Caracterización de la infección por bordetella spp. y coqueluche en la provincia de Córdoba

Las enfermedades respiratorias, entre las que se encuentra coqueluche producida por Bordetella pertussis (Bp), son consideradas como la primera causa de mortalidad infantil en el mundo. Si bien la introducción de la vacuna produjo un marcado descenso en el número de casos en nuestro país, coqueluche continúa siendo un problema en Salud Pública, ya que han aumentado los casos entre adolescentes y adultos a pesar de décadas de coberturas vacunales adecuadas. Los individuos de estos grupos etarios son considerados el reservorio actual del agente, y a partir de ellos, la infección se transmitiría a los menores de un año, quienes son los individuos más susceptibles a la infección. Existe una enfermedad clínicamente similar a coqueluche, denominada Síndrome Coqueluchoide (SC) asociada a infecciones por Virus Respiratorio Sincicial (VRS), Adenovirus, Influenza A o B, Parainfluenza y Metapneumovirus, Chlamydia spp., Mycoplasma pneumoniae, Bordetella bronchiseptica. Debido a la importancia sanitaria actual de las infecciones producidas por Bordetella spp. como agente etiológico de infecciones respiratorias emergentes en Argentina y en el mundo, el objetivo de este estudio fue caracterizar el perfil clínico y epidemiológico de esta infección en Córdoba, evaluando además, en un porcentaje de la población estudiada, la prevalencia de infecciones respiratorias de etiología viral que pueden cursar con un cuadro clínico similar como es el SC...

Respiratory diseases, including whooping caused by Bordetella pertussis (Bp), are considered the leading cause of infant mortality worldwide. Even though the introduction of the vaccine caused a decrease in cases in our country, whooping cough is still a problem in Public Health since cases in teenagers and adults have increased in spite of decades of adequate vaccination coverage. Individuals belonging to these age groups are considered the current reservoir of the agent, and from them, the infection would be passed on to children younger than one year old, who are the ones most susceptible to the infection. There is a disease clinically similar to whooping cough, named Coqueluchoide Syndrome (CS), associated to infections by Respiratory Syncytial Virus (RSV), Adenovirus, Influenza A or B, Parainfluenza, Metapneumovirus, Chlamydia spp., Mycoplasma pneumoniae, Bordetella bronchiseptica. Due to the current sanitary importance of infections caused by Bordetella spp. as an etiological agent of emerging respiratory infections in Argentina and in the world, it was considered important to analyse the clinical and epidemiological profile of this infection in Córdoba, evaluating also the prevalence of respiratory infections of viral etiology than can develop a clinical picture similar to the CS, in a percentage of the population under study.

Pertussin 30 - Preventive for whooping cough?

The primary purpose of this study was to be a pilot for a further, larger study to determine whether the homoeopathic preparation Pertussin 30c was effective in preventing whooping cough. It was recognized that neither the numbers involved, nor the method followed would of themselves be sufficient to prove efficacy, but it was hoped that a positive result would permit the conclusion to be drawn that a further study would be in the public interest. 694 valid replies from 1100 questionnaires sent to the parents of children who had had Pertussin 30 were compared with Hillingdon District's notified figures. Hillingdon FPC provided evidence of a wide degree of variability in the notification rates of pertussis. When these were taken into account the result suggested a degree of activity for Pertussin in excess of 50 porcento. Although the assumptions are reasonable in themselves, no claim can be made to have demonstrated the effect of Pertussin in a statistically valid way. It is reasonable, howeverm to conclude that there is a good technical case for further investigation to be undertaken, although with rising immunization rates it may not be justified in terms of reward for its cost. The trial has helped to define a possible method for doing this, which is described

Symptoms and treatment of whooping cough, 1980-82

Questionnaires were obtained from the parents of 71 children who contracted pertussin in 1980-82. They sought to confirm the typical history of the disease, its severity, duration, method of treatment, and any effect this had on its course. They suggest that the disease is milder than it used to be and that whilst antibiotics, including erythromycin, make no significant difference to its course, homoeopathic treatment reduces its duration and severity

La quatrieme maladie chronique / The fourth chronic disease

La quatrieme maladie chronique ou intoxication est l'element barriere qui peut empecher l'homeopathie d'amener une guerison reelle chez des patients de plus nombreux a l'heure actuelle. Une attitude rigoureuse d'observation, d'anamnese et de traitement est indispensable si l'on veut arriver a renverser cette barriere. "O 207: le medecin homeopathe doit encore s'informer des traitements allopathiques auxquels la personne attente de maladie chronique a pu etre soumise jusqu'alors, de quels medicaments heroiques elle s'est surtout et le plus frequemment servie, des cures d'eaux minerales auxquelles elle a eu recours et des effets qu'en a produits l'usage. Ces renseignements lui son necessaires pour concevoir jusqu'a quel point la maladie a degenere de son etat primitif, pour corriger en partie ces alterations artificielles s'il est possible d'y parvenir, ou pour eviter au moins les drogues dont on a fait abus". A tous les stades therapeutiques de cette intoxication, il faut toujours rechercher si les elements symptomatologiques constitutionnels du malade ne reviennent pas a la surface, si l'universalite des symptomes presentes depuis et avant le droguage ne redevient pas apparente. Alors seulement il sera possible de guerir les autres maladies chroniques constitutionnelles a savoir, les exces, les inhibitions et les perversions selon les regles bien connues de notre maitre Hahnemann