RESUMO
There are currently two authorized vaccines against herpes zoster (HZ) that have been shown to be safe and effective in its prevention: Zostavax, a zoster vaccine live (ZVL), and Shingrix, a recombinant zoster Vaccine (RZV). Because ophthalmologists work with vision-threatening complications of zoster, such as herpes zoster ophthalmicus (HZO), they are in a good position to advocate for vaccination. Our aim was to determine the current knowledge among Spanish ophthalmologists about the effectiveness of the available vaccines against HZ. A Google Forms questionnaire was created and used as the survey platform for this study. It was an anonymous online survey of 16 questions, which was shared among Spanish ophthalmologists in-training and consultants from 27 April 2022 to 25 May 2022. The survey was completed by a total of 206 ophthalmologists of all subspecialties. We obtained responses from 17 of the 19 regions of Spain. Fifty-five percent of the respondents agreed that HZ is a frequent cause of vision loss. However, 27% of the professionals were unaware of the existence of vaccines against HZ and 71% of them did not know in which cases it could be indicated. Only nine ophthalmologists (4%) had ever suggested vaccination against HZ to their patients. Despite this, 93% considered it important to recommend vaccination against HZ if it proved to be safe and effective. Considering the sequelae, complications, and the existence of safe and effective vaccines against HZ, vaccination of the target population could be considered an important public health measure. We are convinced that it is time for ophthalmologists to take an active role in HZO prevention.
RESUMO
La Nutrición Enteral Domiciliaria se ha desarrollado progresivamente hasta nuestros días permitiendo que muchos pacientes, cuyos estados de salud le impiden alimentarse de manera natural, puedan cubrir sus necesidades calóricas sin necesidad de permanecer en el hospital. Mejorando así su calidad de vida y la de quienes los rodean. No obstante, la práctica de este tipo de nutrición no está exenta de riesgos. Existen complicaciones que clasificamos en distintas categorías: mecánicas, gastrointestinales, infecciosas, metabólicas y otras. Siendo las de tipo gastrointestinal las más frecuentes, las hace objeto de estudio. Estas suelen ser consecuencia de un mal manejo de las fórmulas nutricionales, por lo que es de gran importancia que pacientes y familiares estén al corriente en su manejo. En este aspecto tiene gran importancia llevar un programa de seguimiento de la Nutrición Enteral Domiciliaria por parte de un equipo multidisciplinar en el que Enfermería juega un papel fundamental (AU)
Home Enteral Nutrition has developed progressively until today allowing many patients whose health conditions prevent you from eating naturally, can meet your calorie needs without having to stay in the hospital. Improving their quality of life and that of those around them. However, the practice of this type of nutrition is not without risks. There are complications classified into different categories: mechanical, gastrointestinal, infectious, metabolic and others. Being the of the most common gastrointestinal, makes under study. These often result from poor management of nutritional formulas, so it is very important that patients and families are current management. This aspect is very important a program of monitoring enteral nutrition by a multidisciplinary team in which nursing plays a fundamental role (AU)
