Conocimientos, actitudes y practicas de riesgo de infecciones de transmision sexual en mujeres de 10-40 años, usuarias del puesto de salud Agustin Winchang Municipio de La Cruz de Rio Grande-RACS de Junio a Diciembre del 2014

Las infecciones de transmisión sexual (ITS) están entre las causas más comunes de enfermedades en el mundo. La Organización Mundial de la Salud (OMS) manifiesta una gran preocupación por el marcado aumento que se observa en el número de ITS. La falta de control de los impulsos, ambivalencia emocional, los cambios emotivos y de la conducta, además, su maduración sexual cada vez más temprana lleva al individuo a la búsqueda de relaciones sexuales riesgosa. No podemos dejar de destacar que el padecimiento de una ITS, principalmente los síndromes ulcerativos predisponen 10 veces más al riesgo del virus de Inmunodeficiencia Adquirida y al SIDA. La incidencia de Infecciones de Transmisión Sexual (ITS) al concluir el año 2012 en Nicaragua, se reporta en 38 x 100,000 habitantes, se notificaron un total de 2,271 eventos de ITS a través de la oficina de estadísticas del Ministerio de Salud (MINSA) presentando un ligero incremento del 6% en relación al mismo periodo del año 2012 donde se reporta una incidencia de 32 x 100,000 habitantes, 1,879 casos. En el municipio de La Cruz de Rio Grande, donde el ministerio de salud y otros organismo no gubernamentales vienen trabajando para reducir la adquisición de VIH-SIDA fenómeno último que puede vivir un individuo a las infecciones de transmisión sexual se ha vuelto una necesidad de conocer cifras y comportamiento sexuales de riesgo en esta población ya que de manera empírica se sabe que la afluencia de mujeres con este padecimiento es muy frecuente. Se realizó un estudio CAP sobre las ITS en este municipio que está ubicado a 283km de la capital que tiene una población de 1250 habitantes donde se entrevistaron a 104 mujeres en edad fértil que acuden a la atención médica en el puesto de salud Agustín Winchang. En el periodo de Junio a Diciembre del 2014. Se elaboró un instrumento de recolección de la información que contenía en su mayoría preguntas cerradas con el propósito de dar repuesta a los objetivos planteados. Dichas preguntas fueron tomadas de otros instrumentos relacionados al mismo tema, se adecuaron al léxico y elementos culturales de la religió

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

International Nosocomial Infection Control Consortium report, data summary of 50 countries for 2010-2015: Device-associated module

•We report INICC device-associated module data of 50 countries from 2010-2015.•We collected prospective data from 861,284 patients in 703 ICUs for 3,506,562 days.•DA-HAI rates and bacterial resistance were higher in the INICC ICUs than in CDC-NHSN's.•Device utilization ratio in the INICC ICUs was similar to CDC-NHSN's. Background: We report the results of International Nosocomial Infection Control Consortium (INICC) surveillance study from January 2010-December 2015 in 703 intensive care units (ICUs) in Latin America, Europe, Eastern Mediterranean, Southeast Asia, and Western Pacific. Methods: During the 6-year study period, using Centers for Disease Control and Prevention National Healthcare Safety Network (CDC-NHSN) definitions for device-associated health care-associated infection (DA-HAI), we collected prospective data from 861,284 patients hospitalized in INICC hospital ICUs for an aggregate of 3,506,562 days. Results: Although device use in INICC ICUs was similar to that reported from CDC-NHSN ICUs, DA-HAI rates were higher in the INICC ICUs: in the INICC medical-surgical ICUs, the pooled rate of central line-associated bloodstream infection, 4.1 per 1,000 central line-days, was nearly 5-fold higher than the 0.8 per 1,000 central line-days reported from comparable US ICUs, the overall rate of ventilator-associated pneumonia was also higher, 13.1 versus 0.9 per 1,000 ventilator-days, as was the rate of catheter-associated urinary tract infection, 5.07 versus 1.7 per 1,000 catheter-days. From blood cultures samples, frequencies of resistance of Pseudomonas isolates to amikacin (29.87% vs 10%) and to imipenem (44.3% vs 26.1%), and of Klebsiella pneumoniae isolates to ceftazidime (73.2% vs 28.8%) and to imipenem (43.27% vs 12.8%) were also higher in the INICC ICUs compared with CDC-NHSN ICUs. Conclusions: Although DA-HAIs in INICC ICU patients continue to be higher than the rates reported in CDC-NSHN ICUs representing the developed world, we have observed a significant trend toward the reduction of DA-HAI rates in INICC ICUs as shown in each international report. It is INICC's main goal to continue facilitating education, training, and basic and cost-effective tools and resources, such as standardized forms and an online platform, to tackle this problem effectively and systematically