Recreational Center and Temporary Center for Emergency Care, Valle de Sinú

Montería es una de las ciudades con mayor desarrollo en infraestructura urbana, lo que ha traído consigo, según el MINCIT – CITUR (2017), entre el 2005 al 2015, un aumento en turismo de forma espontánea, por lo cual se espera que siga en aumento gracias a sus atractivos. Tristemente en la zona del bajo Sinú, muchas comunidades se han visto afectadas por las recientes inundaciones debido al invierno y a las condiciones topográficas, por ende muchas familias se han visto obligadas a abandonar sus hogares. Expuesto lo anterior, se propone diseñar un centro recreacional y refugio temporal para atención de emergencias en cercanías a la vía Montería – Cereté, cerca de la Universidad Pontificia Bolivariana, el cual funcionara la mayor parte del tiempo como un centro de recreación en donde locales y extranjeros podrán disfrutar de diferentes actividades como ganadería, equitación, alimentación de animales, piscinas, deporte, educación, comedor y hostal, y en donde colegios y universidades puedan realizar salidas de campo donde puedan aprender acerca de las actividades económicas más importantes de la región; aunque cuando se den situaciones de emergencia por desastres naturales, el recinto tendrá prioridad para darle hospedaje provisional al personal afectado durante un tiempo determinado. El proyecto contará con zonas de servicios, donde se encuentra comedores y lavados; zona de viviendas, que tendrán 8 edificios de 4 pisos cada uno; zona educativa, en donde se construirá 11 aulas de clases; zona cultural agropecuaria, centro médico, zona administrativa y zona recreativa, que cuenta con piscinas, canchas, parques y comedor. El proyecto tiene ciertas limitaciones, como son la económica y la social. En lo económica se debe a que como es de gran envergadura, tiene un costo elevado, que contará con aportes públicos y privados; y social debido a que se construirá en una zona donde hay personas de bajos recursos, lo que puede traer un poco de inseguridad.Monteria is one of the cities with the most development in urban infrastructure, which has brought with it, according to the MINCIT - CITUR (2017), between 2005 to 2015, an increase in tourism spontaneously, which is expected to continue in increase thanks to its attractions. Sadly in the lower Sinu area, many communities have been affected by the recent floods due to winter and topographic conditions, so many families have been forced to leave their homes. Exposed the above, it is proposed to design a recreational center and temporary shelter for emergency care in the vicinity of the Monteria - Cereté road, near the Universidad Pontificia Bolivariana, which will function most of the time as a recreation center where local and foreigners can enjoy different activities such as livestock, horse riding, animal feed, swimming, sports, education, dining and hostel, and where colleges and universities can make field trips where they can learn about the most important economic activities in the region; although when there are emergency situations due to natural disasters, the site will have priority to give temporary accommodation to the affected personnel during a certain time. The project will have service areas, where there are dining rooms and washing rooms; housing area, which will have 8 buildings of 4 floors each; educational area, where 11 classrooms will be built; cultural agricultural area, medical center, administrative area and recreational area, which has swimming pools, courts, parks and dining. The project has certain limitations, such as economic and social. In the economic aspect, because it is of great importance, it has a high cost, which will have public and private contributions; and social because it will be built in an area where there are people with low resources, which can bring a little insecurity

International Nosocomial Infection Control Consortiu (INICC) report, data summary of 43 countries for 2007-2012. Device-associated module

We report the results of an International Nosocomial Infection Control Consortium (INICC) surveillance study from January 2007-December 2012 in 503 intensive care units (ICUs) in Latin America, Asia, Africa, and Europe. During the 6-year study using the Centers for Disease Control and Prevention's (CDC) U.S. National Healthcare Safety Network (NHSN) definitions for device-associated health care–associated infection (DA-HAI), we collected prospective data from 605,310 patients hospitalized in the INICC's ICUs for an aggregate of 3,338,396 days. Although device utilization in the INICC's ICUs was similar to that reported from ICUs in the U.S. in the CDC's NHSN, rates of device-associated nosocomial infection were higher in the ICUs of the INICC hospitals: the pooled rate of central line–associated bloodstream infection in the INICC's ICUs, 4.9 per 1,000 central line days, is nearly 5-fold higher than the 0.9 per 1,000 central line days reported from comparable U.S. ICUs. The overall rate of ventilator-associated pneumonia was also higher (16.8 vs 1.1 per 1,000 ventilator days) as was the rate of catheter-associated urinary tract infection (5.5 vs 1.3 per 1,000 catheter days). Frequencies of resistance of Pseudomonas isolates to amikacin (42.8% vs 10%) and imipenem (42.4% vs 26.1%) and Klebsiella pneumoniae isolates to ceftazidime (71.2% vs 28.8%) and imipenem (19.6% vs 12.8%) were also higher in the INICC's ICUs compared with the ICUs of the CDC's NHSN