Programa Nacional de Vacinação 2017 e vacinação antitetânica

Abstract

2017 UPDATE OF NATIONAL IMMUNIZATION PROGRAM AND TETANUS VACCINATION Tetanus is a severe infectious disease caused by the contamination of wounds by spores of Clostridium tetani. Immunization is the only intervention able to produce immunity, but administration of several boosters is required to maintain protective and long-lasting antibody levels. Recent changes have been made to the Portuguese immunisation scheme, to come into force in 2017. These changes include a reduction in the number of recommended boosters, in line with recommendations from other European Union countries. The aim of this paper is to substantiate and analyse the evidence supporting these changes.

Cartilha educativa: cuidados pelas puérperas com o coto umbilical

“…Há sinais de paralisia ou redução dos movimentos, presença de rigidez e hipertonia ao toque. Já o coto umbilical, pode conter sangue coagulado ou soro, sujeira, ou não apresentar nenhuma alteração (22)(23)(24). O tétano neonatal pode ser prevenido com a imunização da mãe antes ou durante a gestação.…”

“…A dose de reforço deve ser administrada no mínimo 20 dias antes da data provável do parto. Para as gestantes não vacinadas e/ou com histórico vacinal desconhecido, deve-se iniciar o esquema com três doses, sendo a última de dTPa, respeitando-se o intervalo mínimo de um mês entre elas (22)(23)(24)(25).…”

Factors that negatively interfere with the coverage of antitetanus vaccination in the elderly: an integrative review

“…In Brazil, in children it occurs at two, four and six months, later, at 15 months and between 4 and 6 years of age, a booster should be applied; adults who have never been immunized against tetanus should receive three administrations of the dual adult (dT) vaccine, with an interval of one month between doses. Worldwide, a tetanus toxoid booster is recommended every decade so that protective antibody levels remain continuous (Ministério da Saúde, 2019;Cossutta, 2017;Sahan et al, 2019). Despite this therapeutic resource, according to the World Health Organization (WHO), 50,000 cases of tetanus are registered annually.…”