Publications by authors named "Wilfrido Coronell"
Serotype distribution, clinical characteristics, and antimicrobial resistance of pediatric invasive pneumococcal disease in Colombia during PCV10 mass vaccination (2017-2022).
Front Med (Lausanne)
May 2024
Article Synopsis
- * A total of 530 patients were reported, with the majority exhibiting pneumonia; the study highlighted high rates of ICU admissions (50.6%) and notable resistance to antibiotics among meningial and non-meningial isolates.
- * The findings indicated a decrease in PCV10 serotypes but an increase in the prevalence of serotypes 19A and 6C, leading to Colombia's decision to switch to the PCV13 vaccine in July 202
The objective of this article was to consider the vaccination challenges in Colombia and Peru and the role of pediatric combination vaccines in overcoming these challenges. Barriers to including new vaccines with more antigens remain apparent in parts of these countries, where vaccine-preventable diseases in infants continue to be a major problem. The challenges include the heterogeneity of vaccine coverage within each country and in neighboring countries, which can contribute to poor rates of vaccination coverage; the adverse impact of the inward migration of unvaccinated individuals, which has favored the re-emergence of vaccine-preventable diseases; vaccine shortages; and the impact of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic and the associated shifts in health care resources.
View Article and Find Full Text PDFArticle Synopsis
- Acute bacterial meningitis (ABM) is a serious health issue that has reappeared in Colombia after new vaccines were introduced, as some types of bacteria are not covered by these vaccines.
- A study across 17 hospitals in Colombia looked at how cases of meningitis changed before and after the PCV10 vaccine was used.
- The study found that while some types of bacteria decreased, others, like Spn19A, became more common and showed resistance to medicines, meaning they are harder to treat; there was also a rise in death rates from this disease.
Article Synopsis
- The Consensus document focuses on managing febrile neutropenia episodes in children with cancer, providing comprehensive guidelines for prevention, diagnosis, and treatment.
- It includes specific recommendations regarding hospital admission procedures, antimicrobial therapy management, and diagnosis of invasive fungal infections.
- The aim is to enhance care quality and equity across Latin American healthcare centers treating children with cancer.
Changes in Oxygenation and Clinical Outcomes with Awake Prone Positioning in Patients with Suspected COVID-19 In Low-Resource Settings: A Retrospective Cohort Study.
J Intensive Care Med
November 2021
Introduction: This study aimed to describe the use of awake prone positioning (APP) and conventional oxygen therapy (COT) in patients with suspected coronavirus disease (COVID-19) and respiratory failure in a limited-resource setting.
Methods: This was a retrospective cohort study of hospitalized patients aged ≥18 years old who were placed in an awake prone position due to hypoxemic respiratory failure and suspected COVID-19. The patients were selected from a tertiary center in Cartagena, Colombia, between March 1, 2020, and August 31, 2020.