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- W2038778866 abstract "Streptococcus pneumoniae is an important bacterium in humans, and is a cause of upper and lower respiratory tract infections, meningitis, bacteremia, and/or invasive infections. An analysis of literature allows identifying the main risk factors; spleen dysfunctions, sickle cell anemia, alcohol abuse, chronic liver disease, cirrhosis, ischemic cardiac diseases, congestive cardiac failure, diabetes mellitus, obesity, chronic lung disease, immunodeficient patients including HIV infection, and old age. S. pneumoniae infections are more frequent and more severe in these patients. The pathophysiological mechanisms involved may be associated. These populations at risk should receive anti-pneumococcal vaccination. The availability of a 13 valent conjugate vaccine for adult opens new perspectives, but its clinical effectiveness needs to be proved for these patients at risk. Streptococcus pneumoniae est un pathogène important chez l’homme et est source d’infections des voies respiratoires hautes et basses, méningites, bactériémies et/ou infections invasives. L’analyse de la littérature permet d’identifier de nombreux facteurs de risque; dysfonctions spléniques, drépanocytoses, alcoolisme, hépatopathies chroniques, cirrhoses, cardiopathies ischémiques et insuffisance cardiaque, diabète, obésité, pathologie broncho-pulmonaire chronique, immunodépressions dont l’infection à VIH et enfin l’âge avancé. Les infections à S. pneumoniae sont plus fréquentes et plus graves chez ces patients. Les mécanismes physiopathologiques sont diversement associés. Ces populations mériteraient de bénéficier d’une couverture vaccinale anti-pneumococcique. La mise à disposition du vaccin conjugué 13 valent pour l’adulte offre des perspectives nouvelles, mais la démonstration de l’efficacité clinique est nécessaire chez ces patients à risque." @default.
- W2038778866 created "2016-06-24" @default.
- W2038778866 creator A5020778242 @default.
- W2038778866 date "2012-10-01" @default.
- W2038778866 modified "2023-09-27" @default.
- W2038778866 title "Pneumococcal infections and adult with risk factors" @default.
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- W2038778866 doi "https://doi.org/10.1016/j.medmal.2012.04.003" @default.
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