Pub Date : 2024-11-01DOI: 10.1016/j.aprim.2023.102834
Addressing gender violence from the health system effectively, still involves addressing numerous challenges. If gender violence is suffered by women with one or more situations of personal and social vulnerability, intervention is surrounded by formidable difficulties.
In these heterogeneous situations, early detection is urgent, as well as professional support adapted to each woman with her particular context. The intersectional approach to gender violence provides useful tools for actions in these complex scenarios, full of suffering and fragility.
This article mentions the common and specific needs of the most vulnerable women. Recommendations are offered to improve the intervention to be developed from the health system — a privileged space for this — to understand and accompany these women in their diversity, with the most effective services and resources, in coordination with the rest of the social protection systems and entities.
{"title":"Contextos de especial vulnerabilidad para la violencia de género. Interseccionalidad: adaptando la respuesta a la diversidad de contextos y situaciones","authors":"","doi":"10.1016/j.aprim.2023.102834","DOIUrl":"10.1016/j.aprim.2023.102834","url":null,"abstract":"<div><div>Addressing gender violence from the health system effectively, still involves addressing numerous challenges. If gender violence is suffered by women with one or more situations of personal and social vulnerability, intervention is surrounded by formidable difficulties.</div><div>In these heterogeneous situations, early detection is urgent, as well as professional support adapted to each woman with her particular context. The intersectional approach to gender violence provides useful tools for actions in these complex scenarios, full of suffering and fragility.</div><div>This article mentions the common and specific needs of the most vulnerable women. Recommendations are offered to improve the intervention to be developed from the health system — a privileged space for this — to understand and accompany these women in their diversity, with the most effective services and resources, in coordination with the rest of the social protection systems and entities.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"56 11","pages":"Article 102834"},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139032907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-01DOI: 10.1016/j.aprim.2023.102837
Sexual violence is a very underdetected public health problem, with important short and long-term consequences on physical, mental, social, sexual and reproductive health, which must be taken into account by health services.
Health systems are part of the set of resources necessary for a comprehensive approach from the ecological model: prevention and promotion of healthy sexuality with equality, adequate and coordinated care in the event of sexual assault and subsequent support to prevent sequelae.
All sexual violence has health consequences, even those that may seem less serious such as sexual harassment or sexual cyberviolence.
We must know the needs of the victim and their possible emotional reactions. A risk assessment will be carried out, the victim will be referred to a hospital if necessary and comprehensive and integrated care will be provided.
Care and follow-up must focus on the survivor and with professionals trained in trauma to understand the consequences of sexual violence, offer a safe and trusting environment and know how to reinforce their qualities and support.
{"title":"La violencia sexual y su abordaje en el sistema de salud","authors":"","doi":"10.1016/j.aprim.2023.102837","DOIUrl":"10.1016/j.aprim.2023.102837","url":null,"abstract":"<div><div>Sexual violence is a very underdetected public health problem, with important short and long-term consequences on physical, mental, social, sexual and reproductive health, which must be taken into account by health services.</div><div>Health systems are part of the set of resources necessary for a comprehensive approach from the ecological model: prevention and promotion of healthy sexuality with equality, adequate and coordinated care in the event of sexual assault and subsequent support to prevent sequelae.</div><div>All sexual violence has health consequences, even those that may seem less serious such as sexual harassment or sexual cyberviolence.</div><div>We must know the needs of the victim and their possible emotional reactions. A risk assessment will be carried out, the victim will be referred to a hospital if necessary and comprehensive and integrated care will be provided.</div><div>Care and follow-up must focus on the survivor and with professionals trained in trauma to understand the consequences of sexual violence, offer a safe and trusting environment and know how to reinforce their qualities and support.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"56 11","pages":"Article 102837"},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139426159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-01DOI: 10.1016/j.aprim.2024.102903
Intimate partner violence against women (IPV) has devastating effects on the healthcare and well-being of women and their children. Physical, psychological, and social consequences, a worse perception of their own health, and loss of quality of life are well-documented, while aftereffects persist in time even after the end of abuse. Psychological consequences of abuse last longer and are more serious. IPV also affects sons and daughters, disabled people, family, and the attacker himself.
Many health problems, both physical and mental, that lead women to go to healthcare services in search of help have an origin in the violence they experience. Treatment of the symptoms without awareness of its relation to such violence favours medicalization, iatrogenesis, and chronification.
Psychological violence poses a threat that is invisible, subtle, cumulative, and difficult to detect; it is, however, the most destructive.
{"title":"Consecuencias para la salud de la violencia contra la mujer por la pareja","authors":"","doi":"10.1016/j.aprim.2024.102903","DOIUrl":"10.1016/j.aprim.2024.102903","url":null,"abstract":"<div><div>Intimate partner violence against women (IPV) has devastating effects on the healthcare and well-being of women and their children. Physical, psychological, and social consequences, a worse perception of their own health, and loss of quality of life are well-documented, while aftereffects persist in time even after the end of abuse. Psychological consequences of abuse last longer and are more serious. IPV also affects sons and daughters, disabled people, family, and the attacker himself.</div><div>Many health problems, both physical and mental, that lead women to go to healthcare services in search of help have an origin in the violence they experience. Treatment of the symptoms without awareness of its relation to such violence favours medicalization, iatrogenesis, and chronification.</div><div>Psychological violence poses a threat that is invisible, subtle, cumulative, and difficult to detect; it is, however, the most destructive.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"56 11","pages":"Article 102903"},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140307935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-01DOI: 10.1016/j.aprim.2024.103127
Francisco Buitrago Ramírez , Ramon Ciurana Misol , María del Carmen Fernández Alonso , Pablo González García , Lydia Salvador Sánchez , Jorge Luis Tizón García , Nuria Villamor Sagredo , Grupo de Salud Mental del PAPPS. Actualización PAPPS 2024
Childhood and adolescent abuse (MTIA) is a serious and complex global public health problem with potentially devastating effects on the physical and mental health and well-being of people throughout their lives. This is a health issue that, although it was not recognized until a few decades ago, has very serious consequences on the lives of these future adult children and their families. By adopting various forms and modalities (violence, abuse, neglect and others), it is highly prevalent and has serious repercussions on personal development and both mental and physical morbidity. PHC professionals can play a key role in the detection of MTIA, in its exploration, in the adoption of the first therapeutic or mitigating measures, in the implementation of the care network for these cases, and in the follow-up in the medium and long term of abuse situations. This PAPPS subprogram, for attention to abuse of children and adolescents, attempts to provide some basic lines on each of these sections.
{"title":"Prevención de los trastornos de la salud mental. Maltrato hacia la infancia y la adolescencia","authors":"Francisco Buitrago Ramírez , Ramon Ciurana Misol , María del Carmen Fernández Alonso , Pablo González García , Lydia Salvador Sánchez , Jorge Luis Tizón García , Nuria Villamor Sagredo , Grupo de Salud Mental del PAPPS. Actualización PAPPS 2024","doi":"10.1016/j.aprim.2024.103127","DOIUrl":"10.1016/j.aprim.2024.103127","url":null,"abstract":"<div><div>Childhood and adolescent abuse (MTIA) is a serious and complex global public health problem with potentially devastating effects on the physical and mental health and well-being of people throughout their lives. This is a health issue that, although it was not recognized until a few decades ago, has very serious consequences on the lives of these future adult children and their families. By adopting various forms and modalities (violence, abuse, neglect and others), it is highly prevalent and has serious repercussions on personal development and both mental and physical morbidity. PHC professionals can play a key role in the detection of MTIA, in its exploration, in the adoption of the first therapeutic or mitigating measures, in the implementation of the care network for these cases, and in the follow-up in the medium and long term of abuse situations. This PAPPS subprogram, for attention to abuse of children and adolescents, attempts to provide some basic lines on each of these sections.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"56 ","pages":"Article 103127"},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142744887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-01DOI: 10.1016/j.aprim.2023.102858
Gender violence has multiple and serious consequences for the health of victims and their families, hence the reason for the important role that the health system plays in addressing it. Health professionals have a key role in the response, which must include early detection, care, and follow-up; actions in which primary care, because of its privileged position in the system, can play a fundamental part. This article establishes the necessary characteristics for the intervention to be effective: comprehensive care, multidisciplinary approach, intersectoral coordination, and integrated service provision; all of it community-oriented, person-centered, and adapted to its context (social factors and vulnerabilities) with an intersectional approach. The woman, her sons and daughters, and other cohabitants, as well as the perpetrator, are considered the object of intervention in the response, and specific guidelines for action are provided for detection, care, and follow-up. Reorientation of interventions, with emphasis on a community approach, is also proposed.
{"title":"La respuesta necesaria de los servicios de salud ante la violencia de género. Atención integral y prestación de servicios integrados","authors":"","doi":"10.1016/j.aprim.2023.102858","DOIUrl":"10.1016/j.aprim.2023.102858","url":null,"abstract":"<div><div>Gender violence has multiple and serious consequences for the health of victims and their families, hence the reason for the important role that the health system plays in addressing it. Health professionals have a key role in the response, which must include early detection, care, and follow-up; actions in which primary care, because of its privileged position in the system, can play a fundamental part. This article establishes the necessary characteristics for the intervention to be effective: comprehensive care, multidisciplinary approach, intersectoral coordination, and integrated service provision; all of it community-oriented, person-centered, and adapted to its context (social factors and vulnerabilities) with an intersectional approach. The woman, her sons and daughters, and other cohabitants, as well as the perpetrator, are considered the object of intervention in the response, and specific guidelines for action are provided for detection, care, and follow-up. Reorientation of interventions, with emphasis on a community approach, is also proposed.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"56 11","pages":"Article 102858"},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139564876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-01DOI: 10.1016/j.aprim.2024.103126
Francisco Buitrago Ramírez Coordinador del Grupo , Ramon Ciurana Misol , María del Carmen Fernández Alonso , Pablo González García , Lydia Salvador Sánchez , Jorge Luis Tizón García , Nuria Villamor Sagredo , Grupo de Salud Mental del PAPPS. Actualización PAPPS 2024
The upbringing and psychosocial development of children who live with parents with serious mental disorders (schizophrenia and delusional disorders, major depression, manic episode, suicide attempts, severe personality disorders, alcoholism or abuse of other drugs and other disorders) can be more difficult, and your quality of life, relationships, and mental health may be seriously affected. Achieving a certain knowledge in clinical practice that facilitates the collection and investigation of parents’ psychiatric history and the identification of risk factors and basic warning signs in children, represents an improvement in the capabilities of Primary Health Care (PHC) teams to integrate mental health elements into your daily practice. It is also an essential preliminary step to implement preventive interventions, at least elementary, necessary to protect the mental health of these children and future adults: that is the core of this PAPPS subprogram for the care of the mental health of children and adolescents in the case of a history of psychopathology in parents or caregivers.
{"title":"Prevención de los trastornos de la salud mental. Antecedentes de psicopatología en los padres y cuidadores","authors":"Francisco Buitrago Ramírez Coordinador del Grupo , Ramon Ciurana Misol , María del Carmen Fernández Alonso , Pablo González García , Lydia Salvador Sánchez , Jorge Luis Tizón García , Nuria Villamor Sagredo , Grupo de Salud Mental del PAPPS. Actualización PAPPS 2024","doi":"10.1016/j.aprim.2024.103126","DOIUrl":"10.1016/j.aprim.2024.103126","url":null,"abstract":"<div><div>The upbringing and psychosocial development of children who live with parents with serious mental disorders (schizophrenia and delusional disorders, major depression, manic episode, suicide attempts, severe personality disorders, alcoholism or abuse of other drugs and other disorders) can be more difficult, and your quality of life, relationships, and mental health may be seriously affected. Achieving a certain knowledge in clinical practice that facilitates the collection and investigation of parents’ psychiatric history and the identification of risk factors and basic warning signs in children, represents an improvement in the capabilities of Primary Health Care (PHC) teams to integrate mental health elements into your daily practice. It is also an essential preliminary step to implement preventive interventions, at least elementary, necessary to protect the mental health of these children and future adults: that is the core of this PAPPS subprogram for the care of the mental health of children and adolescents in the case of a history of psychopathology in parents or caregivers.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"56 ","pages":"Article 103126"},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142744888","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-01DOI: 10.1016/j.aprim.2024.103125
Olga Cortés Rico, María Jesús Esparza Olcina, José Galbe Sánchez-Ventura, Ana Gallego Iborra, Ana Garach Gómez, Laura García Soto, Juan Hidalgo Sanz, Leyre Martí Martí, Carmen Rosa Pallás Alonso, Julia Colomer Revuelta, José María Mengual Gil
In this document we present two important topics in childhood, one completely new, the promotion of reading in the first years of life, and the other is an update that continues to generate doubts and questions from Parents, caregivers and health professionals: Is it necessary to screen for iron deficiency in children under 5 years of age?
{"title":"Resumen PAPPS Infancia y Adolescencia 2024","authors":"Olga Cortés Rico, María Jesús Esparza Olcina, José Galbe Sánchez-Ventura, Ana Gallego Iborra, Ana Garach Gómez, Laura García Soto, Juan Hidalgo Sanz, Leyre Martí Martí, Carmen Rosa Pallás Alonso, Julia Colomer Revuelta, José María Mengual Gil","doi":"10.1016/j.aprim.2024.103125","DOIUrl":"10.1016/j.aprim.2024.103125","url":null,"abstract":"<div><div>In this document we present two important topics in childhood, one completely new, the promotion of reading in the first years of life, and the other is an update that continues to generate doubts and questions from Parents, caregivers and health professionals: Is it necessary to screen for iron deficiency in children under 5 years of age?</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"56 ","pages":"Article 103125"},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142744880","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-01DOI: 10.1016/j.aprim.2024.103123
Domingo Orozco-Beltrán , Carlos Brotons-Cuixart , José R. Banegas , Vicente F. Gil-Guillen , Ana M. Cebrián-Cuenca , Enrique Martín-Rioboó , Ariana Jordá-Baldó , Johanna Vicuña , Jorge Navarro-Pérez
The recommendations of the semFYC's Program for Preventive Activities and Health Promotion (PAPPS) for the prevention of vascular diseases (VD) are presented. New in this edition are new sections such as obesity, chronic kidney disease and metabolic hepatic steatosis, as well as a ‘Don’t Do’ section in the different pathologies treated. The sections have been updated: epidemiological review, where the current morbidity and mortality of CVD in Spain and its evolution as well as the main risk factors are described; vascular risk (VR) and recommendations for the calculation of CV risk; main risk factors such as arterial hypertension, dyslipidemia and diabetes mellitus, describing the method for their diagnosis, therapeutic objectives and recommendations for lifestyle measures and pharmacological treatment; indications for antiplatelet therapy, and recommendations for screening of atrial fibrillation, and recommendations for management of chronic conditions. The quality of testing and the strength of the recommendation are included in the main recommendations.
{"title":"Recomendaciones preventivas vasculares. Actualización PAPPS 2024","authors":"Domingo Orozco-Beltrán , Carlos Brotons-Cuixart , José R. Banegas , Vicente F. Gil-Guillen , Ana M. Cebrián-Cuenca , Enrique Martín-Rioboó , Ariana Jordá-Baldó , Johanna Vicuña , Jorge Navarro-Pérez","doi":"10.1016/j.aprim.2024.103123","DOIUrl":"10.1016/j.aprim.2024.103123","url":null,"abstract":"<div><div>The recommendations of the semFYC's Program for Preventive Activities and Health Promotion (PAPPS) for the prevention of vascular diseases (VD) are presented. New in this edition are new sections such as obesity, chronic kidney disease and metabolic hepatic steatosis, as well as a ‘Don’t Do’ section in the different pathologies treated. The sections have been updated: epidemiological review, where the current morbidity and mortality of CVD in Spain and its evolution as well as the main risk factors are described; vascular risk (VR) and recommendations for the calculation of CV risk; main risk factors such as arterial hypertension, dyslipidemia and diabetes mellitus, describing the method for their diagnosis, therapeutic objectives and recommendations for lifestyle measures and pharmacological treatment; indications for antiplatelet therapy, and recommendations for screening of atrial fibrillation, and recommendations for management of chronic conditions. The quality of testing and the strength of the recommendation are included in the main recommendations.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"56 ","pages":"Article 103123"},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142744884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-01DOI: 10.1016/j.aprim.2024.103129
Ana Pilar Javierre Miranda , Coro Sánchez Hernández , Susana Martín Martín , Pablo Aldaz Herce , José Javier Gómez Marco , Germán Schwarz Chavarri , Cristina García Iglesias , M. Isabel Gutiérrez Pérez , M. Luisa Morató Agustí , Grupo de Prevención de Enfermedades Infecciosas del PAPPS
Vaccination throughout life is the best way to prevent infectious diseases and improve people's quality of life. As health professionals we must know the vaccine indications and guidelines as if they were any other treatment.
In the updates for this year 2024, we continue to focus on the most relevant developments in terms of indications, changes in vaccination guidelines, new vaccines incorporated into the adult calendar and even anticipating the next vaccines to be incorporated in a short period of time. We continue to insist on remembering the specific indications in risk groups, whether due to chronic diseases or immunocompromise. They are very relevant groups in which to review and complete their vaccination schedule. Nor should we forget about vaccination during pregnancy and for health workers, we must protect ourselves to protect. We have extended the chapter of vaccination for travelers, due to increasing numbers in our Primary Care consultations. And we have added a few touches of the «One Health» approach, focusing on vaccination as a tool to improve population health and contribute to the reduced use of antibiotics and thereby avoid bacterial resistance.
We have tried to summarize a large part of the document in the form of tables so that it is an agile and easy-to-consult instrument in our daily care work and we do not forget to review and complete, if necessary, the vaccination schedule of all our patients.
Although we focus on adults, due to the novelty and relevance in terms of reducing the burden of disease in infants, we have included a section on immunoprevention against respiratory syncytial virus with monoclonal antibodies and its indications for the next 2024-2025 season.
{"title":"Prevención de las enfermedades infecciosas. Actualización en vacunas PAPPS 2024","authors":"Ana Pilar Javierre Miranda , Coro Sánchez Hernández , Susana Martín Martín , Pablo Aldaz Herce , José Javier Gómez Marco , Germán Schwarz Chavarri , Cristina García Iglesias , M. Isabel Gutiérrez Pérez , M. Luisa Morató Agustí , Grupo de Prevención de Enfermedades Infecciosas del PAPPS","doi":"10.1016/j.aprim.2024.103129","DOIUrl":"10.1016/j.aprim.2024.103129","url":null,"abstract":"<div><div>Vaccination throughout life is the best way to prevent infectious diseases and improve people's quality of life. As health professionals we must know the vaccine indications and guidelines as if they were any other treatment.</div><div>In the updates for this year 2024, we continue to focus on the most relevant developments in terms of indications, changes in vaccination guidelines, new vaccines incorporated into the adult calendar and even anticipating the next vaccines to be incorporated in a short period of time. We continue to insist on remembering the specific indications in risk groups, whether due to chronic diseases or immunocompromise. They are very relevant groups in which to review and complete their vaccination schedule. Nor should we forget about vaccination during pregnancy and for health workers, we must protect ourselves to protect. We have extended the chapter of vaccination for travelers, due to increasing numbers in our Primary Care consultations. And we have added a few touches of the «One Health» approach, focusing on vaccination as a tool to improve population health and contribute to the reduced use of antibiotics and thereby avoid bacterial resistance.</div><div>We have tried to summarize a large part of the document in the form of tables so that it is an agile and easy-to-consult instrument in our daily care work and we do not forget to review and complete, if necessary, the vaccination schedule of all our patients.</div><div>Although we focus on adults, due to the novelty and relevance in terms of reducing the burden of disease in infants, we have included a section on immunoprevention against respiratory syncytial virus with monoclonal antibodies and its indications for the next 2024-2025 season.</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"56 ","pages":"Article 103129"},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142744886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}