Publicación:
Evaluación de la efectividad de un sistema de visión artificial con capacidad para alerta, auditoria y análisis del lavado de manos en la unidad de cuidado intensivo polivalente de la FCV. Instituto del corazón de Floridablanca.

Página de artículo simple
dc.contributor.advisorOrozco Levi, Mauriciospa
dc.contributor.advisorPizarro Gómez, Camilo-Ernestospa
dc.contributor.authorÁlvarez Ribero, Javier G.spa
dc.contributor.educationalvalidatorSerpa Pérez, Piedad Ceciliaspa
dc.contributor.otherAnderson Bermon Angaritaspa
dc.contributor.otherRamírez Sarmiento, Alba-Lucíaspa
dc.contributor.otherNavas, Alvarospa
dc.contributor.otherDominguez, Claraspa
dc.contributor.otherCaicedo, Frenyspa
dc.contributor.otherMogollón, Melisaspa
dc.contributor.otherGuio, Diegospa
dc.date.accessioned2019-02-21T23:17:25Zspa
dc.date.available2019-02-21T23:17:25Zspa
dc.date.issued2017-06-02spa
dc.description67 p. Cdspa
dc.description.abstractLa higiene de manos es la principal estrategia para reducir las infecciones intrahospitalarias. Su incumplimiento afecta a las instituciones de salud a nivel mundial. El grupo de Investigación EMICON (Colciencias, cod), cuenta con una innovación basada en tecnologías de la información y la comunicación (TICs) denominada MANitor (acrónimo de “MAnos” y “moNITORización”). Esta invención es un “espejo inteligente”, que guía, registra, graba y audita el lavado de manos. Este estudio tuvo como objetivo evaluar su efectividad en un entorno hospitalario en términos de cumplimiento del lavado de manos y en unidades formadoras de colonias (UFC) en las manos de quienes acceden a la Unidad de Cuidados Intensivos (UCI). Estudio cuasiexperimental en el que Se analizaron la proporción de UFC. en individuos que realizaron el lavado de sus manos, así como el cumplimiento del mismo, según criterios de la Organización Mundial de la Salud (OMS), mediante cultivos microbiológicos y videograbaciones en el lavabo al ingreso a la uci. en la situación de referencia (MANitor fuera de servicio como comparador), y los cambios asociados a la intervención (MANitor en funcionamiento). Se registraron 1333 ingresos a la UCI. El lavado completo de manos lo cumplieron solo el 12,3% de los individuos que accedieron a la UCI. El 81,4% de este cumplimiento completo se asoció al dispositivo MANitor en servicio .El lavado de manos disminuyó 85,3% el numero de UFC de las manos y, mostró una asociación (p<0,001) con el dispositivo MANitor en servicio.spa
dc.description.abstractHand hygiene is the main strategy for reducing nosocomial infections. Its non-compliance affects health institutions worldwide. The research group EMICON (Colciencias, cod), has an innovation based on information and communication technologies (ICTs) called MANitor (acronym of "Manos" and "moNITORización"). This invention is an "intelligent mirror", which guides, records, records and audits handwashing. This study aimed to evaluate its effectiveness in a hospital environment in terms of compliance with handwashing and colony forming units (CFU) in the hands of those who access the Intensive Care Unit (ICU). This quasiexperimental study in which the proportion of CFU was analyzed. In individuals who performed the washing of their hands, as well as the compliance with the same, according to World Health Organization (WHO) criteria, through microbiological cultures and videotapes in the lavatory upon admission to the uci. In the reference situation (MANitor out of service as a comparator), and changes associated with the intervention (MANitor in operation). There were 1333 admissions to the ICU. Complete hand washing was performed by only 12.3% of the individuals who accessed the ICU. 81.4% of this complete compliance was associated with the MANitor device in service. Handwashing reduced the number of CFUs in the hands by 85.3% and showed an association (p <0.001) with the MANitor device in service.eng
dc.description.degreelevelEspecializaciónspa
dc.description.degreenameEspecialista en Medicina Crítica y Cuidado Intensivospa
dc.description.tableofcontentsTABLA DE CONTENIDO LISTADOS ESPECIALES 8 GLOSARIO 12 RESUMEN 13 ABSTRACT 14 1. INTRODUCCIÓN 15 2. PLANTEAMIENTO DEL PROBLEMA Y JUSTIFICACIÓN 16 3. OBJETIVOS 18 3.1. OBJETIVO GENERAL 18 3.2. OBJETIVOS ESPECÍFICOS 18 4. MARCO TEÓRICO 19 4.1. INFECCIONES ASOCIADAS A LA ATENCIÓN EN SALUD Y SU IMPACTO SOBRE LOS ENTORNOS HOSPITALARIOS 19 4.2. ESTRATEGIAS PROPUESTAS Y PRIORIZADAS POR LA OMS PARA PROMOVER LA HIGIENE DE MANOS 20 4.3. ADHERENCIA A LA ESTRATEGIA DE HIGIENE DE MANOS POR PARTE DEL PERSONAL DE SALUD. 22 4.4. AVANCES E INNOVACIÓN (SISTEMA MANITOR) 24 5. HIPÓTESIS 25 6. METODOLOGÍA 26 6.1. TIPO DE ESTUDIO 26 6.2. POBLACIÓN ESTUDIO 27 6.2.1. POBLACIÓN OBJETO 27 6.2.2. CRITERIOS DE SELECCIÓN 27 6.2.3. TAMAÑO DE MUESTRA Y MUESTREO 27 6.3. VARIABLES 28 6.3.1. MEDICIÓN DE VARIABLES PAQUETE DE TRABAJO N1 28 6.3.2. MEDICIÓN DE VARIABLES PAQUETE DE TRABAJO N2 28 6.4. ESTRATEGIA PROCEDIMENTAL 29 6.4.1. INSTRUMENTOS Y DISPOSITIVOS 31 6.4.2. RECOLECCIÓN DE LOS DATOS 31 6.4.3. PROCESAMIENTO Y ANÁLISIS DE LOS DATOS 32 6.4.4. CONSIDERACIONES ÉTICAS 32 7. RESULTADOS Y DISCUSIÓN 34 7.1. RESULTADOS 34 7.2. DISCUSIÓN 41 8. CONCLUSIONES 45 9. RECOMENDACIONES 46 10. BIBLIOGRAFÍA 57spa
dc.description.versionEj. 1spa
dc.format.mimetypeapplication/pdfspa
dc.identifier.localT 71.17 A591espa
dc.identifier.urihttps://repositorio.udes.edu.co/handle/001/1221spa
dc.language.isospaspa
dc.publisherBucaramanga : Universidad de Santander, 2017spa
dc.publisher.facultyFacultad Ciencias de la Saludspa
dc.publisher.programEspecialización en Medicina Crítica y Cuidado Intensivospa
dc.relation.referencesWorld Alliance for Patient Safety. The Global Patient Safety Desafío 2005- 2006 “Una Atención Limpia es una Atención Segura”. Geneva, World Health Organization, 2005.spa
dc.relation.referencesPittet D, Allegranzi B, Boyce J; on behalf of the WHO World Alliance for Patient Safety First Global Patient Safety Challenge Core Group of Experts. The WHO guidelines on hand hygiene in health care and their consensus recommendations. Infection Control and Hospital Epidemiology 2009; 30:611-22.spa
dc.relation.referencesSax H, Allegranzi B, Uçkay I, Larson E, Boyce J, Pittet D. “My five moments for hand hygiene” – a user-centred design approach to understand, train, monitor and report hand hygiene. Journal of Hospital Infection 2007;67:9-21.spa
dc.relation.referencesVincent JL. Nosocomial infections in adult intensive-care units. Lancet, 2003, 361:2068-2077.spa
dc.relation.referencesGosling R, et al. Prevalence of hospital - acquired infections in a tertiary referral hospital in northern Tanzania. Annals of Tropical Medicine and Parasitology, 2003, 97:69-73.spa
dc.relation.referencesZaidi AK et al. Hospital-acquired neonatal infections in developing countries. Lancet, 2005,365:1175-1188.spa
dc.relation.referencesHo PL, Tang XP, Seto WH. SARS: hospital infection control and admission strategies. Respirology 2003, 8 (suppl): S41-45.spa
dc.relation.referencesFoca M et al. Endemic Pseudomonas aeruginosa infection in a neonatal intensive care unit. New England Journal of Medicine, 2000, 343:695-700.spa
dc.relation.referencesSartor C et al. Nosocomial Serratia marcescens infections associated with extrinsic contamination of a liquid nonmedicated soap. Infection Control and Hospital Epidemiology, 2000, 21:196-199.spa
dc.relation.referencesBoyce JM, et al. A common-source outbreak of Staphylococcus epidermidis infections among patients undergoing cardiac surgery. Journal of Infectious Diseases, 1990, 161:493-499.spa
dc.relation.referencesEl Shafie SS, Alishaq M, Leni Garcia M. Investigation of an outbreak of multidrug- resistant Acinetobacter baumannii in trauma intensive care unit. Journal of Hospital Infection, 2004, 56:101-105.spa
dc.relation.referencesPittet D et al. Evidence-based model for hand transmission during patient care and the role of improved practices. Lancet Infectious Diseases, 2006, 6:641- 652spa
dc.relation.referencesLowbury EJL. Gram-negative bacilli on the skin. British Journal of Dermatology, 1969, 81:55-61.spa
dc.relation.referencesBhalla A, Aron DC, Donskey CJ. Staphylococcus aureus intestinal colonization is associated with increased frequency of S. aureus on skin of hospitalized patients. BMC Infectious Diseases, 2007, 7:105.spa
dc.relation.referencesEhrenkranz NJ, Alfonso BC. Failure of bland soap handwash to prevent hand transfer of patient bacteria to urethral catheters. Infection Control and Hospital Epidemiology, 1991,12:654-662.spa
dc.relation.referencesSanderson PJ, Weissler S. Recovery of coliforms from the hands of nurses and patients: activities leading to contamination. Journal of Hospital Infection, 1992, 21:85-93.spa
dc.relation.referencesRiggs MM et al. Asymptomatic carriers are a potential source for transmission of epidemic and nonepidemic Clostridium difficile strains among long-term care facility residents. Clinical Infectious Diseases, 2007, 45:992-998.spa
dc.relation.referencesMcFarland LV et al. Nosocomial. acquisition of Clostridium difficile infection. NewEngland Journal of Medicine, 1989, 320:204-210.spa
dc.relation.referencesSamore MH et al. Clinical and molecular epidemiology of sporadic and clustered cases of nosocomial Clostridium difficile diarrhea. American Journal of Medicine, 1996, 100:32-40.spa
dc.relation.referencesPittet D, Dharan S, Touveneau S, Sauvan 63. V, Perneger TV. Bacterial contamination of the hands of hospital staff during routine patient care. Archives of Internal Medicine,1999, 159:821-826.spa
dc.relation.referencesDuckro AN et al. Transfer of vancomycin- resistant Enterococci via health care worker hands. Archives of Internal Medicin, 2005, 165:302-307.spa
dc.relation.referencesFridkin S, Pear SM, Williamson TH, Galgiani JN, Jarvis WR. The role of understaffing in central venous catheter-associated bloodstream infections. Infection Control and Hospital Epidemiology,1996, 17:150-158.spa
dc.relation.referencesRobert J et al. The influence of the composition of the nursing staff on primary bloodstream infection rates in a surgical intensive care unit. Infection Control and Hospital Epidemiology, 2000, 21:12-17.spa
dc.relation.referencesPreston GA, Larson EL, Stamm WE. The effect of private isolation rooms on patient care practices, colonization and infection in an intensive care unit. American Journal of Medicine,1981, 70:641-645.spa
dc.relation.referencesMayer JA et al. Increasing handwashing in an intensive care unit. Infection Control, 1986,7:259-262.spa
dc.relation.referencesDonowitz LG. Handwashing technique in a pediatric intensive care unit. American Journal of Diseases of Children, 1987, 141:683-685.spa
dc.relation.referencesConly JM et al. Handwashing practices in an intensive care unit: the effects of an educational program and its relationship to infection rates. American Journal of Infection Control, 1989, 17:330-339.spa
dc.relation.referencesGraham M. Frequency and duration of handwashing in an intensive care unit. American Journal of Infection Control, 1990, 18:77-81.spa
dc.relation.referencesDubbert PM et al. Increasing ICU staff handwashing: effects of education and group feedback. Infection Control and Hospital Epidemiology, 1990, 11: 191- 193.spa
dc.relation.referencesLohr JA, Ingram DL, Dudley SM, Lawton EL, Donowitz LG. Hand washing in pediatric ambulatory settings. An inconsistent practice. American Journal of Diseases of Children, 1991, 145:1198- 1199.spa
dc.relation.referencesRaju TN, Kobler C. Improving handwashing habits in the newborn nurseries. American Journal of the Medical Sciences, 1991, 302:355-358.spa
dc.relation.referencesWurtz R, Moye G, Jovanovic B. Handwashing machines, handwashing compliance, and potential for cross- contamination. American Journal of Infection Control, 1994, 22:228-230.spa
dc.relation.referencesPelke S et al. Gowning does not affect colonization or infection rates in a neonatal intensive care unit. Archives of Pediatrics and Adolescent Medicine, 1994, 148:1016-1020.spa
dc.relation.referencesBerg DE, Hershow RC, Ramirez CA. Control of nosocomial infections in an intensive care unit in Guatemala city. Clinical Infectious Diseases, 1995, 21:588- 593.spa
dc.relation.referencesTibballs J. T eaching hospital medical staff to handwash. Medical Journal of Australia, 1996, 164:395-398.spa
dc.relation.referencesSlaughter S et al. A comparison of the effect of universal use of gloves and gowns with that of glove use alone on acquisition of vancomycin-resistant Enterococci iin a medical intensive care unit. Annals of Internal Medicine, 1996, 125:448-456.spa
dc.relation.referencesDorsey ST, Cydulka RK, Emerman CL. Is handwashing teachable?: failure to improve handwashing behavior in an urban emergency department. Academic Emergency Medicine, 1996, 3:360-365.spa
dc.relation.referencesLarson EL et al. A multifaceted approach to changing handwashing behavior. American Journal of Infection Control, 1997, 25:3-10.spa
dc.relation.referencesAvila-Aguero ML et al. Handwashing practices in a tertiary-care, pediatric hospital and the effect on an educational program. Clinical Performance and Quality Health Care, 1998, 6:70-72.spa
dc.relation.referencesAllegranzi B, Pittet D. The role of hand higiene in healthcare-associated infection prevention. Journal of Hospital Infection, 2009 Aug 29 [Epub ahead of print].spa
dc.relation.referencesBrown SM et al. Use of an alcohol-based hand rub and quality improvement interventions to improve hand higiene in a Russian neonatal intensive care unit. Infection Control and Hospital Epidemiology, 2003, 24:172-179.spa
dc.relation.referencesGirou E et al. Association between hand higiene compliance and methicillinresistant Staphylococcus aureus prevalence in a French rehabilitation hospital. Infection Control and Hospital Epidemiology, 2006, 27:1128-1130.spa
dc.relation.referencesHammond B et al. Effect of hand sanitizer use on elementary school absenteeism. American Journal of Infection Control, 2000, 28:340-346.spa
dc.relation.referencesMeadows E, Le Saux N. A systematic review of the effectiveness of antimicrobial rinse- free hand sanitizers for prevention of illness-related absenteeism in elementary school children. BMC Public Health, 2004, 4:50.spa
dc.relation.referencesSimmons B et al. The role of handwashing in prevention of endemic intensive care unit infections. Infection Control and Hospital Epidemiology, 1990, 11:589- 594.spa
dc.relation.referencesDoebbeling BN et al. Comparative efficacy of alternative hand-washing agents in reducing nosocomial infections in intensive care units. New England Journal of Medicine,1992, 327:88-93.spa
dc.relation.referencesWebster J, Faoagali JL, Cartwright D. Elimination of methicillin-resistant Staphylococcus aureus from a neonatal intensive care unit after hand washing with triclosan. Journal of Paediatrics and Child Health, 1994, 30:59-64.spa
dc.relation.referencesZafar AB et al. Use of 0.3% triclosan (Bacti-Stat) to eradicate an outbreak of methicillin- resistant Staphylococcus aureus in a neonatal nursery. American Journal of Infection Control, 1995, 23:200-208.spa
dc.relation.referencesLarson EL et al. An organizational climate intervention associated with increased handwashing and decreased nosocomial infections. Behavioral Medicine, 2000, 26:14-22.spa
dc.relation.referencesPittet D et al. Effectiveness of a hospital- wide programme to improve compliance with hand higiene. Lancet, 2000, 356:1307-1312.spa
dc.relation.referencesPittet D et al. Cost implications of successful hand higiene promotion. Infection Control and Hospital Epidemiology, 2004, 25:264-266.spa
dc.relation.referencesHilburn J et al. Use of alcohol hand sanitizer as an infection control strategy in an acute care facility. American Journal of Infection Control, 2003, 31:109-116.spa
dc.relation.referencesMacDonald A et al. Performance feedback of hand higiene, using alcohol gel as the skin decontaminant, reduces the number of inpatients newly affected by MRSA and antibiotic costs. Journal of Hospital Infection, 2004, 56:56-63.spa
dc.relation.referencesSwoboda SM et al. Electronic monitoring and voice prompts improve hand higiene and decrease nosocomial infections in an intermediate care unit. Critical Care Medicine, 2004, 32:358-363.spa
dc.relation.referencesLam BC, Lee J, Lau YL. Hand higiene practices in a neonatal intensive care unit: a multimodal intervention and impact on nosocomial infection. Pediatrics, 2004, 114: e565- 571.spa
dc.relation.referencesWon SP et al. Handwashing program for the prevention of nosocomial infections in a neonatal intensive care unit. Infection Control and Hospital Epidemiology, 2004, 25:742-746.spa
dc.relation.referencesZerr DM et al. Decreasing hospital- associated rotavirus infection: a multidisciplinary hand higiene campaign in a children’s hospital. Pediatric Infectious Diseases Journal, 2005, 24:397-403.spa
dc.relation.referencesJohnson PD et al. Efficacy of an alcohol/ chlorhexidine hand higiene program in a hospital with high rates of nosocomial methicillin-resistant Staphylococcus aureus (MRSA) infection. Medical Journal of Australia, 2005, 183:509-514.spa
dc.relation.referencesLe TA et al. Reduction in surgical site infections in neurosurgical patients associated with a bedside hand higiene program in Vietnam. Infection Control and Hospital Epidemiology, 2007, 8:583-588.spa
dc.relation.referencesPessoa-Silva CL et al. Reduction of health care associated infection risk in neonates by successful hand higiene promotion. Pediatrics, 2007, 120:e382-90.spa
dc.relation.referencesRupp ME et al. Prospective, controlled, cross-over trial of alcohol-based hand gel in critical care units. Infect Control and Hospital Epidemiology, 2008, 29:8-15.spa
dc.relation.referencesGrayson ML et al. Significant reductions in methicillin-resistant Staphylococcus aureus bacteraemia and clinical isolates associated with a multisite, hand higiene culture-change program and subsequent successful statewide roll-out. Medical Journal of Australia, 2008, 188:633-640spa
dc.relation.referencesPittet D. Hand hygiene promotion: 5 moments, 5 components, 5 steps, and 5 May 2009. International Journal of Infection Control 2009; 5:1-3.spa
dc.relation.referencesH Sax, B Allegranzi, M-N Chraïti, J Boyce, E Larson, D Pittet. The World Health Organization hand hygiene observation method. American Journal of Infection Control 2009 (in press).spa
dc.relation.referencesOMS. Directrices de la OMS sobre higiene de las manos en la atención sanitaria. Unas manos limpias son manos más seguras. Disponible en: www.who.int/patientsafety/information_centre/Spanish_HH_Guidelines.pdfspa
dc.relation.referencesChemie B. et al. Epidemiologic background of hand hygiene and evaluation of the most important agents for scrubs and rubs. Clin Microbiol Rev. 2004;17(4):863- 893.spa
dc.rightsDerechos Reservados - Universidad de Santander, 2017spa
dc.rights.accessrightsinfo:eu-repo/semantics/openAccessspa
dc.rights.creativecommonsAtribución-NoComercial 4.0 Internacional (CC BY-NC 4.0)spa
dc.rights.urihttps://creativecommons.org/licenses/by-nc/4.0/spa
dc.subject.proposalTICspa
dc.subject.proposalLavado de Manosspa
dc.subject.proposalOMSspa
dc.subject.proposalSeguridad del Pacientespa
dc.subject.proposalMANitorspa
dc.subject.proposalAnálisis Microbiológicospa
dc.titleEvaluación de la efectividad de un sistema de visión artificial con capacidad para alerta, auditoria y análisis del lavado de manos en la unidad de cuidado intensivo polivalente de la FCV. Instituto del corazón de Floridablanca.spa
dc.typeTrabajo de grado - Especializaciónspa
dc.type.coarhttp://purl.org/coar/resource_type/c_7a1fspa
dc.type.contentTextspa
dc.type.driverinfo:eu-repo/semantics/bachelorThesisspa
dc.type.redcolhttps://purl.org/redcol/resource_type/TPspa
dc.type.versioninfo:eu-repo/semantics/publishedVersionspa
dspace.entity.typePublication
oaire.accessrightshttp://purl.org/coar/access_right/c_abf2spa
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85spa
Archivos
Paquete original
Mostrando 1 - 1 de 1
Imagen en miniatura
Nombre:
Evaluación de la efectividad de un sistema de visión artificial con capacidad para alerta, auditoria y análisis del lavado de manos en la unidad de cuidado intensivo polivalente de....pdf
Tamaño:
5.83 MB
Formato:
Adobe Portable Document Format
Descripción:
Documento Principal
Descargar
Paquete de licencias
Mostrando 1 - 1 de 1
No hay miniatura disponible
Nombre:
license.txt
Tamaño:
59 B
Formato:
Item-specific license agreed upon to submission
Descripción:
Descargar
Colecciones
ACJA Trabajos de grado