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Dominance of Vaccine Serotypes in Pediatric Invasive Pneumococcal Infections in...

Silva-Costa, C; Brito, MJ; Aguiar, SI; Lopes, JP; Ramirez, M; Melo-Cristino, J

We evaluated the impact of continued 13-valent pneumococcal conjugate vaccine (PCV13) use in the private market (uptake of 61%) in pediatric invasive pneumococcal disease (pIPD) in Portugal (2012-2015). The most frequently detected serotypes were: 3 (n = 32, 13.8%), 14 (n = 23, 9.9%), 1 (n = 23, 9.9%), 7F (n = 15, 6.4%), 19A (n = 13, 5.6%), 6B and 15B/C (both n = 12, 5.2%), and 24F, 10A and 12B (all with n = 10...


Serotype 3 Remains the Leading Cause of Invasive Pneumococcal Disease in Adults...

Horácio, AN; Silva-Costa, C; Lopes, JP; Ramirez, M; Melo-Cristino, J

Since 2010 the 13-valent pneumococcal conjugate vaccine (PCV13) replaced the 7-valent vaccine (PCV7) as the leading pneumococcal vaccine used in children through the private sector. Although, neither of the PCVs were used significantly in adults, changes in adult invasive pneumococcal disease (IPD) were expected due to herd protection. We characterized n = 1163 isolates recovered from IPD in adults in 2012-2014...

Date: 2016   |   Origin: Saúde - CUF

Decreasing Incidence and Changes in Serotype Distribution of Invasive Pneumococ...

Aguiar, SI; Brito, MJ; Horacio, AN; Lopes, JP; Ramirez, M; Melo-Cristino, J

The 10-valent pneumococcal conjugate vaccine (PCV10) became available in Portugal in mid-2009 and the 13-valent vaccine (PCV13) in early 2010. The incidence of invasive pneumococcal disease (IPD) in patients aged under 18 years decreased from 8.19 cases per 100,000 in 2008–09 to 4.52/100,000 in 2011–12. However, IPD incidence due to the serotypes included in the 7-valent conjugate vaccine (PCV7) in children age...


Is It Possible to Simplify Risk Stratification Scores for Patients with ST-Segm...

Timóteo, AT; Papoila, AL; Lopes, JP; Oliveira, JA; Ferreira, ML; Cruz Ferreira, R

INTRODUCTION: There are several risk scores for stratification of patients with ST-segment elevation myocardial infarction (STEMI), the most widely used of which are the TIMI and GRACE scores. However, these are complex and require several variables. The aim of this study was to obtain a reduced model with fewer variables and similar predictive and discriminative ability. METHODS: We studied 607 patients (age 6...


Mesenchymal Stem Cell Therapy in Heart Disease

Lopes, JP; Fiarresga, A; Silva Cunha, P; Feliciano, J; Cruz Ferreira, R

Cardiovascular disease is among the main causes of mortality and morbidity worldwide. Despite significant advances in medical and interventional therapy, the prognosis of conditions such as ischemic heart disease is still dismal. There is thus a need to investigate new therapeutic tools, one of which is stem cell therapy. Hematopoietic stem cells are the most studied type, and the fact that their biology is rela...


Fractura de Stent: Caso Clínico e Revisão da Literatura

Lousinha, A; Fiarresga, A; Cardona, L; Lopes, JP; Lopes, A; Cacela, D; Sousa, L; Patrício, L; Bernardes, L; Cruz Ferreira, R

Apresentamos o caso de um doente, previamente submetido a angioplastia coronária com um stent revestido com fármaco, com enfarte agudo do miocárdio (EAM) provocado por trombose tardia do stent, tendo sido detectada fractura do mesmo. Este caso vem reforçar o reconhecimento crescente da fractura como potencial mecanismo para a trombose tardia de stent, na era dos stents revestidos com fármaco. A propósito deste ...


Linfoma Cardíaco Primitivo em Doente Imunocomprometido

Valente, B; Soares, RM; Sousa, L; Ferreira, F; Lopes, JP; Toste, A; Hamad, H; Branco, LM; Cruz Ferreira, R


Encerramento de Foramen Oval Patente com Dispositivo Bioabsorvível "BioSTAR"

Lopes, JP; Sousa, L; Fiarresga, A; Ferreira, F; Galrinho, A; Martins, JD; Agapito, A; Pinto, MF; Cruz Ferreira, R

Os autores apresentam o caso clínico de uma doente de 35 anos, sexo feminino, que recorreu ao hospital da área da residência por parésia do membro superior direito, tendo sido diagnosticado AVC isquémico por Ressonância Magnética Nuclear Cranio-Encefálica (RMN-CE). A investigação da fonte embólica levou ao diagnóstico, por ecocardiograma transesofágico, de foramen oval patente (FOP), com shunt direito-esquerdo ...


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