Influenza and Pneumococcal Vaccination in Heart Failure Patients: A Neglected Recommendation

Martins, Wolney de Andrade; Souza, Renata Tavares de; Cabral, Isaías Fiuza; Furquim, Thyago Antônio Biagioni; Ribeiro, Margarete Domingues; Nogueira, Luciana; Pereira, Gelsomina Angelina Martins Costa; Oliveira, Lucia Brandão de; Louback, Flavia; Dadalto, Fernanda; Camandaroba, Paulo P.

doi:10.1016/j.cardfail.2009.06.153

Cited by 7 publications

(11 citation statements)

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“…Respiratory infections are among the most common causes of decompensation in several series. In our institution, decompensation due to respiratory infections are ranked second, after the transgression of salt intake and drug prescription, probably due to high temperature variation in the mountainous region of the state of Rio de Janeiro, especially in the Winter 18 . The time of hospital admission would be conducive to vaccination, however, Bratzer et al 3 demonstrated that this practice is not common.…”

Section: Discussionmentioning

confidence: 86%

Vacinação contra influenza e pneumococo na insuficiência cardíaca: uma recomendação pouco aplicada

Martins¹,

Ribeiro²,

Oliveira³

et al. 2011

Arq. Bras. Cardiol.

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Section: Discussionmentioning

confidence: 86%

Vacinação contra influenza e pneumococo na insuficiência cardíaca: uma recomendação pouco aplicada

Martins¹,

Ribeiro²,

Oliveira³

et al. 2011

Arq. Bras. Cardiol.

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“…Patients with chronic kidney, lung, heart and/or liver disease may be immunocompromised and show increased susceptibility to infection [104][105][106]. These reports confirm the increased susceptibility to infection and recommend vaccination (Table 2).…”

Section: Review Eibl and Wolfmentioning

confidence: 54%

Vaccination in Patients with Primary Immune Deficiency, Secondary Immune Deficiency and Autoimmunity with Immune Regulatory Abnormalities

Eibl¹,

Wolf²

2015

Immunotherapy

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Vaccination has been an important healthcare measure in preventing infectious diseases. The response to vaccination is reduced in immunocompromised patients, primary immune deficiency (PID) and secondary immune deficiency (SID), but vaccination studies still demonstrated a protective effect resulting in reducing complications, hospitalization, treatment costs and even mortality. The primary physician and the specialist directing patient care are responsible for vaccination. Live vaccines are contraindicated in patients with severe immune impairment, killed vaccines are highly recommended in PID and SID. Criteria have been defined to distinguish high- or low-level immune impairment in the different disease entities among PID and SID patients. For patients who do not respond to diagnostic vaccination as characterized by antibody failure immunoglobulin replacement is the mainstay of therapy.

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“…42 Viral and bacterial infections are important causes of HF decompensation at this stage and can be prevented by vacination. 43 The transition from inpatient to outpatient can be very difficult in vulnerable period due to the complexity of the HF progressive nature. Multiple comorbidities, continuous use of polypharmacy and patients' difficulty to perceive the severity of their problem are important factors in determining the risk of vulnerability in the post-discharge stage.…”

Section: Very-early Vulnerable Stage Of Heart Failurementioning

confidence: 99%

Understanding Hospitalization in Patients with Heart Failure

Mesquita¹,

Jorge²,

Rabelo³

et al. 2016

International Journal of Cardiovascular Sciences

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Heart failure is one of the most important and challenging public health problems of the 21 st century and is associated with hard outcomes, such as death and hospitalization. New treatments for heart failure, despite the decrease in mortality, have not contributed to the decrease in hospitalization rates. Patients admitted with heart failure have a high event rate (> 50%) with a mortality rate between 10 and 15% and a rehospitalization rate within 6 months after discharge of 30 to 40%. Three major causes seem to directly affect the rehospitalization of patients with heart failure: comorbidities, congestion and target-organ lesion. The transition from inpatient to outpatient is a period of vulnerability, due to the progressive nature complexity of heart failure, with an impact on prognosis and which can extend for up to 6 months after hospital discharge. The physician has an important role in the actions that can minimize the risk of hospitalization for heart failure and the multidisciplinary approach, associated with the implementation of good practices supported by scientific evidence, can reduce the risk of hospitalization. The use of routines that have been proven to reduce hospitalization should be used in Brazilian hospitals. The objective of this review was to discuss the main causes of hospitalization, their impact on heart failure evolution and strategies that can be used to reduce it.

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Influenza and Pneumococcal Vaccination in Heart Failure Patients: A Neglected Recommendation

Cited by 7 publications

References 0 publications

Vacinação contra influenza e pneumococo na insuficiência cardíaca: uma recomendação pouco aplicada

Vacinação contra influenza e pneumococo na insuficiência cardíaca: uma recomendação pouco aplicada

Vaccination in Patients with Primary Immune Deficiency, Secondary Immune Deficiency and Autoimmunity with Immune Regulatory Abnormalities

Understanding Hospitalization in Patients with Heart Failure

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