4 research outputs found
Costo-efectividad en intervenciones para disminuir la prevalencia de neuropatia periferica secundaria a diabetes
Objetivo: Determinar mediante un estudio de costo
efectividad cual de tres intervenciones en Xoxocotla,
Morelos es la màs costo efectiva para disminuir la
prevalencia de neuropatìa diabètica secundaria a
Diabetes Mellitus.Material y Mètodos: En una muestra
de 556 personas se realizó el cálculo del coeficiente costoefectividad
y se aplicó la regla de decision. Resultados:
Se obtuvo que la intervención A, llamada “Equilibra tu
vida”, basada en actividad física, consulta nutricional y
taller a familiar fue la más costo efectiva, obteniendo un
costo total $311,841.00 con un porcentaje de efectividad
del 30%, y un coeficiente de efectividad de 10.39
Conclusiones: No necesariamente una intervención
màs costosa, es la intervención màs efectiva, y asì dar
respuesta congruentes y concretas a la necesidades de
salud
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