Implicaciones del porte legal de armas en salud pública: Una mirada desde el caso colombiano

La Organización Mundial de la Salud (OMS) define la violencia como el uso de la fuerza física de manera exagerada contra sí mismos o con miembros de una comunidad. Cada acto de violencia en sí, genera un aumento del riesgo de muerte, de esta manera, se estima que 9 de cada 10 muertes violentas no se encuentra asociada al conflicto armado. &nbsp

Estudio bibliométrico de la producción científica mundial en nitazoxanida

Estudi

THE IGNORED PANDEMIC OF PUBLIC HEALTH CORRUPTION: A CALL FOR ACTION AMID AND BEYOND SARS-COV-2/COVID-19

Corruption in healthcare is on the rise. When corruption infiltrates global health, causes embezzlement of public health funds, malfunctioning medical equipment, fraudulent or ineffective health services such as expired medicines and fake vaccines that could have life-or-death consequences. A corrupt healthcare system, amid global health crises like the COVID-19 pandemic, when resources are in constraint and trust is in high demand, can lead to devastating, though avoidable, health and economic consequences. It is imperative for policymakers, health experts, patients, caregivers, and global health funders to promptly acknowledge and address corruption in healthcare. The current pandemic generates an emergency and disorder state on health care systems across the globe, especially in low- and middle-income countries, where a weakening of control measures is evident, creating the perfect storm for corruption. This paper builds on existing research to examine processes that support essential stakeholder engagement in anti-corruption efforts. In this context, an extensive review of literature has been conducted by using various databases such as PubMed, Science direct, SCOPUS, Research Gate, and Google Scholar and a total of 45 articles and documents on corruption and COVID-19 were screened and selected by authors independently. To fill the knowledge gaps about the need for actions to be taken during a pandemic like COVID-19, we propose an anti-corruption grassroots movement that focuses on changing the social norms surrounding corruption in healthcare. By pushing forward a practice that normalizes conversations about corruption in everyday health practices and involving more stakeholders in the protection of public health resources, we argue that not only local health systems can become more resilient and resistant to corruption, but also global health initiatives can become more effective and efficient to improve individual and global health

Características microbiológicas de infecciones en pacientes pediátricos con cáncer del eje cafetero colombiano, 2014-2016

Objetivo: Describir características microbiológicas de las infecciones en pacientes pediátricos con cáncer en un centro de referencia del Eje Cafetero Colombiano 2014 – 2016. Materiales y métodos. Estudio descriptivo, corte transversal de pacientes oncológicos menores de 18 años hospitalizados en una institución de referencia en Colombia; los cuales hayan presentado una infección y se les haya realizado un cultivo con antibiograma. La ficha de recolección validada por expertos es reportada a través de WHONET 5.6. Análisis estadísticos descriptivos fueron realizados con STATA 14.2, versión oficial. Resultados. 2691 cultivos de 596 pacientes fueron incluidos. 53,86% correspondió a sexo masculino, la edad media fue de 8,86 años. El 76,89% de los cultivos se realizaron en el área de hospitalización. El 74,36% de los cultivos fueron de sangre, con un 22,04% de reportes positivos. La segunda muestra con mayor número de cultivos fue orina con 16,16%, con 25,75% de cultivos positivos. El mayor porcentaje de cultivos positivos fue para heces y biopsias con 71,21% y 53,13%, respectivamente. Se presentó una tasa de positividad global del 25.75%. Los tres principales microorganismos aislados fueron Gram negativos. Los microorganismos de mayor aislamiento fueron K. pneumoniae (24,4%), E. coli (21,06%) y P. aeruginosa (17,46%). Conclusión. Se presenta un patrón de infecciones similar al reportado en adultos, siendo los Gram negativos los más comunes. Recomendamos establecer políticas de dispensación de antibióticos y mejorar la vigilancia epidemiológica.Objective: To describe microbiological characteristics of infections in pediatric patients with cancer in a reference center of the Colombian coffee region, 2014-2016. Materials and methods. Cross-sectional, descriptive study including underaged oncological inpatients managed in a reference institution in Colombia; who have been dated an infection with a subsequent antibiogram done. The collection sheet validated by experts is reported through WHONET 5.6. Descriptive statistical analyzes were performed with STATA 14.2, official version. Results. 2691 cultures from 596 patients were included. 53.86% were male, the mean age was 8.86 years. 76.89% of the cultures were performed in the hospitalization area. 74.36% of the cultures were blood, with 22.04% positive reports. The second sample with the highest number of cultures was urine with 16.16%, with 25.75% positive cultures. The highest percentage of positive cultures was for feces and biopsies with 71.21% and 53.13%, respectively. An overall positivity rate of 25.75% was presented. The three main microorganisms isolated were Gram negative. The most isolated microorganisms were K. pneumoniae (24.4%), E. coli (21.06%) and P. aeruginosa (17.46%). Conclusion. Infection pattern similar to the one reported in adults, being the Gram-negatives the most prevalent agents. We recommend establishing antibiotic dispensing policies thus achieving microbiological risk control and improving epidemiological surveillance