Recomendaciones para la prevención y el tratamiento de las infecciones respiratorias en adultos mayores institucionalizados.
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| Title: | Recomendaciones para la prevención y el tratamiento de las infecciones respiratorias en adultos mayores institucionalizados. |
|---|---|
| Alternate Title: | Recommendations on prevention and treatment of respiratory infections in institutionalised older people. |
| Authors: | Lovatti-González, Rubén1 rubendario.lovatti@salud.madrid.org, Gómez-Pavón, Javier2, Bielza, Rafael3, Hernando, Clara3, Martínez-Peromingo, Javier4, Mateos-Nozal, Jesús5, Bermejo-Boixareu, Cristina1 |
| Source: | Revista Española de Quimioterapia. Oct2025, Vol. 38 Issue 5, p361-385. 25p. |
| Subjects: | RESPIRATORY infections, OLDER people, NURSING care facilities, PREVENTIVE medicine, INTEGRATED health care delivery, VACCINATION policies, COVID-19, THERAPEUTICS |
| Abstract (English): | Acute respiratory infections (ARIs) are one of the main causes of morbidity, functional impairment, and mortality in institutionalised older adults. This group is highly vulnerable due to factors such as advanced age, multimorbidity, frailty, and structural barriers to infection prevention and control. This article reviews, in a question-and-answer format, the most recent evidence on the epidemiology, prevention and treatment of the most relevant respiratory infections in nursing homes: influenza, SARS-CoV-2, respiratory syncytial virus, and Streptococcus pneumoniae. Epidemiological changes after the COVID-19 pandemic, current vaccination strategies, the efficacy and characteristics of newly vaccines available, as well as the updated therapeutic approach according to resistance profiles and the availability of antivirals, are analysed. In addition, the clinical and functional impact that these infections can have on residents is addressed, as well as the need to find a balance between preventive measures and the quality of life of this population group. The importance of effective coordination between health and social care professionals, and the implementation of protocols adapted to the residential context is highlighted. The article provides practical, evidence-based recommendations to improve the prevention and treatment of these infections in a particularly vulnerable environment. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | Las infecciones respiratorias agudas (IRA) son una de las principales causas de morbilidad, deterioro funcional y mortalidad en personas mayores institucionalizadas. Este grupo es altamente vulnerable debido a factores como la edad avanzada, la multimorbilidad, la fragilidad y las barreras estructurales para la prevención y el control de infecciones. Este artículo revisa, en formato de preguntas y respuestas, la evidencia más reciente sobre la epidemiología, la prevención y el tratamiento de las infecciones respiratorias más relevantes en residencias: gripe, SARS-CoV-2, virus respiratorio sincitial (RSV) y Streptococcus pneumoniae. Se analizan los cambios epidemiológicos tras la pandemia de COVID-19, las estrategias de vacunación actuales, la eficacia y características de las nuevas vacunas disponibles, así como el enfoque terapéutico actualizado según los perfiles de resistencia y la disponibilidad de antivirales. Además, se aborda el impacto clínico y funcional que estas infecciones pueden tener en los residentes, así como la necesidad de encontrar un equilibrio entre las medidas preventivas y la calidad de vida de este grupo poblacional. Se destaca la importancia de una coordinación eficaz entre los profesionales sanitarios y sociales, y de la implementación de protocolos adaptados al contexto residencial. El artículo ofrece recomendaciones prácticas basadas en la evidencia para mejorar la prevención y el tratamiento de estas infecciones en un entorno especialmente vulnerable. [ABSTRACT FROM AUTHOR] |
| Copyright of Revista Española de Quimioterapia is the property of Sociedad Espanola de Quimioterapia and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. 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.) | |
| Database: | MedicLatina |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
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| Header | DbId: lth DbLabel: MedicLatina An: 188129453 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Recomendaciones para la prevención y el tratamiento de las infecciones respiratorias en adultos mayores institucionalizados. – Name: TitleAlt Label: Alternate Title Group: TiAlt Data: Recommendations on prevention and treatment of respiratory infections in institutionalised older people. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Lovatti-González%2C+Rubén%22">Lovatti-González, Rubén</searchLink><relatesTo>1</relatesTo><i> rubendario.lovatti@salud.madrid.org</i><br /><searchLink fieldCode="AR" term="%22Gómez-Pavón%2C+Javier%22">Gómez-Pavón, Javier</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Bielza%2C+Rafael%22">Bielza, Rafael</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Hernando%2C+Clara%22">Hernando, Clara</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Martínez-Peromingo%2C+Javier%22">Martínez-Peromingo, Javier</searchLink><relatesTo>4</relatesTo><br /><searchLink fieldCode="AR" term="%22Mateos-Nozal%2C+Jesús%22">Mateos-Nozal, Jesús</searchLink><relatesTo>5</relatesTo><br /><searchLink fieldCode="AR" term="%22Bermejo-Boixareu%2C+Cristina%22">Bermejo-Boixareu, Cristina</searchLink><relatesTo>1</relatesTo> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Revista+Española+de+Quimioterapia%22">Revista Española de Quimioterapia</searchLink>. Oct2025, Vol. 38 Issue 5, p361-385. 25p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22RESPIRATORY+infections%22">RESPIRATORY infections</searchLink><br /><searchLink fieldCode="DE" term="%22OLDER+people%22">OLDER people</searchLink><br /><searchLink fieldCode="DE" term="%22NURSING+care+facilities%22">NURSING care facilities</searchLink><br /><searchLink fieldCode="DE" term="%22PREVENTIVE+medicine%22">PREVENTIVE medicine</searchLink><br /><searchLink fieldCode="DE" term="%22INTEGRATED+health+care+delivery%22">INTEGRATED health care delivery</searchLink><br /><searchLink fieldCode="DE" term="%22VACCINATION+policies%22">VACCINATION policies</searchLink><br /><searchLink fieldCode="DE" term="%22COVID-19%22">COVID-19</searchLink><br /><searchLink fieldCode="DE" term="%22THERAPEUTICS%22">THERAPEUTICS</searchLink> – Name: Abstract Label: Abstract (English) Group: Ab Data: Acute respiratory infections (ARIs) are one of the main causes of morbidity, functional impairment, and mortality in institutionalised older adults. This group is highly vulnerable due to factors such as advanced age, multimorbidity, frailty, and structural barriers to infection prevention and control. This article reviews, in a question-and-answer format, the most recent evidence on the epidemiology, prevention and treatment of the most relevant respiratory infections in nursing homes: influenza, SARS-CoV-2, respiratory syncytial virus, and Streptococcus pneumoniae. Epidemiological changes after the COVID-19 pandemic, current vaccination strategies, the efficacy and characteristics of newly vaccines available, as well as the updated therapeutic approach according to resistance profiles and the availability of antivirals, are analysed. In addition, the clinical and functional impact that these infections can have on residents is addressed, as well as the need to find a balance between preventive measures and the quality of life of this population group. The importance of effective coordination between health and social care professionals, and the implementation of protocols adapted to the residential context is highlighted. The article provides practical, evidence-based recommendations to improve the prevention and treatment of these infections in a particularly vulnerable environment. [ABSTRACT FROM AUTHOR] – Name: Abstract Label: Abstract (Spanish) Group: Ab Data: Las infecciones respiratorias agudas (IRA) son una de las principales causas de morbilidad, deterioro funcional y mortalidad en personas mayores institucionalizadas. Este grupo es altamente vulnerable debido a factores como la edad avanzada, la multimorbilidad, la fragilidad y las barreras estructurales para la prevención y el control de infecciones. Este artículo revisa, en formato de preguntas y respuestas, la evidencia más reciente sobre la epidemiología, la prevención y el tratamiento de las infecciones respiratorias más relevantes en residencias: gripe, SARS-CoV-2, virus respiratorio sincitial (RSV) y Streptococcus pneumoniae. Se analizan los cambios epidemiológicos tras la pandemia de COVID-19, las estrategias de vacunación actuales, la eficacia y características de las nuevas vacunas disponibles, así como el enfoque terapéutico actualizado según los perfiles de resistencia y la disponibilidad de antivirales. Además, se aborda el impacto clínico y funcional que estas infecciones pueden tener en los residentes, así como la necesidad de encontrar un equilibrio entre las medidas preventivas y la calidad de vida de este grupo poblacional. Se destaca la importancia de una coordinación eficaz entre los profesionales sanitarios y sociales, y de la implementación de protocolos adaptados al contexto residencial. El artículo ofrece recomendaciones prácticas basadas en la evidencia para mejorar la prevención y el tratamiento de estas infecciones en un entorno especialmente vulnerable. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Revista Española de Quimioterapia is the property of Sociedad Espanola de Quimioterapia and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. 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.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.37201/req/054.2025 Languages: – Code: spa Text: Spanish PhysicalDescription: Pagination: PageCount: 25 StartPage: 361 Subjects: – SubjectFull: RESPIRATORY infections Type: general – SubjectFull: OLDER people Type: general – SubjectFull: NURSING care facilities Type: general – SubjectFull: PREVENTIVE medicine Type: general – SubjectFull: INTEGRATED health care delivery Type: general – SubjectFull: VACCINATION policies Type: general – SubjectFull: COVID-19 Type: general – SubjectFull: THERAPEUTICS Type: general Titles: – TitleFull: Recomendaciones para la prevención y el tratamiento de las infecciones respiratorias en adultos mayores institucionalizados. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Lovatti-González, Rubén – PersonEntity: Name: NameFull: Gómez-Pavón, Javier – PersonEntity: Name: NameFull: Bielza, Rafael – PersonEntity: Name: NameFull: Hernando, Clara – PersonEntity: Name: NameFull: Martínez-Peromingo, Javier – PersonEntity: Name: NameFull: Mateos-Nozal, Jesús – PersonEntity: Name: NameFull: Bermejo-Boixareu, Cristina IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 10 Text: Oct2025 Type: published Y: 2025 Identifiers: – Type: issn-print Value: 02143429 Numbering: – Type: volume Value: 38 – Type: issue Value: 5 Titles: – TitleFull: Revista Española de Quimioterapia Type: main |
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