Aumentan las infecciones respiratorias en bebés y niños: lo que los padres deben saber sobre la nueva protección contra el VRS
- El Perú supera los 704 mil episodios de infecciones respiratorias agudas (IRA) en menores de cinco años[1], mientras el Virus Respiratorio Sincitial continúa siendo la principal causa de hospitalización en bebés menores de un año[2].
- Ministerio de Salud incorporó más de 79 mil dosis gratuitas del anticuerpo monoclonal Nirsevimab, destinado a proteger a recién nacidos y lactantes menores de seis meses frente al VRS2.
- La pediatra infectóloga Theresa Ochoa explica cómo funciona esta nueva estrategia preventiva, en qué se diferencia de una vacuna y por qué es importante conocerla.
En lo que va del año, el Perú ha registrado más de 704 mil casos de infecciones respiratorias aguas (IRA) en menores de cinco años1. Entre los virus que más preocupan a los especialistas se encuentran la influenza, que supera los 3 mil casos, y el Virus Respiratorio Sincitial (VRS), que acumula más de 4 mil casos y 20 fallecimientos en lo que va del año[3]. Sin embargo, su impacto sería mucho mayor, pues la Organización Panamericana de la Salud estima que hay 135,000 casos al año en el país[4], muchos de los cuales no llegan a diagnosticarse oportunamente debido a que sus síntomas se confunden con los de otras enfermedades respiratorias evidenciando un importante subregistro.
Frente a este panorama, el Ministerio de Salud recientemente anunció la llegada de 79,075 dosis gratuitas del anticuerpo monoclonal Nirsevimab, una nueva herramienta de inmunización destinada a proteger contra el VRS a recién nacidos y lactantes menores de seis meses. Las dosis serán distribuidas en establecimientos del Minsa y EsSalud a nivel nacional1.
Para la Dra. Theresa Ochoa, pediatra infectóloga, esta nueva inmunización llega en un momento clave. “Durante la temporada de infecciones respiratorias muchas familias piensan que todos los virus producen cuadros similares, pero es el VRS el responsable de hasta el 80% de las hospitalizaciones por bronquiolitis en menores de un año. Muchos padres no conocen este virus porque sus síntomas iniciales parecen un resfrío, pero puede agravarse en cuestión de horas. Los bebés menores de seis meses no tienen un sistema inmune maduro para defenderse solos; por eso, a diferencia de una vacuna que necesita tiempo para generar defensas, el anticuerpo monoclonal se las entrega ya listas. Es protección inmediata justo cuando más la necesitan”.
La especialista explica que, aunque no todas las infecciones respiratorias pueden prevenirse, el Virus Respiratorio Sincitial es una de las pocas para las que hoy existe una estrategia específica de inmunización dirigida a los bebés con mayor riesgo de desarrollar cuadros graves. “La llegada de estas dosis del anticuerpo monoclonal Nirsevimab representa un avance en la protección de los recién nacidos y lactantes menos de seis meses”, agrega.
En este contexto, la especialista detalla lo que toda familia debe saber sobre esta nueva protección contra el VRS:
- ¿Qué es el anticuerpo monoclonal?
Es una protección que se da directamente al bebé para defenderlo del VRS desde el primer día de vida.
- ¿Cómo funciona?
Le entrega al bebé las defensas que necesita ya listas, sin esperar a que su cuerpo las produzca. Por eso la protección es inmediata.
- ¿Es una vacuna?
No exactamente, pero cumple un rol similar: proteger. La diferencia es que la vacuna enseña al cuerpo a crear defensas y suele tomar tiempo, mientras que el anticuerpo monoclonal entrega las defensas directamente, por eso protege de inmediato.
- ¿Quiénes serán beneficiados con esta nueva inmunización?
Según la norma técnica del Ministerio de Salud, el anticuerpo monoclonal será aplicado a los recién nacidos y a los bebés menores de 6 meses, que son quienes tienen mayor riesgo de enfermarse gravemente por el VRS.
- ¿Cómo se aplica?
En una sola dosis, mediante una inyección en el muslo del bebé. Al ser dosis única, no requiere esquema de seguimiento ni visitas adicionales al establecimiento de salud. Además, puede administrarse al mismo tiempo que otras vacunas del calendario.
- ¿Cómo acceder a esta inmunización?
Próximamente estará disponible en los establecimientos del MINSA y EsSalud de todas las regiones del país.
Para finalizar, la Dra. Ochoa resalta que, ahora, el siguiente paso está en manos de los padres y cuidadores de recién nacidos y bebés menores de 6 meses, quienes pueden informarse sobre esta protección e inmunizar a sus bebés.
Las familias pueden mantenerse informadas sobre los puntos de vacunación a través de los canales oficiales del Ministerio de Salud.
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