2010, Número 1
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salud publica mex 2010; 52 (1)
Reemplazo de serotipos de Streptococcus pneumoniae en niños con vacuna conjugada antineumocóccica 7V en México
Espinosa-de los Monteros LE, Aguilar-Ituarte F, Jiménez-Juárez RN, Rodríguez-Suárez RS, Gómez-Barreto D
Idioma: Español
Referencias bibliográficas: 36
Paginas: 4-13
Archivo PDF: 148.61 Kb.
RESUMEN
Objetivo. Evaluar el efecto de la inmunización con vacunav neumocóccica conjugada 7 valente (VCN7), sobre la colonización nasofaríngea por
S. pneumoniae (SPN).
Material y métodos. Se estudiaron dos grupos con diferente esquema de vacunación: grupo I (2-6 meses de edad) 3+1, grupo II (7-11 meses) 2+1, con refuerzo a los 15 meses de edad. Se realizaron cultivos nasofaríngeos antes de cada inmunización y posterior al refuerzo; se analizó de forma global y pareada las proporciones de los niños colonizados por SPN, serotipos vacunales, no vacunales y resistencia a la penicilina.
Resultados. Se incluyeron 183 niños; 93 en el grupo I y 90 en el grupo II. En el grupo I disminuyeron los serotipos vacunales en la 3ª muestra. En el grupo II aumentaron los serotipos no vacunales y disminuyeron los serotipos vacunales antes del refuerzo. En ambos grupos hay una tendencia a disminuir la resistencia a penicilina.
Conclusión. La VCN7 ocasiona un reemplazo de serotipos en la colonización nasofaríngea antes del refuerzo.
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