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Copyright of Revista Foco (Interdisciplinary Studies Journal) is the property of Revista Foco and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Vaccination plays an essential role in preventing diseases, safeguarding the health and welfare of the population. The objective of this review is to design vaccination plans for companion animals and production systems in equines and bovines located in the state of Meta (Colombia). In felines and canines, vaccination can provide protection against possible bacterial, virulent and parasitic agents with infectious and/or zoonotic capacity and thus reduce losses in veterinary expenses associated with the treatment of sick animals. In equines, it is prophylactic against encephalomyelitis and equine influenza, avoiding animal suffering and possible economic losses; while, in bovine production, it can be highly preventive against conditions such as brucellosis and foot-and-mouth disease, which can have serious economic consequences in the industry. Therefore, it is of crucial importance to adopt a solid and clear focus on prevention through contextualized vaccination programs, in this case for the state of Meta, protecting only one health. [ABSTRACT FROM AUTHOR]

Copyright of Revista Foco (Interdisciplinary Studies Journal) is the property of Revista Foco and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The aim of this article it is to study the origin, development and consequences of the cholera epidemic of 1885 in Segovia, emphasizing first the number of infections and then the number of victims, focusing both on the differential mortality by age, gender and profession, as in the space, showing the possible sources of appearance, progress and prophylaxis. For this, based mainly on the analysis of primary sources, we aim to reconstruct the course of the disease and its comparison with the rest of the country. [ABSTRACT FROM AUTHOR]

Background: Studies analyzing non-antibiotic alternatives in kidney transplant UTI's are lacking. d-Mannose, a simple sugar, inhibits bacterial attachment to the urothelium, as does Proanthocyanidins; both could act as a synergic strategy preventing UTI; nonetheless their efficacy and safety have not been evaluated in kidney transplant population yet. Methods: This is a pilot prospective, double-blind randomized trial. Sixty de novo kidney transplant recipients were randomized (1:1) to receive a prophylactic strategy based on a 24-h prolonged release formulation of d-Mannose plus Proanthocyanidins vs. Proanthocyanidins (PAC) alone. The supplements were taken for the first 3 months after kidney transplant and then followed up for 3 months as well. The main objective of the study was to search if the addition of Mannose to PAC alone reduced the incidence of UTI and/or asymptomatic bacteriuria in the first 6 months post-transplantation. Results: 27% of patients experienced one UTI episode (cystitis or pyelonephritis) while asymptomatic bacteriuria was very common (57%). Incidences according UTI type or AB were: 7% vs. 4% for cystitis episode (p 0.3), 4% vs. 5% for pyelonephritis (p 0.5) and 17% vs. 14% for asymptomatic bacteriuria (p 0.4) for patients in the Mannose + PAC group vs. PAC group respectively. The most frequent bacteria isolated in both groups was Escherichia coli (28% of all episodes), UTI or AB due to E. coli was not different according to study group (30% vs. 23% for Mannose + PAC vs. PAC alone p 0.37). Conclusions: Non-antibiotic therapy is an unmet need to prevent UTI after kidney transplantation; however, the use of d-Mannose plus PAC does not seem capable to prevent it. Resumen: Antecedentes: Faltan estudios que analicen alternativas no antibióticas para tratar las infecciones del tracto urinario (ITU) en los pacientes trasplantados renales. La D-Manosa, un azúcar simple, inhibe la adhesión bacteriana al urotelio, al igual que las Proantocianidinas; ambas moléculas podrían actuar como una estrategia sinérgica para prevenir las ITUs; pero su eficacia y seguridad aún no se han evaluado en la población trasplantada renal. Métodos: Este es un ensayo piloto prospectivo y doble ciego. Sesenta receptores de trasplante renal de novo fueron asignados al azar (1:1) para recibir una estrategia profiláctica basada en una formulación de liberación prolongada de 24 horas de D-Manosa más Proantocianidinas (PAC), frente a solo Proantocianidinas (PAC). Los suplementos se tomaron durante los primeros 3 meses después del trasplante renal y luego se realizó un seguimiento durante otros 3 meses. El objetivo principal del estudio fue determinar si la adición de D-Manosa a PAC reducía la incidencia de ITU y/o bacteriuria asintomática en los primeros 6 meses después del trasplante. Resultados: El 27% de los pacientes experimentó un episodio de ITU (cistitis o pielonefritis), mientras que la bacteriuria asintomática fue muy común (57%). Las incidencias según el tipo de ITU o bacteriuria asintomática fueron: 7% frente a 4% para episodio de cistitis (p 0.3), 4% frente a 5% para pielonefritis (p 0.5) y 17% frente a 14% para bacteriuria asintomática (p 0.4) en el grupo de manosa + PAC frente al grupo PAC, respectivamente. La bacteria más frecuente en ambos grupos fue Escherichia coli (28% de todos los episodios), sin embargo las ITU o bacteriuria asintomática debidas a E. coli no fueron diferentes según el grupo de estudio (30% frente a 23% para Manosa + PAC frente a PAC solo, p.0.37). Conclusiones: La terapia no antibiótica es una necesidad para prevenir las ITU después del trasplante renal; sin embargo, el uso de D-Manosa más PAC no parece ser capaz de prevenir las ITU en este grupo especial de pacientes.

Copyright of Nefrologia is the property of Revista Nefrologia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Magyar Nőorvosok Lapja is the property of Hungarian Society of Obsterics & Gynaecology and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

La vacunación desempeña un rol esencial previniendo enfermedades, salvaguardando la salud y el bienestar de la población. Esta revisión tiene como objetivo diseñar los planes de vacunación para animales de compañía y sistemas de producción en equinos y bovinos ubicados en el departamento del Meta (Colombia). La vacunación puede brindar, en felinos y caninos, protección contra posibles agentes infectocontagiosos, zoonóticos en algunos casos, y así reducir las pérdidas de gastos veterinarios asociados al tratamiento de animales enfermos. En equinos es profiláctica para la encefalomielitis y la influenza equina, pudiendo evitar el sufrimiento del animal y las posibles pérdidas económicas; mientras que, en producción bovina puede ser altamente preventiva contra afecciones como brucelosis y fiebre aftosa, las cuales pueden tener consecuencias económicas graves en la industria. Por lo tanto, es de crucial importancia adoptar un enfoque sólido y claro en la prevención mediante programas de vacunación contextualizados, en este caso para el departamento del Meta.

Las infecciones de sitio quirúrgico (ISQ) son un tipo de afecciones asociadas a la atención en salud (IAAS) que ocurre después de una intervención quirúrgica, en una zona del cuerpo donde se llevó a cabo una incisión, afectando piel, tejidos y/o órganos, manifestándose con una serie de signos y síntomas que muestran la infección. Esta investigación tuvo como objetivo: determinar la asociación entre la infección en el sitio quirúrgico y la aplicación de medidas de prevención global en la clínica de animales pequeños y grandes de la Universidad Pedagógica y Tecnológica de Colombia UPTC, se considera un estudio cuantitativo, longitudinal con fase analítica realizada con caninos y felinos (escogidos por conveniencia), independientes de raza o sexo, no sintomáticos de infección, que fueron atendidos quirúrgicamente durante el periodo enero de 2019 a febrero de 2020 , se estableció una muestra de 150 animales, a los cuales se les aplicó un instrumento de evaluación basado en las 29 recomendaciones OMS con su respectivo seguimiento de un mes, los resultados evidencian un predominio de caninos, aplicación en un 60% o más de algunas medidas pre intra y post operatorias, la asociación de variables arrojó significancia estadística (p < 0,05) en variables como lavado de manos, procesos de limpieza y aplicación de antibiótico pre operatorio. Se puede concluir que la aplicación permanente de medidas globales operatorias descritas es consideradas una estrategia de control de IAAS en clínicas veterinarias, las estrategias más frecuentes usadas en el medio hospitalario son los procesos de limpieza, desinfección y esterilización además de un uso racional de los antimicrobianos.

Este estudio tiene como objetivo contextualizar históricamente un amuleto contra el granizo fechado en época tardía y hallado en Fvrnos maivs (Aïn Fourna, Túnez). Tras ofrecer una nueva edición del texto, se procederá al análisis de la pieza atendiendo a sus particularidades y a otros paralelos conservados, haciendo especial énfasis en la historiola protagonizada por el omvncio y la serpiente. El análisis de esta pieza narrativa pondrá de manifiesto que, a pesar de su aparente carácter cristiano (lo cual no excluye la presencia de algún elemento pagano de origen romano en su texto), se trata en realidad de un conjuro que hunde sus raíces en un fondo ancestral de creencias autóctonas vinculadas a la ofiolatría norteafricana.

Prophylaxis for thromboembolic disease in neurosurgical patients

Resumen: Las metástasis óseas son frecuentes en pacientes oncológicos y una causa frecuente de complicaciones debido al daño estructural que causan a nivel del hueso. Generan complicaciones denominadas “eventos relacionados con el esqueleto” (SRE, por sus siglas en inglés), lo que conlleva un deterioro importante en la calidad de vida en los pacientes.En el manejo de las metástasis óseas, uno de los objetivos es la disminución del dolor y el manejo de las complicaciones cuando ya se han producido, pero otro objetivo, no menos importante, es la prevención de los SRE.Con respecto a la prevención de SRE, existe amplio conocimiento y bibliografía que avala el uso de cirugía y tratamientos sistémicos como la hormonoterapia, bifosfonatos, radiofármacos y otros agentes. Sin embargo, la radioterapia también tiene un rol en la prevención de SRE en pacientes oncológicos con metástasis óseas, ya que ha demostrado que genera mayor latencia para la ocurrencia de SRE y menor tasa de hospitalización, traduciéndose en un menor costo de tratamiento y mejor calidad de vida para los pacientes. Por este motivo, el objetivo del presente trabajo es comentar cuáles son las indicaciones y el beneficio de la radioterapia profiláctica en el contexto de prevención de SRE. Abstract: Bone metastases are frequent in cancer patients and are a frequent cause of complications due to the structural damage they cause at bone level, generating complications called “skeletal-related events” (SREs), which lead to significant deterioration in patient quality of life.In the management of bone metastases, one of the objectives is to reduce pain and manage complications when they have already occurred, but another objective, no less important, is the prevention of SREs. Regarding the prevention of SRE, there is extensive knowledge and literature that supports the use of surgery and systemic treatments such as hormone therapy, bisphosphonates, radiopharmaceuticals and other agents. However, radiotherapy also has a role in the prevention of SRE in cancer patients with bone metastases since it has been shown to produce a greater latency for the occurrence of an SRE and a lower hospitalization rate, which translates into lower treatment costs and better. quality of life for patients. For this reason, the objective of the present work is to comment on the indications and benefits of prophylactic radiotherapy in the context of SRE prevention.

Copyright of Revista Médica Clínica Las Condes is the property of Editorial Sanchez y Barcelo and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Hypertonia és Nephrologia is the property of LifeTime Media Kft. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introduction: No formal indication currently exists for seizure prophylaxis in neurosurgical oncology patients. Neither have specific recommendations been made on the use of antiepileptic drugs (AED) in seizure-free patients with meningiomas scheduled for surgery. AEDs are generally prescribed on a discretionary basis, taking into consideration a range of clinical and radiological risk factors. We present a systematic review and meta-analysis exploring the effectiveness of antiepileptic prophylaxis in patients with meningioma and no history of seizures. Methods: We performed a systematic review of the PubMed/MEDLINE, Cochrane Central Register of Controlled Trials, Embase, and clinicaltrials.gov databases. Of a total of 4368 studies initially identified, 12 were selected for extraction of data and qualitative analysis. Based on the clinical data presented, we were only able to include 6 studies in the meta-analysis. We performed heterogeneity studies, calculated a combined odds ratio, evaluated publication bias, and conducted a sensitivity analysis. Results: AED prophylaxis in patients with meningioma and no history of seizures did not significantly reduce the incidence of post-operative seizures in comparison to controls (Mantel-Haenszel combined odds ratio, random effects model: 1.26 [95% confidence interval, 0.60-2.78]; 2041 patients). However, we are unable to establish a robust recommendation against this treatment due to the lack of prospective studies, the presence of selection bias in the studies reviewed, the likelihood of underestimation of seizure frequency during follow-up, and the strong influence of one study on the overall effect. Conclusions: Despite the limitations of this review, the results of the meta-analysis do not support the routine use of seizure prophylaxis in patients with meningioma and no history of seizures. Resumen: Introducción: En la actualidad, no existe una indicación formal de profilaxis anticomicial en neurocirugía oncológica. Tampoco existen recomendaciones específicas sobre el uso de fármacos antiepilépticos (FAE) en pacientes portadores de meningiomas y libres de crisis que van a ser intervenidos. En general, se prescriben FAE de forma discrecional, teniendo en cuenta diversos factores de riesgo clínico-radiológicos. Presentamos una revisión sistemática y meta-análisis sobre la efectividad de la profilaxis anticomicial en meningiomas sin historia previa de crisis. Métodos: Se realizó una búsqueda sistemática en las bases de datos PubMed/MEDLINE, Cochrane Central Register of Controlled trials, Embase y clinicaltrials.gov. De los 4.368 estudios inicialmente identificados, finalmente se incluyeron 12 para la extracción de datos y análisis cualitativo. Los datos clínicos permitieron incluir únicamente 6 estudios en el meta-análisis. Se realizaron estudios de heterogeneidad, cálculo de OR combinada, evaluación del sesgo de publicación y análisis de sensibilidad. Resultados: La profilaxis con FAE en meningiomas sin crisis previas no redujo de forma significativa la incidencia de crisis postoperatorias respecto a los controles (OR combinada de Mantle-Haenszel, efectos aleatorios, de 1,26, IC 95%, 0,60-2,78, sobre 2.041 pacientes). Sin embargo, la ausencia de estudios prospectivos, la presencia de sesgo de selección en los estudios, una probable infraestimación del número de crisis durante el seguimiento, y la influencia marcada de un estudio sobre el efecto global, impiden establecer una recomendación sólida en contra de la profilaxis anticomicial. Conclusiones: Dentro de las limitaciones de esta revisión, los resultados del meta-análisis no apoyan el uso rutinario de la profilaxis antiepiléptica en pacientes con meningiomas sin historia previa de crisis.

This article analyzes a mathematical model for the dynamics of HIV/AIDS, in which study six behaviors corresponding to five stages of progression of the disease: the phase susceptible, the phase without diagnosis, the phase of diagnosis without viral suppression, with viral suppression and with AIDS, is also considered a protected population under the action of pre-exposure prophylaxis. It is also considered a rate of immigrants in the populations of undiagnosed and diagnosed without viral suppression. With the proposed model, equilibrium points are sought, in which, due to immigration there is no trivial equilibrium point and therefore the basic reproductive number of disease cannot be calculated. Numerical simulations are carried out, and parameters are estimated with data from the city of Pasto, in Colombia, from where it can be seen that timely diagnosis and prevalence in the use of antiretrovirals are very effective in controlling the disease. [ABSTRACT FROM AUTHOR]

Copyright of Pain Research / Ból is the property of Index Copernicus International and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The influenza virus has accompanied humans since time immemorial, in the form of annual epidemics and occasional pandemics. It is a respiratory infection with multiple repercussions on people's lives at an individual and social level, as well as representing a significant burden on the health system. This Consensus Document arises from the collaboration of various Spanish scientific societies involved in influenza virus infection. The conclusions drawn are based on the highest quality evidence available in the scientific literature and, failing that, on the opinion of the experts convened. The Consensus Document addresses the clinical, microbiological, therapeutic, and preventive aspects (with respect to the prevention of transmission and in relation to vaccination) of influenza, for both adult and pediatric populations. This Consensus Document aims to help facilitate the clinical, microbiological, and preventive approach to influenza virus infection and, consequently, to reduce its important consequences on the morbidity and mortality of the population. Resumen: El virus de la gripe ha acompañado al ser humano desde tiempo inmemorial, en forma de epidemias anuales y pandemias ocasionales. Se trata de una infección respiratoria con múltiples repercusiones sobre la vida de las personas a nivel individual y social, así como una importante sobrecarga para el sistema sanitario. El presente documento de consenso surge de la colaboración de diversas sociedades científicas españolas implicadas en la atención de la infección por virus de la gripe. Las conclusiones extraídas se han fundamentado en las evidencias de mayor calidad disponibles en la literatura científica y, en su defecto, en la opinión de los expertos convocados. En el documento de consenso se abordan los aspectos clínicos, microbiológicos, terapéuticos y preventivos (respecto de la prevención de la transmisión y con relación a la vacunación) de la gripe, tanto para población pediátrica como para adultos. Este documento de consenso pretende ayudar a facilitar el abordaje clínico, microbiológico y preventivo de la infección por virus de la gripe y, consecuentemente, a disminuir sus importantes consecuencias sobre la morbimortalidad de la población.

Copyright of Co-herencia is the property of Universidad EAFIT and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introducción. La tafenoquina fue aprobada en el 2018 por la Food and Drug Administration de Estados Unidos y, en el 2019, por la Therapeutic Goods Administration en Australia. Su administración en dosis única y su mecanismo de acción en las fases aguda y latente han sido objeto de estudio para cambiar el esquema de tratamiento de la malaria por Plasmodium vivax. Objetivo. Evaluar la evidencia científica disponible sobre la eficacia de la tafenoquina en la profilaxis y el tratamiento de la malaria por P. vivax, entre el 2009 y el 2019. Materiales y métodos. Se establecieron los descriptores MeSH y DeCS. Se utilizó la sintaxis ((Malaria Vivax) AND (tafenoquine) AND (prophylaxis)) OR [(Malaria Vivax) AND (tafenoquine) AND (relapse)] en las siguientes bases de datos: Pubmed, The Cochrane Central Register of Controlled Clinical Trials (CENTRAL), ISIS Web of Science, Lilacs y Scopus. Los resultados obtenidos se sometieron a análisis crítico (matriz CASPE). El análisis cuantitativo se realizó utilizando la diferencia de riesgos en análisis de supervivencia (Kaplan-Meier) en los tres artículos finales. Resultados. Se sometieron tres estudios a metaanálisis (Llanos-Cuentas, 2014; Llanos-Cuentas, 2019, y Lacerda, 2019) para evaluar la eficacia del tratamiento con tafenoquina en comparación con primaquina. Se obtuvo una diferencia de riesgo global de 0,04 (IC95% 0-0,08; p=0,07). La tafenoquina no mostró inferioridad en la eficacia del tratamiento frente al esquema de primaquina. Conclusión. La tafenoquina es una alternativa que mejora el cumplimiento del tratamiento, lo que podría acercar a Colombia a las metas de la Estrategia Técnica Mundial contra la Malaria, 2016-2030.

Resumen: El embarazo constituye un estado protrombótico durante el cual producen en la mujer cambios anatómicos y fisiológicos que conllevan un incremento en la incidencia de fenómenos tromboembólicos. Así, las mujeres embarazadas tienen un riesgo 5 veces mayor de padecer un evento tromboembólico que las no embarazadas. La enfermedad tromboembólica venosa es una causa importante de morbilidad y mortalidad maternas y la embolia pulmonar es la causa más común de mortalidad materna en los países desarrollados. En el presente trabajo se revisan aspectos como la valoración de riesgo tromboembólico en la mujer embarazada, el diagnóstico, profilaxis y tratamiento y con especial atención al uso del filtro de vena cava en mujeres embarazadas en términos de indicaciones, colocación, efectividad, complicaciones y riesgos tanto para la madre como para el feto. Abstract: Pregnancy constitutes a prothrombotic state during which anatomical and physiological changes occur in women. This situation leads to an increase in the incidence of thromboembolic phenomena. Thus, pregnant women have a 5 times increased risk of suffering a thromboembolic event than non-pregnant women. Venous thromboembolic disease is a major cause of maternal morbidity and mortality, and pulmonary embolism is the most common cause of maternal mortality in developed countries. In the present work, aspects such as the assessment of thromboembolic risk in pregnant women, diagnosis, prophylaxis and treatment are reviewed, focusing on the use of the vena cava filter in pregnant women in terms of indications, placement, effectiveness, complications and risks for both mother and fetus.

Los pacientes con fibrilación auricular (FA) requieren terapia anticoagulante para prevenir eventos cardiovasculares adversos. Un fármaco muy empleado es warfarina con beneficios variables e inconsistentes y mayor riesgo de hemorragia. Ante ello surgen nuevas alternativas terapéuticas que requieren ser evaluadas como apixabán, de ahí el propósito de realizar este meta-análisis. Se utilizaron las bases de datos de PubMed y Cochrane Library. El estudio incluyó 62.141 pacientes con FA de 6 ensayos clínicos aleatorios tipo ARISTOTLE. Se aplicó el test efectos fijos para los resultados agrupados y se probó la homogeneidad de los datos analizados. Se realizó el meta-análisis para evaluar las variables propuestas (eficacia y seguridad). La valoración de eficacia permitió establecer que apixabán al parecer es más eficaz que warfarina en la prevención de accidente cerebrovascular (OR = 0,81; LC 95% = 0,74-0,90; p-valor 0,05) se determinó que no hay diferencia significativa con el uso de los dos medicamentos. En la valoración de seguridad se determinó que el riesgo de sangrado mayor (OR = 0,7; LC 95% = 0,6-0,7; p-valor

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Introduction: Migraine is a chronic, highly prevalent, multidimensional, and complex disorder, influenced by genetic and environmental factors, among which is the diet. Medical treatments are partially effective, and that makes necessary to complement them with other therapeutic strategies. The nutrition plays a prevalent role. We will review dietary factors that have been linked to migraine and therapeutic nutritional guidelines about it: elimination, integral, ketogenic, epigenetic and hypocaloric diets, as well as diets that interest fatty acids, sodium, vitamins, and the gut-brain axis. To date, the evidence of the efficacy of nutritional treatments for migraine is not widespread and it is necessary to advise our patients about patterns consistent with nutritional general recommendations. [ABSTRACT FROM AUTHOR]

Background: Haemophilia is a disease that results in high costs worldwide, and whereby there is limited access to prophylactic treatment due to poor health conditions and difficultly in accessing healthcare; therefore, it becomes necessary to establish policies to improve the implementation or adherence of treatments in patients. Methods: An observational, cross-sectional, and prospective study was conducted, with the application of the VERITAS-Pro test, which was validated using Cronbach's alpha. The adherence was determined using a scale-based on VERITAS-Pro. Previously, sociodemographic and clinical variables were collected in order to relate the data to a questionnaire. Results: 32 patients with haemophilia and prophylaxis treatment were included. They were divided into adults (>18 years-old) and minors (<18 years-old). The majority of participants evidenced haemophilia A (77.8% of adults and 64.3% of minors) and the majority of participants had severe haemophilia (77.8% of adults and 85.0% of minors). The internal consistency showed high reliability (α= 0.811 in minors and α= 0.858 in adults). The results showed that 66.7% of adults evidenced adherence while minors showed 50.0%. These results were compared with variables such as type of hemophilia, degree of hemophilia, presence of arthropathy, emergency admission, family history and inhibitors of coagulation factors. Conclusions: The VERITAS-Pro questionnaire showed high levels of consistency and reproducibility. The study population showed a high degree of adherence. It was therefore useful to evaluate the adherence of haemophiliac patients in the Colombian Caribbean. [ABSTRACT FROM AUTHOR]

Copyright of Frontières is the property of Universite du Quebec a Montreal, Revue Frontieres and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introduction: The administration of antibacterial agents to reduce or eliminate pre and postoperative infections in diabetics has been polemic and controversial topic in Dentistry for decades. Objective: To determine glycemic control in diabetic patients after applied stomatological treatments and the use of antibacterial prophylaxis. Methods: Observational descriptive cross-sectional study in 32 diabetic patients who required dental assistance in primary care. The variables type of diabetes, dental treatment performed, use of antibacterial prophylaxis, type of antibacterial agent prescribed and glycemic control were operationalized. For the determination of the latter, the blood glucose figures were measured instants before the treatment carried out and 24 hours later. The mean values obtained were compared through Wilcoxon of the signed ranks and U-Mann-Whitney non-parametric tests. Results: The most performed stomatological treatments were dental extraction and scaling. Numbers of glycemia suffered increases after these procedures, but were not clinically significant and were not related to the use of antibacterial prophylaxis. Glycemic control was adequate in 84.4 % of diabetic patients. Conclusions: The glycemic control of diabetic patients after the stomatological treatments performed is adequate and is not related to the use of antibacterial prophylaxis.

Honduras se encuentra en el puesto 56 a nivel mundial con 4,151 muertes reportadas y 170,304 casos confirmados de COVID-19 hasta el 1 de marzo del 2021. Esta revisión bibliográfica se llevó a cabo con el propósito de brindar una perspectiva científica sobre el uso del protocolo MAIZ (Microdacyn, Azitromicina, Ivermectina y Zinc) propuesto para uso terapéutico y profiláctico durante la fase de infección precoz/respuesta viral y contactos asintomáticos de COVID-19. Se realizó una revisión de la literatura sobre los lineamientos de instituciones gubernamentales y organismos internacionales, artículos y estudios científicos en PubMed, The Lancet, SciELO. La búsqueda se limitó a los artículos en español e inglés publicados entre el año 2010 y el 1 de marzo del 2021 concluyendo que el protocolo MAIZ carece de evidencia científica que respalde su efectividad contra el COVID-19 y es necesario realizar ensayos clínicos para respaldar su uso de manera responsable

Elaborar recomendaciones para la prevención de infección en pacientes adultos con enfermedades reumáticas autoinmunes sistémicas (ERAS). Un panel de expertos, seleccionados con base en su currículum y experiencia, identificó preguntas clínicas de investigación relevantes para el objetivo del documento. Se realizaron revisiones sistemáticas de la evidencia, que se graduó de acuerdo con los criterios del Scottish Intercollegiate Guidelines Network. Tras ello, se formularon las recomendaciones. Se seleccionaron cinco preguntas, referentes a la prevención de infección por Pneumocystis jirovecii con trimetoprim-sulfametoxazol, medidas profilácticas contra el virus de la hepatitis B, vacunación contra el virus del papiloma humano, vacunación contra el Streptococcus pneumoniae y vacunación contra el virus de la gripe. Se formularon un total de 18 recomendaciones, estructuradas por pregunta, con base en la evidencia encontrada para las diferentes ERAS y/o consenso de expertos. Existe suficiente evidencia sobre la seguridad y eficacia de las vacunaciones y otras medidas profilácticas frente a los microrganismos revisados en este documento como para ser recomendadas específicamente en pacientes con ERAS. To develop recommendations for the prevention of infection in adult patients with systemic autoimmune rheumatic diseases (SARD). Clinical research questions relevant to the objective of the document were identified by a panel of experts selected based on their experience in the field. Systematic reviews of the available evidence were conducted, and evidence was graded according to the Scottish Intercollegiate Guidelines Network criteria. Specific recommendations were made. Five questions were selected, referring to prevention of infection by Pneumocystis jirovecii with trimethoprim/sulfamethoxazole, primary and secondary prophylactic measures against hepatitis B virus, vaccination against human papillomavirus, vaccination against Streptococcus pneumoniae and vaccination against influenza virus, making a total of 18 recommendations, structured by question, based on the evidence found for the different SARD and/or expert consensus. There is enough evidence on the safety and efficacy of vaccinations and other prophylactic measures against the microorganisms reviewed in this document to specifically recommend them for patients with SARD. [ABSTRACT FROM AUTHOR]

Introduction: Tafenoquine was approved in 2018 by the Food and Drug Administration in the United States and in 2019 by the Therapeutic Goods Administration in Australia. Its administration in a single dose and its mechanism of action in the acute and latent phases of the disease have been studied to change the treatment regimen for Plasmodium vivax malaria. Objective: To evaluate the available scientific evidence of the efficacy of tafenoquine in prophylaxis and treatment between 2009 and 2019. Materials and methods: We established the MeSH and DeCS descriptors and we used the syntax ((Malaria Vivax) AND (tafenoquine) AND (prophylaxis)) OR [(Malaria Vivax) AND (tafenoquine) AND (relapse)] in the following databases: Pubmed, The Cochrane Central Register of Controlled Clinical Trials (CENTRAL), ISIS Web of Science, Lilacs, and Scopus. The results obtained were subjected to critical analysis (CASPE matrix). The quantitative analysis was performed with risk differences in survival analysis (Kaplan Meier) in the final three articles. Results: Three studies underwent meta-analysis (Llanos-Cuentas, 2014; Llanos-Cuentas, 2019, and Lacerda, 2019) to evaluate the efficacy of the treatment with tafenoquine compared to primaquine. A global risk difference of 0.04 was obtained (95% CI: 0.00-0.08; p=0.07). Tafenoquine did not show inferiority in the efficacy of treatment compared to the primaquine scheme. Conclusion: Tafenoquine is a therapeutic alternative to primaquine that improves adherence, which could bring Colombia closer to the goals of the World Technical Strategy against Malaria 2016-2030. [ABSTRACT FROM AUTHOR]

Introduction: Upper gastrointestinal bleeding prophylaxis with omeprazole is a frequent practice in patients admitted to the ICU. Infectious complications related to this therapy are currently being investigated. Objective: to determine the frequency with which early omeprazole prophylaxis is used in patients admitted to the ICU and to describe its clinical outcomes. The secondary objective was to determine the risk factors associated with the most frequent stress ulcers. Methods: a retrospective, descriptive study was conducted in a sample of patients admitted to the ICU of Hospital Santo Tomás in 2019. Results: 114 patients were included, with a median age of 40 years (IQR, 28-58), male predominance (60.53%) and a median time in ICU of 12 days (IQR, 6-24). 111 patients (97.37%) received early prophylaxis with omeprazole. In the group that received early prophylaxis, upper gastrointestinal bleeding occurred in 2.70% of cases; 40 patients (36.04%) presented nosocomial pneumonia and 1 patient (0.90) presented Clostridium difficile infection. In the sample studied, 110 patients (96.49%) used mechanical ventilation; 85 patients (74.56%) presented shock and 44 patients (38.60%) developed acute kidney injury. Conclusions: Early prophylaxis with omeprazole is a common practice in patients admitted to ICU. Upper gastrointestinal bleeding occurred infrequently. One third of the patients who received this treatment presented nosocomial pneumonia, being Clostridium difficile infection a rare complication. The use of mechanical ventilation and shock were the most frequent risk factors for stress ulcers. [ABSTRACT FROM AUTHOR]

Introduction: Postraumatic endophthalmitis is defined as a marked inflammation of the fluids and tissues of the intraocular cavities, caused by the invasion and replication of microorganisms after an ocular traumatism on open globe, that can cause loss of the vision. Objective: To evaluate the effectiveness of the early systemic antibiotic therapy in patients with postraumatic endophthalmitis. Method: A quasi-experiment study of 72 patients with ocular traumatism on open globe was carried out, they were admitted in the Ophthalmologic Center of Dr. Juan Bruno Zayas Alfonso Teaching General Hospital in Santiago de Cuba, from January, 2017 to May, 2019. A simple random sampling was carried out; patients were distributed in 2 groups: one of control with 28 members, that received the habitual pharmacological treatment and a study group with 44 members who received systemic antibiotic therapy besides the above-mentioned. Results: Male patients prevailed, aged between 45 and 54 years (29.5 %); 72.7 % didn't show personal history of interest and the ocular trauma happened with more frequency in a rural atmosphere (77.8 %). The area 1 was the most affected (65.3 %); in 39.3 % of the patients the clínical course of trauma was less than 6 hours, but in the group that didn't receive the early systemic therapy and presented endophthalmitis (10,7 %) this time was higher, the repair happened belatedly. Conclusions: The early systemic antibiotic therapy was effective in most of the patients that received this treatment against the postraumatic endophthalmitis. [ABSTRACT FROM AUTHOR]

Introduction: Postraumatic endophthalmitis is defined as a marked inflammation of the fluids and tissues of the intraocular cavities, caused by the invasion and replication of microorganisms after an ocular traumatism on open globe, that can cause loss of the vision. Objective: To evaluate the effectiveness of the early systemic antibiotic therapy in patients with postraumatic endophthalmitis. Method: A quasi-experiment study of 72 patients with ocular traumatism on open globe was carried out, they were admitted in the Ophthalmologic Center of Dr. Juan Bruno Zayas Alfonso Teaching General Hospital in Santiago de Cuba, from January, 2017 to May, 2019. A simple random sampling was carried out; patients were distributed in 2 groups: one of control with 28 members, that received the habitual pharmacological treatment and another of study with 44 members who received systemic antibiotic therapy besides the above-mentioned. Results: Male patients prevailed, aged between 45 and 54 years (29.5 %); 72.7 % didn't show personal history of interest and the ocular trauma happened with more frequency in a rural atmosphere (77.8 %). The area 1 was the most affected (65.3 %); in 39.3 % of the patients the evolution of the trauma was less than 6 hours, but in the group that didn't receive the early systemic therapy and presented endophthalmitis (10,7 %) this time was higher, the repair happened belatedly. Conclusions: The early systemic antibiotic therapy was effective in most of the patients that received this treatment against the postraumatic endophthalmitis.

This article deals with how US and Mexican authorities, through what they called a prophylactic program, experimented with penicillin G-procaine with 2% aluminum monostearate in microcrystals, in prostitutes in the city of Tijuana Baja California between 1949 and 1952. This fact is framed in the investigations of the United States Public Health Service regarding sexually transmitted diseases. [ABSTRACT FROM AUTHOR]

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La deficiencia de hierro es la causa más frecuente de anemia en pediatría. Su detección precoz, tratamiento correcto y profilaxis adecuada, constituyen una prioridad sanitaria en nuestro país. Objetivo: Describir el screening de hemoglobina realizado en lactantes con edades comprendidas entre 8 y 12 meses, usuarios de un centro de atención pediátrico de Montevideo, en el período comprendido entre 2 de mayo y 31 de octubre de 2015 y evaluar factores de riesgo de anemia ferropénica presentes. Se revisaron sus historias clínicas, consignando datos epidemiológicos, antecedentes perinatales, alimentación recibida y si recibieron suplementación con hierro adecuada. Se registró si se había realizado la medición de hemoglobina por punción digital y el valor medido. Se comparó la prevalencia de factores de riesgo entre niños con y sin anemia. En el período evaluado fueron asistidos 62 niños: 3 pretérminos de 34 semanas o menos; 15 con peso al nacer menor a 3000 gramos; 42 con lactancia materna exclusiva durante 6 meses; 54 con alimentación complementaria adecuada; 45 con suplementación de hierro. Se realizó la medición de hemoglobina por punción digital a 55 niños. Tenían anemia 28 niños (82 % leve). No se encontró asociación de padecer anemia con los factores de riesgo estudiados excepto el cumplimiento de la profilaxis con suplemento de hierro. Concluimos que la prevalencia de anemia en este grupo fue elevada y que la suplementación con hierro es importante para su prevención.

Copyright of Immunology Quarterly / Immunológiai Szemle is the property of Medicina Konyvkiado Zrt. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introduction: Introduction: vitamin D maintains the concentration of calcium and phosphorus within the physiological range, allowing normal metabolism and bone mineralization. Recently, vitamin D deficiency has been related not only with rickets but also with an increased risk of other pathologies. The aim of this descriptive, observational, cross-sectional study was to assess vitamin D concentration levels in a healthy pediatric population, as well as the current situation of prophylaxis. Vitamin D determination was measured by serum 25-hydroxyvitamin D (25(OH)D) concentration. Methods: a total of 258 healthy patients between 3 months and 15 years of age were enrolled (6.77 ± 3.95 years; 73.6 % were male). Results: the mean value of 25-hydroxyvitamin D was 26.60 ng/mL ± 8.02 ng/mL, and up to 20.9 % of the population showed insufficient levels. Statistically significant differences in vitamin D levels were observed between ages (p = 0.002), ethnicity groups (p = 0.038), and skin types (p = 0.000). In addition, a higher prevalence of vitamin D insufficiency in children who had never previously received vitamin D supplementation (41.6 %) was observed compared to those that had taken supplementation in the first year of life (16.7 %). Conclusion: our study shows a high prevalence of vitamin D deficiency among healthy children, and the benefit of prophylaxis with vitamin D supplementation. [ABSTRACT FROM AUTHOR]

Copyright of Galicia Clínica is the property of Sociedad Gallega de Medicina Interna and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Se hace una revisión del tema de la endocarditis infecciosa de válvula nativa, en la cual se incluye la definición aceptada hoy en día, los aspectos etiológicos y el daño mismo desde el punto de vista patológico, así como las implicaciones funcionales a que puede dar lugar la presencia de esta entidad. Se analizan los factores predisponentes y las causas etiológicas así como también la microbiolología concomitante y se dan pautas tanto para la prevención como para el tratamiento.

Copyright of Journal of the Selva Andina Animal Science is the property of Fundacion Selva Andina Research Society and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introduction: Haemophilia is a rare disease and its management can pose a challenge to Emergency Department paediatricians. Aim: To describe the frequency and reasons for consultation by haemophilic children in the ED. Materials and methods: Longitudinal retrospective study was conducted in a paediatric Emergency Department of a tertiary care hospital. The study included haemophiliacs A and B, ages 0 to 16 years old, and who had consulted the Emergency Department for whatever reason over a span of 6 years (2011–2016). The data analysed include: age, type and severity of haemophilia, reason for query, prophylactic status, complementary examinations, established diagnosis, treatment, and number of visits to the Emergency Department. Results: The analysis included 116 males with a total of 604 Emergency Department visits. The mean age was 5.5 years, and the median age was 5.3 years. A total of 101 patients were categorised as haemophiliac A (38 mild, 4 moderate, 59 severe), and 15 as haemophiliac B (9 mild, 3 moderate, 3 severe). The main reasons for initial Emergency Department visits (ranked by triage) were: musculoskeletal problems/injury or bleeding (66.7%), causes unrelated to haemophilia (29%), suspected central venous catheter related infection (2.8%), and routine clotting factor infusion (1.5%). Additional tests were conducted during 335 visits (55.5%). Factor replacement was undertaken in 317 visits (52.5%). A total of 103 episodes (17.1%) required hospital admission, due to: head trauma (35.9%), central venous catheter -related infection (13.6%), haemarthrosis (8.7%), muscle haematoma (6.8%), and haematuria (5.8%). Conclusion: Haemophilic patients went to the Emergency Department for common paediatric causes, but also requested consultation on specific problems related to haemophilia, with musculoskeletal problems/injury or bleeding being the main issues. The paediatric Emergency Department is an indispensable component of haemophilia care. Resumen: Introducción: La hemofilia es una enfermedad rara, por lo que su abordaje en Urgencias puede suponer un reto para los pediatras. Objetivos: Describir la frecuencia y motivos de consulta de los niños hemofílicos en Urgencias. Material y métodos: Estudio retrospectivo longitudinal realizado en Urgencias Pediátricas de un hospital de tercer nivel. Se incluyeron hemofílicos A y B, desde el nacimiento hasta los 16 años, que consultaron por cualquier motivo durante 6 años (2011-2016). Se analizaron: edad, tipo y gravedad de hemofilia, motivo de consulta, profilaxis domiciliaria frente a sangrados, pruebas complementarias, diagnóstico establecido, tratamiento y número de visitas a Urgencias. Resultados: Se analizaron 116 varones con un total de 604 visitas. La media de edad fue de 5,5 años y la mediana de 5,3. De ellos, 101 pacientes eran hemofílicos A (38 leves, 4 moderados, 59 graves) y 15 hemofílicos B (9 leves, 3 moderados, 3 graves). Los principales motivos de consulta (clasificados en triaje) fueron: problema musculoesquelético/traumático o sangrado (66,7%), causas no relacionadas con hemofilia (29%), sospecha de infección de catéter central (2,8%) y administración rutinaria de factor (1,5%). Se realizaron pruebas complementarias en 335 visitas (55,5%). Del total, 317 consultas (52,5%) requirieron factor; 103 episodios (17,1%) precisaron ingreso, cuyos principales motivos fueron: traumatismo craneoencefálico (35,9%), infección de catéter venoso central (13,6%), hemartrosis (8,7%), hematoma muscular (6,8%) y hematuria (5,8%). Conclusión: Los pacientes consultaron por causas habituales de la edad pediátrica, pero también lo hicieron por motivos específicos de su enfermedad; lo más frecuente fue el problema musculoesquelético/traumático o sangrado. El Servicio de Urgencias es un componente indispensable en su atención.

El presente artículo tiene como objetivo estudiar la gripe de 1918-1919 en Segovia, explicando su origen, evolución, mortalidad diferencial, profilaxis y las consecuencias más importantes que se derivaron de ella. Con este fin, se ha trabajado con la documentación existente en el Archivo Municipal de Segovia, las partidas de defunción del registro civil, estadística municipal, provincial y nacional, el Boletín Oficial de la Provincia y los principales periódicos segovianos. En primer lugar, nos centramos en la aparición de la epidemia, propagación, llegada a España y las víctimas causadas, atendiendo a su sexo, edad, procedencia, localización, estado civil y profesión. Las medidas preventivas y paliativas se analizan desde varios puntos de vista: organizativas, control de población, transportes, higiene, comercio, personal sanitario y dependencias hospitalarias. En cuanto a las secuelas que dejó en la provincia, se abordan desde dos enfoques: por un lado, el económico, aquéllas relacionadas con la escasez y subida de los precios de primera necesidad, y por otro, las que afectaron al normal desarrollo de la actividad en general.

Las infecciones, entre ellas las oportunistas, constituyen una causa importante y frecuente de morbilidad y mortalidad en los pacientes con enfermedades reumáticas y autoinmunitarias sistémicas. La neumonía por Pneumocystis jirovecii , clásicamente considerada propia de pacientes con VIH, trasplantados o tratados con quimioterapia oncológica, aparece cada vez con mayor frecuencia en estos pacientes. Es por ello conveniente que los reumatólogos conozcan su mecanismo de producción, manifestaciones clínicas, tratamiento y profilaxis, aspectos todos ellos abordados en esta revisión. Infections, including opportunistic infections, are a major and frequent cause of morbidity and mortality in patients with systemic autoimmune and rheumatic diseases. Pneumocystis jirovecii pneumonia, classically considered to be typical of HIV patients, transplanted patients or patients treated with oncological chemotherapy, is appearing increasingly frequently in these patients. Therefore, rheumatologists should know its mechanism of production, clinical manifestations, treatment and prophylaxis, all of which are addressed in this review. [ABSTRACT FROM AUTHOR]

Del 20 % al 30 % de los pacientes con colitis ulcerativa (CU) son sometidos a cirugía, ya sea por intratabilidad, curso fulminante, aparición de displasia o cáncer de colon. La cirugía de elección es la proctocolectomía con reservorio ileoanal. Sin embargo, el 20 %-50 % de los pacientes presentan reservoritis a 10 años. El diagnóstico se realiza con base en las manifestaciones clínicas, las alteraciones endoscópicas y la histología. Los medicamentos utilizados en el tratamiento de la CU no son tan eficaces en la reservoritis y el tratamiento de primera línea es los antibióticos. Dependiendo de la respuesta inicial y el curso clínico de la entidad, se elegirá el tratamiento posterior. En esta revisión se discuten los aspectos más importantes con respecto a la epidemiología, diagnóstico, patogénesis y tratamiento de la reservoritis.

Introducción: las náuseas y vómitos postoperatorios (PONV) son una complicación postoperatoria común de la anestesia, por lo que la búsqueda de nuevas profilaxis efectivas ha aumentado durante los últimos años, en este contexto se perfila como una opción efectiva el amisulprida, antipsicótico que actúa bloqueando los receptores dopaminérgicos D2 y D3, en dosis bajas. Métodos: se realizó una búsqueda en bases de datos establecidas como: Pubmed, Embase, Google Scholar, Medline y la Cochrane central registed of controlled trials. Con las siguientes definiciones clave: “NV” or “postoperative nausea and vomiting” or “postoperative nausea” or “postoperative vomiting” and “Amisulpride” or “APD421”, con el fin de cumplir el objetivo general de verificar la efectividad de amisulprida como medicamento profiláctico en manejo de PONV. Resultados: se evaluaron 3 estudios multicéntricos randomizados controlados, con alto grado de confiabilidad y buena calidad metodológica. Se evidencia que el amisulprida es un medicamento profiláctico efectivo contra PONV y con buen perfil de seguridad. Discusión/Conclusión: el amisulprida es un medicamento profiláctico eficaz para prevención de PONV, en dosis óptima de 5 mg, administrado durante el intraoperatorio de cirugías electivas en que se utilice anestesia general en pacientes de moderado a alto riesgo de PONV según escala de Apfel.

Introduction: There is still controversy regarding thrombo-prophylaxis for the reduction of thromboembolic disease in major orthopedic surgery. Objective: To answer the following question: is there a difference in the effectiveness and safety in the antithrombotic management of patients with a traditional regimen of enoxaparin against acetyl salicylic acid? Material and methods: The surgeries were performed by 3 surgeons; the sample was randomized and the patients were subjected to the study criteria. We evaluated efficacy and safety as well as the need for readmission and secondary variables such as infection, acute myocardial infarction (AMI), cerebral vascular disease and death with a followup of 90 days. Results: The total sample was 402 patients; 214 in the enoxaparin group and 188 in the aspirin group. There were 5 cases (1.24%) with thromboembolic disease, 3 (1.4%) enoxaparin and 2 (1.06%) aspirin without significant difference (p = 0.23). In terms of safety, major bleeding was zero in both groups, with minor bleeding in 7 patients (1.74%), 4 (1.86%) were from the enoxaparin group and 3 (1.59%) from the aspirin group without significant differences (p = 0.82). Secondary outcomes showed 5 (1.24%) superficial surgical wound infections and one AMI in the first 30 days of the procedure in the enoxaparin group. Conclusion: Aspirin as monotherapy is safe, effective in antithrombotic prophylaxis in patients operated on total knee arthroplasty. [ABSTRACT FROM AUTHOR]

Between 20 % and 30 % of patients with ulcerative colitis (UC) undergo surgery because it is not treatable or because it is associated with a fulminant course, dysplasia, or colon cancer. The surgery of choice is proctocolectomy with ileal-anal pouch. However, 20 %-50 % of patients present with pouchitis 10 years after surgery. The diagnosis is made based on clinical manifestations, endoscopic alterations, and histology. The drugs used in the treatment of UC are not as effective in pouchitis and the first-line treatment is antibiotics administration. Depending on the initial response and clinical course of the condition, subsequent treatment will be chosen. This review discusses the most important aspects of the epidemiology, diagnosis, pathogenesis, and treatment of pouchitis. [ABSTRACT FROM AUTHOR]

BACKGROUND: respiratory syncytial virus (RSV) is the microorganism that causes the most hospitalizations for lower respiratory tract infections (LRTI) in children under five years of age. The monoclonal antibody palivizumab was approved in 1998 by the Food and Drug Administration of the United States, in order to passively immunize children at risk of contracting RSV infection. In our country, this agent has been used since 2016, from its inclusion in the Basic Table of Medicines of the Health Sector in Mexico; however, the Mexican Institute of Social Security (IMSS) has not yet incorporated it. OBJETIVE: to know the perception of a group of experts belonging to the IMSS, who treat RSV disease in the pediatric population, regarding the feasibility of using prophylaxis with palivizumab in said institute, taking into account the particular characteristics of its population. MATERIAL AND METHODS: Delphi technique was used through a round of anonymous interviews; additionally, a questionnaire was designed with questions related to the epidemiology of RSV infection, its impact on the pediatric population of the IMSS, and the prophylactic actions that should be undertaken, among others. The answers were collected and processed in order to know the degree of consensus reached, and the perceptions about the study problem were interpreted. RESULTS: the panel was made up of 10 specialists from the institute (80% male and 20% female). It was found that 90% of the experts agreed that IVRB represents one of the main causes of morbidity and hospitalization in children under two years of age at the IMSS; 70% recognized that RSV is the respiratory pathogen that most frequently causes hospitalizations for IVRB in this institute. The consensus was 100% that newborns less than 29 weeks' gestation have an increased risk of presenting severe IVRB; 90% of the panelists expressed the opinion that the institution has the necessary resources to establish prevention, diagnosis and epidemiological surveillance of IVRB of bacterial causes in the pediatric population. To the question posed to find out if there is what is necessary in the IMSS to accurately diagnose RSV infection and evaluate its epidemiology, 90% of the panelists agreed that this is not the case. Finally, all the panelists (100%) agreed on the importance of having prophylaxis for RSV in the IMSS, both for preterm infants and for other risk groups. CONCLUSION: the high incidence of RSV infections and the evidence accumulated in the last 20 years regarding the effective use of palivizumab worldwide reflects the enormous importance of implementing adequate prophylaxis. According to the results of the present study, the consensus of the participating panelists was in favor of including palivizumab in the basic table of the IMSS and offering effective protection to the pediatric population at risk of being infected by RSV. [ABSTRACT FROM AUTHOR]