Artigo de Revisão/Review Article
Pertussis em Portugal – A importância de uma nova estratégia vacinal
Pertussis in Portugal – Time for a new strategy
Susana Gama de Sousa1,
, Henrique Barros2
Corresponding author
susana.gama@chma.min_saude.pt
susanagamasousa@gmail.com
Correspondência/Correspondence to: Serviço de Pediatria, Centro Hospitalar Médio Ave – Unidade de Famalicão, Rua Cupertino de Miranda, s/n Apartado 31, 4764-958 Vila Nova de Famalicão, Telef: (+351) 252300800
susanagamasousa@gmail.com
Correspondência/Correspondence to: Serviço de Pediatria, Centro Hospitalar Médio Ave – Unidade de Famalicão, Rua Cupertino de Miranda, s/n Apartado 31, 4764-958 Vila Nova de Famalicão, Telef: (+351) 252300800
1 Pediatra, Serviço de Higiene e Epidemiologia, Instituto Superior de Saúde Pública – Faculdade de Medicina da Universidade do Porto, Porto e Serviço de Pediatria, Centro Hospitalar Médio Ave, Famalicão, Portugal/Pediatrician, Department of Hygiene and Epidemiology, Institute of Public Health and University of Porto Medical School, Porto and Pediatric Department of Centro Hospitalar Médio Ave, Famalicão, Portugal
2 Prof. Catedrático e Director do Serviço de Higiene e Epidemiologia, Instituto de Saúde Pública – Faculdade de Medicina da Universidade do Porto, Porto, Portugal/Department of Hygiene and Epidemiology, Institute of Public Health – University of Porto Medical School, Porto, Portugal
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No entanto, nos últimos anos tem-se observado um aumento gradual do número de notificações, facto que já levou vários países a reformularem estratégias vacinais para esta doença. Foi efectuada uma revisão epidemiológica da tosse convulsa, realçando estudos baseados em modelos matemáticos que tentam prever o impacto de novas estratégias vacinais e novas recomendações internacionais. Tendo em conta a realidade portuguesa, alerta-se para a necessidade de um reforço vacinal na idade da adolescência e sugerem-se outras recomendações para um melhor controlo da tosse convulsa no nosso país.</p><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2010; XVI (4): 573-588</span></p></span>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span id="as0010" class="elsevierStyleSection elsevierViewall"><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall">The introduction of routine vaccination against <span class="elsevierStyleItalic">Bordetella pertussis</span> led to a drastic decline in the number of reported cases of pertussis. Nevertheless, a gradual increase in pertussis notifications has been observed in the last years, and political vaccination changes have been conducted in some countries. Pertussis epidemiology is reviewed, taking into account mathematical models studies concerning new vaccinal strategies for pertussis prevention and new international recommendations. Regarding Portugal, the need for a “booster” in adolescence is emphasized, and other recommendations for pertussis control are suggested.</p><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2010; XVI (4): 573-588</span></p></span>" ] ] "lecturaRecomendada" => array:1 [ 0 => array:3 [ "vista" => "all" "titulo" => "<span class="elsevierStyleSectionTitle" id="st0025">Bibliografia/Bibliography</span>" "seccion" => array:1 [ 0 => array:2 [ "vista" => "all" "bibliografiaReferencia" => array:40 [ 0 => array:3 [ "identificador" => "bb0005" "etiqueta" => "1." 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Ward" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1086/421091" "Revista" => array:7 [ "tituloSerie" => "Clin Infect Dis" "fecha" => "2004" "volumen" => "39" "numero" => "1" "paginaInicial" => "20" "paginaFinal" => "28" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15206048" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "pt" "url" => "/08732159/0000001600000004/v1_201509151519/S0873215915300532/v1_201509151519/pt/main.assets" "Apartado" => array:4 [ "identificador" => "9575" "tipo" => "SECCION" "pt" => array:2 [ "titulo" => "Artigos originais" "idiomaDefecto" => true ] "idiomaDefecto" => "pt" ] "PDF" => "https://static.elsevier.es/multimedia/08732159/0000001600000004/v1_201509151519/S0873215915300532/v1_201509151519/pt/main.pdf?idApp=UINPBA00004E&text.app=https://journalpulmonology.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0873215915300532?idApp=UINPBA00004E" ]
Article information
ISSN: 08732159Original language: Portuguese
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