10 / 99
u
PDatE
on
vaCCination
for
thE
PrEvEntion
of
infECtiouS
rESPiratory
DiSEaSE
in
aDultS
r
Ev
a
SSoC
m
ED
B
raS
2014; 60(2):97
97
aCCrEditation
Update on vaccination for the prevention of infectious respiratory
disease in adults
A
TUALIZAÇÃO
EM
VACINAÇÃO
NA
PREVENÇÃO
DAS
DOENÇAS
RESPIRATÓRIAS
INFECCIOSAS
EM
ADULTOS
W
anderLey
m. b
ernardo
, b
ernardo
m
aranHão
, F
ernando
L
undgren
, J
oSé
m
igueL
c
Hatkin
, m
arceLo
F
ouad
r
abaHi
,
n
atHaLia
c
arvaLHo
de
a
ndrada
, r
icardo
a
morim
c
orrêa
, r
icardo
m
artinS
, r
oberto
S
tiburLov
http://dx.doi.org/10.1590/1806-9282.60.02.0031. Is there benefit in vaccine combination for the
prevention of infectious respiratory diseases in
adults?
a.
Yes, because it reduces the cases of invasive pneumo-
coccal disease (IPD) in the elderly.
b.
Both the anti-inluenza and pneumococcal vaccines
reduce hospitalizations.
c.
The association of a vaccine against
Haemophilus in-
fluenzae
B and a pneumococcal vaccine reduces by 5%
the cases of IPD in healthy children.
d.
There is no beneit in combining vaccines.
2. Are there any differences between pneumococcal
polysaccharide vaccines (VPPS-23) and conjuga-
te vaccines?
a.
The VPPS-23 reduces the number of pneumonias and
mortality.
b.
Non-conjugate vaccines generate longer lasting and
stronger immune response than conjugate vaccines.
c.
The pneumococcal vaccine is not recommended for
pregnant women.
d.
There is no difference between VPPS-23 and conju-
gate vaccines.
3. Regarding the use of BCG vaccines, it is correct to
say that:
a.
The BCG vaccine is recommended for newborns throu-
gh their irst month of life.
b.
The BCG vaccine is recommended for children up to
two years old.
c.
For adults, the only indication is related to tubercu-
losis in household contact.
d.
In newborns, the recommended use is three doses of
0.1 mL, every 3 months.
4. Are there benefits in using
anti-pertussis
vaccines?
a.
The booster dose is not indicated because antibodies
are high in individuals over 40 years old.
b.
There are beneits in using the combined vaccine with
inactivated polio.
c.
The immune response is better in adults between 65
and 74 years old.
d.
Adults who live or work with infants or children un-
der 1 year old should receive a single booster.
5. What are the indications for pneumococcal vaccine?
a.
All adults.
b.
Anyone between 2 and 64 years old who has a chro-
nic disease.
c.
Only adults aged 64 to 75 years, smokers or patients
with asthma.
d.
It is contraindicated for patients with immunosup-
pressive disease.
Answers to clinical scenario: update
on chronic nonspecific lower back pain:
rehabilitation [published in RAMB 2014;
60]
1. What is the benefit of acupuncture in the treat-
ment of chronic nonspecific lower back pain?
Acupuncture is less effective thanmassage. (alternative
D
)
2. What are the advantages of the combination of
analgesics and a muscle relaxant?
Carisoprodol has a potential for psychological and
physical dependence. (alternative
B
)
3. Which resources are used?
The use of shortwave diathermy is recommended. (al-
ternative
A
)
4. What is the role of electrical stimulation in chro-
nic nonspecific lower back pain?
TENS has the advantage to be taken at home. (alter-
native
D
)
5. Is the use of antidepressants effective for treating
nonspecific lower back pain?
Combined administration of antidepressants with adre-
nergic effects produces better results than the use of se-
lective serotonin reuptake inhibitors. (alternative
A
)
SCIELO BOOK.indb 97
4/22/14 4:35 PM