<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0001-6002</journal-id>
<journal-title><![CDATA[Acta Médica Costarricense]]></journal-title>
<abbrev-journal-title><![CDATA[Acta méd. costarric]]></abbrev-journal-title>
<issn>0001-6002</issn>
<publisher>
<publisher-name><![CDATA[Colegio de Médicos y Cirujanos de Costa Rica]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0001-60022017000200050</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Vacunación en adultos]]></article-title>
<article-title xml:lang="en"><![CDATA[Vaccination in adults]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Espinoza Mora]]></surname>
<given-names><![CDATA[María del Rosario]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lazo-Páez]]></surname>
<given-names><![CDATA[Gustavo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Schauer]]></surname>
<given-names><![CDATA[Christian]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Dr. Rafael Ángel Calderón Guardia Servicio de Medicina Interna, Unidad de Inmunología Clínica ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Nacional de Niños Servicio de Inmunología y Reumatología Pediátrica ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Latinoamericana de Ciencia y Tecnología (ULACIT)  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Costa Rica</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad de Costa Rica  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Costa Rica</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2017</year>
</pub-date>
<volume>59</volume>
<numero>2</numero>
<fpage>50</fpage>
<lpage>59</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_arttext&amp;pid=S0001-60022017000200050&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_abstract&amp;pid=S0001-60022017000200050&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_pdf&amp;pid=S0001-60022017000200050&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: Cada año, miles de adultos mueren por causa de enfermedades prevenibles mediante vacunación. Sin embargo, la aplicación de vacunas en adultos es muy baja a nivel mundial por múltiples razones, incluyendo los altos costos de implementación.  Objetivos: Discutir las recomendaciones nacionales e internacionales de inmunización de personas mayores de 18 años, incluyendo las poblaciones con alto riesgo de adquirir infecciones inmunoprevenibles y resumirlas en un esquema recomendado para vacunación de adultos en general, y personas con elevado nivel de riesgo.  Métodos: Se efectuó una revisión no sistemática de bibliografía médica y científica publicada entre 2000 y 2017, concerniente a vacunación en adultos. Así mismo, se compararon los esquemas de inmunización vigentes en América y Europa.  Conclusiones: Las recomendaciones para vacunación en adultos se basan principalmente en edad, condiciones médicas subyacentes, estilo de vida, inmunizaciones previas, características epidemiológicas locales y viajes. La necesidad de aplicar un esquema de vacunación adecuado a la población general y a poblaciones con factores de riesgo, representa una medida de gran importancia en un sistema de salud funcional. En este sentido, la adecuada asesoría e información provenientes del personal de salud constituyen un predictor clave en la inmunización de adultos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: Every year thousands of adults die from vaccine preventable disease worldwide. Nevertheless, the vaccine application rates maintain in relative low levels for multiple reason, including high costs of the implementation of vaccination programs.  Objectives: Discuss national and international existing immunization schemes for adult persons, including high risk populations for the acquisition of immune preventable infections and resume this knowledge in vaccination schemes for adults in general and high risk population  Methods: A nonsystematic revision of medical and scientific literature related to adult vaccination topics from the years 2000 to 2017 was performed. As well, a comparison between actual vaccination schemes from American and European countries has been realized.  Conclusion: Vaccination recommendations are based in multiple factors like age, individual medical history, lifestyle, formerly applied vaccinations, local epidemiologic criteria end traveling activity. The application of adequate vaccination scheme for both, adults in general and an adaptation for persons with elevated risk factors, represents a crucial element for effective health system. Therefore, the adequate assessing and information provided by medical personnel represents a key factor in successful vaccination and disease prevention.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[vacunas]]></kwd>
<kwd lng="es"><![CDATA[inmunidad celular]]></kwd>
<kwd lng="es"><![CDATA[inmunodeficiencia]]></kwd>
<kwd lng="es"><![CDATA[inmunogenicidad]]></kwd>
<kwd lng="es"><![CDATA[inmunosupresión]]></kwd>
<kwd lng="en"><![CDATA[vaccine]]></kwd>
<kwd lng="en"><![CDATA[cellular immunity]]></kwd>
<kwd lng="en"><![CDATA[immunodeficiency]]></kwd>
<kwd lng="en"><![CDATA[immunogenicity]]></kwd>
<kwd lng="en"><![CDATA[immune suppression]]></kwd>
</kwd-group>
</article-meta>
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