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沙特阿拉伯糖尿病患者肺炎球菌疾病预防当前实践的见解

Insights From the Current Practice of Pneumococcal Disease Prevention for Diabetic Patients in Saudi Arabia.

作者信息

Al-Dahash Raed, Kamal Abdallah, Amir Ashraf, Shabaan Ashraf, Ewias Diaa, Jnaid Hussam, Almalki Mussa, Najjar Nabil, Deegy Najlaa, Khedr Saaed, Bukhary Samia

机构信息

Department of Medicine, Ministry of National Guard-Health Affairs, Riyadh, SAU.

Internal Medicine, King Abdullah International Medical Research Center, Riyadh, SAU.

出版信息

Cureus. 2022 Mar 29;14(3):e23612. doi: 10.7759/cureus.23612. eCollection 2022 Mar.

Abstract

Pneumonia is the most frequent cause of hospitalization, resulting in a high risk of mortality. Diabetic patients are at high risk of aquatinting pneumococcal infections with their consequent complications. Despite the fact that glycemic control of the patients reduces the risk of diabetic complications and enhances their immunity, pneumococcal vaccination should still be given irrespective of the patients' glycemic control. The purpose of this review is to address the present situation of pneumococcal disease prevention in diabetic patients in the Kingdom of Saudi Arabia (KSA) and to gather professional recommendations to overcome the vaccination-related barriers. Onsite insights of scientific leaders in family medicine, endocrinology, and internal medicine in Riyadh and Jeddah were gathered and linked with the available literature to tackle the current practice of pneumococcal disease prevention in diabetic patients in the Kingdom of Saudi Arabia. Pneumococcal vaccination importance is still not well recognized among endocrinologists across the Kingdom of Saudi Arabia, despite the availability of established local recommendations and the National Immunization Program. The prevention of serious and fatal pneumococcal diseases should be one of the treatment pillars for diabetic patients, and it is not less important than controlling other risk factors.

摘要

肺炎是住院治疗最常见的原因,导致较高的死亡风险。糖尿病患者极易感染肺炎球菌并引发相应并发症。尽管对患者进行血糖控制可降低糖尿病并发症风险并增强其免疫力,但无论患者血糖控制情况如何,仍应接种肺炎球菌疫苗。本综述旨在阐述沙特阿拉伯王国(KSA)糖尿病患者预防肺炎球菌疾病的现状,并收集专业建议以克服与疫苗接种相关的障碍。收集了利雅得和吉达的家庭医学、内分泌学和内科领域科学领军人物的实地见解,并将其与现有文献相结合,以探讨沙特阿拉伯王国糖尿病患者预防肺炎球菌疾病的当前做法。尽管已有既定的当地建议和国家免疫规划,但沙特阿拉伯王国各地的内分泌学家对肺炎球菌疫苗接种的重要性仍未充分认识。预防严重和致命的肺炎球菌疾病应成为糖尿病患者的治疗支柱之一,其重要性不亚于控制其他风险因素。

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Antibiotic-Resistant Community-Acquired Bacterial Pneumonia.抗生素耐药性社区获得性细菌性肺炎。
Infect Dis Clin North Am. 2019 Dec;33(4):1087-1103. doi: 10.1016/j.idc.2019.07.002.
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Diabetes and Aging: From Treatment Goals to Pharmacologic Therapy.糖尿病与衰老:从治疗目标到药物治疗
Front Endocrinol (Lausanne). 2019 Feb 18;10:45. doi: 10.3389/fendo.2019.00045. eCollection 2019.
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Diabetes epidemic sweeping the Arab world.糖尿病疫情正在席卷阿拉伯世界。
World J Diabetes. 2016 Apr 25;7(8):165-74. doi: 10.4239/wjd.v7.i8.165.

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