , Verapamil/farmacologia , Animais , Anti-Helmínticos/farmacologia , Anti-Helmínticos/toxicidade , Cálcio/fisiologia , Interações Medicamentosas , Larva/anatomia & histologia , Larva/efeitos dos fármacos , Veículos Farmacêuticos/farmacologia , Praziquantel/toxicidade , Coelhos , Solventes/farmacologia , Taenia/crescimento & desenvolvimento , Tetania/induzido quimicamente , Verapamil/toxicidade
13.
Rev Invest Clin ; 46(5): 377-81, 1994.
Artigo em Inglês | MEDLINE | ID: mdl-7839018

RESUMO

The multienzymatic complex known as cytochrome P-450 represents one of the most important hemoprotein families of the liver. It participates in the metabolism of steroids, fatty acids, prostaglandins and liposoluble vitamins, and also plays a role in the bioactivation of xenobiotic compounds (generates reactive metabolites which produce acute and chronic lesions in liver tissue). This is a report on the low concentrations of total microsomal P-450 (0.093 +/- SD = 0.069 nMoles/mg protein) found in liver biopsies of 19 mexican patients diagnosed as having biliary lithiasis, as compared to an anglosaxon population with the same liver pathology (0.415 +/- 0.105 nMoles/mg protein). These low values are in agreement with the observation of a high incidence in normal mexicans (91.7%) of poor nifedipine metabolizers. Our findings justify an analyses of hepatic RNAm and cDNA of mexican individuals according to ethnic background, diet and environmental contaminants.


Assuntos
Colelitíase/metabolismo , Sistema Enzimático do Citocromo P-450/metabolismo , Fígado/metabolismo , Adulto , Colelitíase/etnologia , Sistema Enzimático do Citocromo P-450/análise , Feminino , Humanos , Fígado/química , Masculino , México , Pessoa de Meia-Idade
14.
Rev Invest Clin ; 48(4): 301-5, 1996.
Artigo em Espanhol | MEDLINE | ID: mdl-8966393

RESUMO

A case of hepatic capillariasis in a 54-year-old woman confined to a mental institution is reported. The patient was transferred to the Hospital General de México for terminal care of a breast cancer; she died 12 days after admission. Hepatomegaly was observed clinically and numerous Capillaria hepatica eggs were found at autopsy. The laboratory examinations did not show eosinophilia or other abnormalities. Twenty-six cases of human hepatic capillariasis have been recorded in the world literature. This is the third case reported in Mexico: the previous two in children. Since the patient had a psychiatric condition she may have had aberrant alimentary habits. The features of C hepatica eggs stained with Jone's silver methenamine, which allows the demonstration of an internal multilayered sheath and an external layer endowed with multiple radiated canaliculi, are described in this patient.


Assuntos
Capillaria , Infecções por Enoplida/epidemiologia , Hepatopatias Parasitárias/epidemiologia , Animais , Neoplasias da Mama/complicações , Neoplasias da Mama/patologia , Carcinoma Ductal de Mama/complicações , Carcinoma Ductal de Mama/patologia , Infecções por Enoplida/complicações , Infecções por Enoplida/patologia , Feminino , Humanos , Hepatopatias Parasitárias/complicações , Hepatopatias Parasitárias/parasitologia , Hepatopatias Parasitárias/patologia , México/epidemiologia , Pessoa de Meia-Idade
15.
Med Law ; 22(2): 301-10, 2003.
Artigo em Inglês | MEDLINE | ID: mdl-12889649

RESUMO

Health care professionals must be prepared, both as scientists and as humans, to treat, accompany and help anyone in the difficult moments prior to their death. The following study aims to identify the attitude of Health Sciences students to their own death process and the circumstances surrounding it, so as to be able to give them appropriate training in caring for those in this situation. 666 Health Sciences students at the University of Murcia were given a questionnaire dealing with different aspects of what would cause them peace or anxiety during their death process. We can see from the results that the thing that would most help them to die peacefully would be knowing that their life would not be prolonged artificially, and what worries them most is pain and suffering. We have reached the following conclusions from these results: we must train future health care professionals on a personal and professional level so that they are able to provide quality care and comfort in those situations and aspects that are associated with death in order to preclude wanting a quick death.


Assuntos
Atitude do Pessoal de Saúde , Atitude Frente a Morte , Estudantes de Ciências da Saúde/psicologia , Feminino , Humanos , Masculino , Especialidade de Fisioterapia/educação , Psicologia/educação , Estudantes de Odontologia/psicologia , Estudantes de Medicina/psicologia , Estudantes de Enfermagem/psicologia , Inquéritos e Questionários
16.
Med Cutan Ibero Lat Am ; 4(2): 149-52, 1976.
Artigo em Espanhol | MEDLINE | ID: mdl-988453

RESUMO

Thirty patients suffering from scabies who had previonsly received other kinds of treatment were administered "Metrifonate" at daily doses of 10 mg./kg. b.w. during two consecutive days repeated every week and associated with atropine sulfate. The number of weeks lapse until the treatment finished was as follows. (see article.) Four patients developed intolerance, but it was transitory (nausea and vomiting). Cures (skin lesions and prutitus) were obtaind in 29 our of 30 cases.


Assuntos
Escabiose/tratamento farmacológico , Triclorfon/uso terapêutico , Adolescente , Adulto , Cápsulas , Criança , Pré-Escolar , Avaliação de Medicamentos , Feminino , Humanos , Lactente , Masculino , Pessoa de Meia-Idade , Triclorfon/efeitos adversos
17.
An Pediatr (Barc) ; 80(4): 259.e1-23, 2014 Apr.
Artigo em Espanhol | MEDLINE | ID: mdl-24119683

RESUMO

INTRODUCTION: Meningococcal disease is an infection caused by Neisseria meningitidis, and those of serogroup B are currently the most predominant. It has been difficult to create effective vaccines for this serogroup in order to modify or reduce its morbidity. The aim of this study was to review existing data on the new vaccine 4CMenB and its potential contribution to the prevention of this infection. METHODS: A panel of 12 experts (from Pediatrics, Public Health and Vaccinology) conducted a literature search and prioritized 74 publications. A review of the vaccine was then prepared, which was discussed in a meeting and subsequently validated by e-mail. RESULTS: 4CMenB vaccine, based on four components (NadA, fHbp, NHBA and OMVnz), was designed by reverse vaccinology. The Meningococcal Antigen Typing System (MATS) shows a potential of 70-80% coverage of the strains in Europe. Clinical trials show that the vaccine is safe and immunogenic in infants, children, adolescents, and adults, and induces an anamnestic response. The incidence of fever is similar to systemic vaccines administered alone, but higher when co-administered with them, although the fever pattern is predictable and self-limited. It is compatible with the Spanish routine vaccines, and can be administered simultaneously with the currently available hexavalent and pentavalent vaccines, as well as the pneumococcal conjugate vaccine. CONCLUSIONS: The 4CMenB vaccine is the only strategy currently available to prevent meningococcal disease caused by serogroup B.


Assuntos
Infecções Meningocócicas/prevenção & controle , Vacinas Meningocócicas , Neisseria meningitidis Sorogrupo B , Vacinas Combinadas , Criança , Humanos
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