La aplicación del saber médico. Hipertensión y daño cognitivo

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Introduction: High blood pressure (HBP) is the leading cause of death from cardiovascular disease. Despite the advances, the percentage of undiagnosed and untreated hypertensive patients is 58.4%. The evaluation of cognitive damage in HBP focuses on preventing stroke, while functional damage is ignored. This inadequate management may be multifactorial. The objective was to analyze the opinions that doctors have about the relationship between high blood pressure and cognitive damage. Methodology: Observational, descriptive, cross-sectional study developed in the period between August 2020 and August 2023. Analysis of data obtained from a self-administered, anonymous and voluntary questionnaire. Revealing information on the professional profile, knowledge of HBP, its link with cognitive impairment (CD), diagnosis and treatment. Results: 222 professionals were included, 215 (96.8%) agree with the existence of a link between HBP and other cardiovascular risk factors in CD, and 218 (98.1%) acknowledge assisting patients at risk of suffering from CD. The CD evaluation is carried out in selected cases by 132 (59.4%) participants and 59 (26.7%) always do it. Of those who perform evaluation, 103 (54%) use the Mini Mental State Examination (MMSE), 10 (5.2%) use the Montreal Cognitive Assessment (MoCA) and 9 (4.7%) use the Clock Drawing Test. Regarding the decrease in blood pressure in elderly patients and the link with risk of CD: 54 (24.3%) do not recognize risk and 65 (29.2%) recognize a moderate-high risk. In reference to the implication of the treatment of cardiovascular disease and CD: 217 (97.7%) recognized a beneficial effect. Discussion: Given the recognition of the link between HBP and CD, it would be expected that CD would be investigated in the vast majority, however only 26.7% always evaluate it. There is no consensus on the method, the MMSE being the most used, with a low application of the MoCA test and/or Clock Drawing Test, the latter being the ones that evaluate executive function, mostly altered in CD linked to HBP. Although the treatment of cardiovascular disease is recognized as beneficial with respect to CD, the control of HBP in older adults is considered risky. A diagnosis is made of a situation where a disparity is evident between what one recognizes as knowing and what one claims to do. Conclusions: The role of vascular disease in functional brain damage is recognized, considering it necessary to know the cognitive status of patients, however there is a low application of screening tests that evaluate executive function. In this context, a gap between medical knowledge and practice is shown.

Introdução: A hipertensão arterial (HA) é a principal causa de morte por doenças cardiovasculares. Apesar dos avanços, o percentual de hipertensos não diagnosticados e não tratados é de 58,4%. A avaliação do dano cognitivo na hipertensão concentra-se na prevenção do acidente vascular cerebral, enquanto o dano funcional é ignorado. Esse manejo inadequado pode ser multifatorial. É objetivo fue analisar a opinião dos médicos sobre a relação entre hipertensão arterial e danos cognitivos. Metodologia: Estudo observacional, descritivo, transversal desenvolvido no período entre agosto de 2020 e agosto de 2023. Análise de dados obtidos a partir de questionário autoaplicável, anônimo e voluntário. Revelar informações sobre o perfil profissional, conhecimento sobre a HA, sua ligação com o comprometimento cognitivo (DC), diagnóstico e tratamento. Resultados: Foram incluídos 222 profissionais, 215 (96,8%) concordam com a existência de ligação entre hipertensão e outros fatores de risco cardiovascular na DC e 218 (98,1%) reconhecem ajudar pacientes com risco de sofrer de D.C. A avaliação da DC é realizada em casos selecionados por 132 (59,4%) participantes e 59 (26,7%) a fazem sempre. Dos que realizam avaliação, 103 (54%) utilizam o Mini Exame do Estado Mental (MEEM), 10 (5,2%) utilizam a Avaliação Cognitiva de Montreal (MoCA) e 9 (4,7%) utilizam o Clock Drawing Test. Em relação à diminuição da pressão arterial em pacientes idosos e a ligação com o risco de DC: 54 (24,3%) não reconhecem risco e 65 (29,2%) reconhecem risco moderado-alto. Em referência à implicação do tratamento de doenças cardiovasculares e DC: 217 (97,7%) reconheceram o efeito benéfico. Discussão: Dado o reconhecimento da ligação entre hipertensão e DC, seria de esperar que a DC fosse investigada na grande maioria, no entanto apenas 26,7% sempre a avaliam. Não há consenso sobre o método, sendo o MEEM o mais utilizado, com baixa aplicação do teste MoCA e/ou Clock Drawing Test, sendo estes últimos os que avaliam a função executiva, majoritariamente alterada nos DC vinculados à HA. Embora o tratamento das doenças cardiovasculares seja reconhecido como benéfico em relação à DC, o controle da HA em idosos é considerado arriscado. É feito um diagnóstico de uma situação em que é evidente uma disparidade entre o que se reconhece como saber e o que se afirma fazer. Conclusões: O papel da doença vascular no dano cerebral funcional é reconhecido, considerando-se necessário conhecer o estado cognitivo dos pacientes, porém há baixa aplicação de testes de triagem que avaliam a função executiva. Nesse contexto, evidencia-se uma lacuna entre o conhecimento e a prática médica.

Ruta de trabajo para adecuación de la normativa técnica, Ley Crecer Juntos / Work route for adaptation of the technical regulations, Grow Together Law

El objetivo de la ruta es establecer las pautas formales, respecto a la atención integral en salud en las niñas, niños y adolescentes, ayudando a optimizar las acciones, disminuir costos, incrementar la satisfacción de los usuarios, así como mejorar la productividad y competitividad del personal de salud. En razón de lo anterior presentamos la ruta de trabajo, para la adecuación de la normativa técnica, producto del trabajo de las diferentes dependencias vinculadas directa e indirectamente a la atención en salud a niñas, niños y adolescentes

The objective of the route is to establish formal guidelines regarding comprehensive health care in the girls, boys and adolescents, helping to optimize actions, reduce costs, increase user satisfaction, as well as improving the productivity and competitiveness of health personnel. Due to the above, we present the work route, for the adaptation of the technical regulations, product of the work of the different agencies linked directly and indirectly to care in health for girls, boys and adolescents

Manual de registro y codificación de actividades de la Dirección de Prevención y Control de VIH-SIDA, Enfermedades de Transmisión Sexual y Hepatitis - DPVIH / Manual for recording and coding activities of the Directorate for the Prevention and Control of HIV-AIDS, Sexually Transmitted Diseases and Hepatitis - DPVIH

La presente publicación describe las pautas para formular, planear, dirigir, coordinar, ejecutar la política sectorial para la prevención y control del VIH-SIDA, enfermedades de transmisión sexual y hepatitis; detalla las normas y lineamientos técnicos para la adecuada ejecución y supervisión de las políticas nacionales y sectoriales, seguimiento y evaluación de las políticas planes y programas orientadas al cumplimiento de la atención integral de salud de las personas afectadas por VIH, Infecciones de Transmisión Sexual y hepatitis mediante las intervenciones de promoción, prevención, manejo clínico y soporte; con enfoque salubrista y basado en género e interculturalidad. Asimismo, en su contexto las pautas para su difusión y homogenización de criterios en la recopilación y codificación de diagnósticos CIE 10 y Catálogo de procedimientos médicos y estomatológicos del Ministerio de Salud

Norma técnica de terapia respiratoria / Respiratory therapy technical standard

La presente norma técnica tiene por objeto establecer las disposiciones técnicas para regular las actividades relacionadas a la prestación de servicios de terapia respiratoria en los distintos establecimientos del Sistema Nacional Integrado de Salud

The purpose of this technical standard is to establish the technical provisions to regulate activities related to the provision of respiratory therapy services in the different establishments of the National Integrated Health System.

Virus entéricos distintos de rotavirus y norovirus en menores de 5 años con gastroenteritis en Argentina, 2010-2021. Estudio descriptivo / Enteric viruses other than rotavirus and norovirus in children under 5 years of age with gastroenteritis in Argentina, 2010­2021. A descriptive study

Introducción. Los datos de frecuencia de los adenovirus entéricos, sapovirus y astrovirus en casos de gastroenteritis aguda esporádica en Argentina son escasos. Métodos. Diseño descriptivo sobre una selección de muestras de heces de menores de 5 años con diarrea remitidas durante el período 2010-2021, con resultado previo negativo para rotavirus y norovirus. Se estudió la presencia de adenovirus entéricos, sapovirus y astrovirus por métodos moleculares, con posterior genotipificación de las muestras positivas. Resultados. De 574 muestras seleccionadas, en 226 (39,4 %) se identificó al menos uno de los virus estudiados. En particular, se detectaron adenovirus, sapovirus y astrovirus en el 30,7 %, el 5,6 % y el 3,1 %, respectivamente. El adenovirus 41, los sapovirus GI.1 y GI.2, y el astrovirus 1 fueron los más frecuentemente detectados. Se identificaron dos muestras con astrovirus no clásicos. Conclusiones. A pesar de ser menos frecuentes, estos enteropatógenos son responsables de un número considerable de episodios de diarrea esporádica. Por lo tanto, su estudio y vigilancia contribuye significativamente a reducir la brecha de casos no diagnosticados.

Introduction. Data on the frequency of enteric adenoviruses, sapoviruses, and astroviruses in cases of sporadic acute gastroenteritis in Argentina are scarce. Methods. Descriptive design of a selection of fecal samples of children with diarrhea younger than 5 years referred between 2010 and 2021, with a previous negative result for rotavirus and norovirus. The presence of enteric adenovirus, sapovirus, and astrovirus was tested by molecular methods, with subsequent genotyping of positive samples. Results. At least 1 of the tested viruses was detected in 226 (39.4%) of the 574 selected samples. Specifically, adenovirus, sapovirus, and astrovirus were detected in 30.7%, 5.6%, and 3.1% of the samples, respectively. The most frequent viruses detected were adenovirus 41, sapoviruses GI.1 and GI.2, and astrovirus 1. Non-classic astroviruses were detected in 2 samples. Conclusions. Despite being less frequent, these enteropathogens are responsible for a large number of sporadic diarrhea events. Therefore, their study and surveillance contribute significantly to reduce the gap of undiagnosed cases.

Lineamientos técnicos de vigilancia centinela / Technical guidelines for sentinel surveillance

La vigilancia centinela incluye una amplia gama de actividades, dirigidas a conocer la evolución de determinados problemas de salud en la población general o en grupos específicos, para ello, intenta obtener una medida de la frecuencia de los eventos en el país, sin tener que acudir a encuestas amplias y costosas. El propósito fundamental de este tipo de vigilancia es obtener información puntual y de interés para la salud pública con un menor costo. El presente documento establece las actividades y roles de los equipos de vigilancia centinela, además los objetivos, sitios centinela, definición de caso, pasos para la vigilancia, datos necesarios para el análisis, flujograma, análisis de datos y procedimiento de laboratorio para la vigilancia centinela de rotavirus, neumonías y meningitis bacteriana, virus influenza y otros virus respiratorios

Sentinel surveillance includes a wide range of activities, aimed at knowing the evolution of certain health problems in the general population or in specific groups; to do so, it attempts to obtain a measure of the frequency of events in the country, without having to go to extensive and expensive surveys. The fundamental purpose of this type of surveillance is to obtain timely information of interest to public health at a lower cost. This document establishes the activities and roles of the sentinel surveillance teams, as well as the objectives, sentinel sites, case definition, steps for surveillance, data necessary for analysis, flowchart, data analysis and laboratory procedure for sentinel surveillance. rotavirus, pneumonia and bacterial meningitis, influenza virus and other respiratory viruses

Manual de organización y funciones de la Dirección de Monitoreo Estratégico de Servicios de Salud / Manual of organization and functions of the Directorate of Strategic Monitoring of Health Services

Las funciones de monitoreo a los servicios de salud, se ven fortalecidas por los sistemas de información en salud, en ese sentido el exitoso avance y consolidación del Sistema Integrado de Salud, la conectividad y funcionalidad del 98% de los establecimientos de salud del Ministerio, permiten ahora continuar con las siguientes etapas del proceso buscando la edificación, expansión, mantenimiento y mejora con el objeto de consolidar la gestión de la información como pieza clave en los procesos de evaluación, monitoreo y toma de decisiones. La Dirección de Monitoreo Estratégico de Servicios de Salud, es partícipe directa en el proceso de planificación, implementación, monitoreo, evaluación y seguimiento del Sistema Integrado de Salud y apuesta por su fortalecimiento como una herramienta efectiva y ágil para la ejecución del monitoreo estratégico

The monitoring functions of health services are strengthened by health information systems, in that sense the successful advancement and consolidation of the Integrated Health System, the connectivity and functionality of 98% of the Ministry's health facilities, They now allow us to continue with the next stages of the process seeking construction, expansion, maintenance and improvement in order to consolidate information management as a key piece in the evaluation, monitoring and decision-making processes. The Directorate of Strategic Monitoring of Health Services is a direct participant in the process of planning, implementation, monitoring, evaluation and follow-up of the Integrated Health System and is committed to its strengthening as an effective and agile tool for the execution of strategic monitoring

Tecnologias eHealth nos cuidados parentais aos bebês nascidos prematuros: revisão integrativa / EHealth technologies in parental care for preterm infants: an integrative review

Resumo As tecnologias eHealth contribuem na promoção das práticas parentais de cuidado para bebês pré-termo. Não obstante, é notável a abundância de informações e aplicativos disponíveis, a disparidade na qualidade, facilidade de uso e confiabilidade desses recursos. Este artigo objetiva examinar as tecnologias eHealth direcionadas aos pais para o cuidado de bebês pré-termo. Realizou-se uma revisão integrativa nas principais bases de dados da área da saúde (Capes, EBSCO, BVS, PubMed, Scholar e SciELO), com a seleção de publicações de 2011 a 2022, em português e inglês, sobre a utilização de tecnologias eHealth voltadas aos cuidados de bebês pré-termo. Identificaram-se 13 artigos com temáticas sobre: as tecnologias da informação e comunicação nas estratégias de educação e a promoção da saúde de bebês pré-termo e seus pais; e importância da avaliação e validação das tecnologias eHealth na promoção da saúde materno-infantil. Tecnologias eHealth validadas adequadamente podem desempenhar um papel fundamental em apoiar os pais na promoção da saúde e na prestação de cuidados ao bebê pré-termo após a alta hospitalar. Isso, por sua vez, tem o potencial de impulsionar a evolução dos sistemas de saúde e a melhoria das práticas clínicas.

Abstract The eHealth technologies promote parental care practices for preterm infants. Nonetheless, we should underscore the abundant information and available apps and disparities in these resources' quality, usability, and reliability. This article examines eHealth technologies directed at parents to care for preterm infants. An integrative review was conducted across the principal health databases (Capes, EBSCO, BVS, PubMed, Scholar, and SciELO), selecting works published from 2011 to 2022 in Portuguese and English, focusing on the use of eHealth technologies for the care of preterm infants. We identified 13 articles related to information and communication technologies in strategies for educating and promoting the health of preterm infants and their parents and the importance of evaluating and validating eHealth technologies in maternal and child health promotion. Properly validated eHealth technologies can be crucial in supporting parents in promoting health and providing care for preterm infants after hospital discharge, which, in turn, can drive the evolution of healthcare systems and improve clinical practices.

Percepções de cuidadoras informais sobre motivações, necessidades e benefícios do cuidado para o idoso dependente / Perceptions of informal caregivers about motivations, needs, and benefits of care for dependent older adults

Resumo O cuidador informal presta cuidados permanentes ou regulares a pessoas idosas em situação de dependência, sem remuneração. Objetivou-se identificar as percepções de cuidadores informais sobre motivações, necessidades e benefícios do cuidado ao idoso dependente. Estudo qualitativo realizado com 10 cuidadoras informais portuguesas, a partir de um instrumento com questões sobre o cuidado prestado ao idoso e suas percepções sobre o exercício dessa função. Os resultados revelaram como motivações para o cuidado: relação de proximidade e confiança, dever de cuidar, familiar mais disponível, proximidade da residência, inexistência de vagas e elevado custo das instituições de acolhimento e desejo do idoso permanecer na sua habitação. Os principais cuidados aos idosos são: hidratação, higiene, alimentação, administração terapêutica, companhia, apoio emocional, conforto, entretenimento, promoção da autonomia e dignidade. As necessidades identificadas pelas cuidadoras foram: apoio domiciliário, da segurança social e da entidade empregadora do cuidador, ajuda financeira, suporte psicológico e capacitação para cuidar do idoso. Os benefícios do cuidado informal para o idoso dependente apontados foram: celeridade do apoio familiar, segurança física e emocional, afeto e companheirismo. Este estudo dá voz a cidadãos cruciais.

Abstract The informal caregiver provides non-remunerated permanent or regular care to dependent older adults. This qualitative study aimed to identify the perceptions of informal caregivers about motivations, needs, and benefits of caring for dependent older adults. It was conducted with ten Portuguese informal caregivers, based on an instrument with questions about the care provided to older adults and their perceptions about performing this role. The results revealed the following motivations for care: proximity and trust relationship, duty of care, more available family members, home proximity, lack of vacancies, high cost of shelter institutions, and older adults' desire to remain in their homes. The primary care activities for older adults are hydration, hygiene, food, therapeutic administration, companionship, emotional support, comfort, entertainment, and promoting autonomy and dignity. The needs identified by the caregivers were home, social security, and the caregiver's employer support, financial help, psychological support, and training to care for the older adults. The benefits of informal care for dependent older adults were prompt family support, physical and emotional security, affection, and companionship. This study gives voice to crucial citizens.

Guía técnica de continuidad de cuidados para personas con trastornos mentales graves y/o problemas psicosociales de riesgo en los Centros de Salud Mental Comunitaria / Technical guide to continuity of care for people with serious mental disorders and/or psychosocial problems at risk in Community Mental Health Centers

La presente publicación describe las pautas para establecer los criterios conceptuales y metodológicos para la implementación, ejecución y evaluación de la continuidad de cuidados de las personas con trastorno mental grave y/o problemas psicosociales de riesgo en los Centros de Salud Mental Comunitaria

Lineamientos técnicos de radiología e imágenes en el Primer Nivel de Atención / Technical guidelines for radiology and images in the First Level of Care

Los presentes lineamientos técnicos contienen las directrices para la regulación y estandarización de los procesos de atención en la realización de estudios radiológicos con base en las especificaciones técnicas de los equipos de rayos X portátiles, adquiridos para los establecimientos del Primer Nivel de Atención, incluye además los aspectos relacionados con la calidad, seguridad y eficacia, indicaciones, contraindicaciones y el flujograma de atención para la toma de imágenes

These technical guidelines contain the guidelines for the regulation and standardization of care processes in the performance of radiological studies based on the technical specifications of portable X-ray equipment, acquired for First Level Care establishments, and also includes the aspects related to quality, safety and efficacy, indications, contraindications and the care flow chart for image taking

Protocolos para la interpretación de pruebas de bienestar fetal ante parto e intraparto / Protocols for the interpretation of fetal well-being tests before delivery and intrapartum

Los presentes protocolos contiene las disposiciones para la realización de las pruebas de bienestar fetal ante e intraparto con el objetivo de prevenir la hipoxia fetal aguda en los establecimientos de atención del Sistema Nacional Integrado de Salud (SNIS) tanto en el Primer Nivel de Atención, como a nivel hospitalario, cuenta además con las disposiciones para realizar el monitoreo, supervisión y evaluación en los diferentes niveles de atención y de esta forma ayudar a disminuir la mortalidad infantil

These protocols contain the provisions for carrying out prenatal and intrapartum fetal well-being tests with the objective of preventing acute fetal hypoxia in the care facilities of the National Integrated Health System (SNIS) both at the First Level of Care and At the hospital level, it also has the provisions to carry out monitoring, supervision and evaluation at different levels of care and in this way help reduce infant mortality

Manual de procedimientos básicos de enfermería / Basic Nursing Procedures Manual

El presente manual de procedimientos, documenta las principales actividades de atención integral que ofrece el personal de enfermería, como parte del proceso de atención en salud, describe el cuidado y atenciones que se ofrecen a la persona en los establecimientos de salud, mediante el enfoque por procesos institucional. Este enfoque fomenta el desarrollo organizacional y el mejoramiento continuo para cumplir la misión del Ministerio de Salud

This manual of procedures documents the main activities of comprehensive care offered by nursing staff as part of the health care process. It describes the care and attention offered to people in health facilities, using the institutional process approach. This approach promotes organizational development and continuous improvement to fulfill the mission of the Ministry of Health

Rotafolio. Hablemos del VIH/SIDA / Flipchart. Let's talk about HIV/AIDS

Uno de los objetivos de las intervenciones para el cambio de comportamiento es el de informar y educar a la población sobre las enfermedades transmisión sexual y el VIH, generando conciencia del riesgo de contraerlas, fomentando actitudes preventivas frente a estas enfermedades, mejorando la capacidad de reconocer su presencia y desarrollando adecuadas prácticas de búsqueda de servicios de salud. Un material educativo, el rotafolio que ha demostrado ser un instrumento de fácil comprensión y buena aceptación por parte del público reconoce la labor preventiva como tarea prioritaria y fundamental en el control de la ETS/VIH/SIDA. A continuación se desarrolla la guía de orientación que complementa el rotafolio "hablemos del...sida", teniendo como objetivo uniformizar criterios y mensajes a compartir con nuestras poblaciones

Lineamientos técnicos para la prevención y control de las enfermedades inmunoprevenibles / Technical guidelines for the prevention and control of vaccine-preventable diseases

En los presentes lineamientos técnicos se describen cada una de las enfermedades definidas, los aspectos epidemiológicos, la respuesta de los servicios, apoyo del laboratorio, coordinaciones, flujo de la información, análisis de la misma, medidas de control a implementar, indicadores y la evaluación del sistema de vigilancia, así como toda la información referente a las vacunas específicas incluidas en el Esquema Nacional de Vacunación del Sistema Nacional Integrado de Salud (SNIS), para que se constituya en la herramienta que apoye al personal de los servicios en la prevención y control de las enfermedades inmunoprevenibles

These technical guidelines describe each of the defined diseases, the epidemiological aspects, the response of the services, laboratory support, coordination, flow of information, analysis of the same, control measures to be implemented, indicators and evaluation. of the surveillance system, as well as all the information regarding the specific vaccines included in the National Vaccination Scheme of the National Integrated Health System (SNIS), so that it becomes the tool that supports service personnel in prevention and control of vaccine-preventable diseases

Brazilian portuguese validation of the patient-reported outcome measure for urethral stricture surgery (USS-PROM) questionnaire

ABSTRACT Introduction: Urethral stricture is a common, albeit complex, condition that predominantly affects men. The aim of this study was to translate, culturally adapt, and validate the Patient-Reported Outcome Measure questionnaire for patients undergoing urethroplasty (USS-PROM) into Brazilian Portuguese using validated psychometric criteria. Materials and Methods: The process involved translating and culturally adapting the original USS-PROM into Brazilian Portuguese (USS-PROMbr), synthesizing, back-translating, cross-culturally adapting, and analyzing the pre-final version with experts from our committee. This pre-version was administered to 10 patients who had undergone urethroplasty by the Reconstructive Urology team at the Hospital de Clínicas de Porto Alegre for face validation, linguistic, and semantic adjustments, resulting in the final USS-PROMbr version. Subsequently, well-established psychometric criteria, including content validity, internal consistency, and test-retest reproducibility, were assessed after administering the questionnaire to a total of 56 patients, with 50 of them responding to the test and retest. Results: Evaluation of the pre-final version identified 15 questions as clear, and only one question was considered somewhat unclear necessitating modifications based on patient suggestions and subsequent reassessment by the research team. Psychometric criteria demonstrated good content validity, with a content validity index exceeding 0.80 for all questions; good internal consistency, Cronbach's alpha of 0.77, ranging from 0.70 to 0.78 with the exclusion of any item, and item-total correlations ranging from 0.33 to 0.67. The test-retest intraclass correlation coefficient was 0.74 for the lower urinary tract symptoms construct (Q1-Q6). Conclusion: The USS-PROMbr demonstrated acceptable cross-cultural adaptation and psychometric properties, making it a valid and useful tool for evaluating patients undergoing urethroplasty.

Guía clínica para la atención integral en salud de las personas con VIH / Clinical guide for comprehensive health care for people with HIV

La presente guía clínica se constituye en la actualización de la Guía clínica de atención integral en salud de las personas con VIH, de diciembre de 2014, la cual se hace necesaria para contribuir a los objetivos del Plan Estratégico Nacional Multisectorial (PENM) cuya misión es la de conducir acciones en la repuesta nacional al VIH y las ITS, garantizando el acceso a la atención de las personas con VIH e ITS con estándares internacionales, previniendo nuevas infecciones; propiciando un entorno de respeto a los derechos humanos, equidad de género y la diversidad sexual, encaminada hacia la eliminación del VIH en El Salvador, reducción de nuevas infecciones de VIH, reducción de muertes relacionadas a sida y eliminación de la transmisión materno infantil. En el presente documento se incluyen las recomendaciones de la Organización Mundial de la Salud (OMS), sobre nuevos medicamentos antirretrovirales en tratamientos de primera, segunda y tercera línea, en todas las poblaciones incluidas, embarazadas y mujeres en edad fértil; se presentan diferentes esquemas de tratamiento, con el propósito de mejorar la calidad en la atención de la persona con VIH

This clinical guide is an update of the Clinical Guide for Comprehensive Health Care for People with HIV, dated December 2014, which is necessary to contribute to the objectives of the National Multisector Strategic Plan (PENM), whose mission is that of leading actions in the national response to HIV and STIs, guaranteeing access to care for people with HIV and STIs with international standards, preventing new infections; promoting an environment of respect for human rights, gender equality and sexual diversity, aimed at eliminating HIV in El Salvador, reducing new HIV infections, reducing AIDS-related deaths and eliminating mother-to-child transmission. This document includes the recommendations of the World Health Organization (WHO) on new antiretroviral drugs in first, second and third line treatments, in all populations included, pregnant women and women of childbearing age; Different treatment schemes are presented, with the purpose of improving the quality of care for people with HIV.

Lineamientos técnicos para la búsqueda de contactos VIH e ITS / Technical guidelines for searching for HIV and STI contacts

Los presentes lineamientos son el resultado de un proceso de análisis, elaboración y consulta en el cual se tomó en cuenta información sobre los diferentes métodos de notificación asistida, y los pasos que deben llevarse a cabo, partiendo de las consideraciones realizadas por la OMS y el trabajo de diversos organismos de cooperación, los que se adaptaron a la realidad nacional. Estos Lineamientos contienen los principios rectores propuestos por la OMS, los métodos de notificación asistida de parejas o contactos sexuales, etapas de la implementación de la notificación asistida, herramientas utilizadas, forma de priorizar a las personas en mayor riesgo, además un sistema de monitoreo y evaluación del proceso de trabajo

These guidelines are the result of a process of analysis, development and consultation in which information on the different methods of assisted notification was taken into account, and the steps that must be carried out, based on the considerations made by the WHO and the work of various cooperation organizations, which adapted to the national reality. These Guidelines contain the guiding principles proposed by the WHO, the methods of assisted notification of partners or sexual contacts, stages of the implementation of assisted notification, tools used, how to prioritize people at highest risk, as well as a monitoring system and work process evaluation

Plan de monitoreo y evaluación del PENM VIH e ITS de El Salvador 2022-2026 / Monitoring and evaluation plan of the PENM HIV and STIs of El Salvador 2022-2026

Este documento prioriza 32 indicadores del Plan Estratégico Nacional Multisectorial de VIH e ITS 2022-2026, a los cuales se dará vigilancia y evaluación durante el período. El Salvador ha priorizado sus acciones enfocadas en poblaciones clave, personas con VIH, para este quinquenio, se ha enfocado en estrategias de prevención, diagnóstico, atención profundizando el enfoque en el alcance de las metas

This document prioritizes 32 indicators of the National Multisector Strategic Plan for HIV and STIs 2022-2026, which will be monitored and evaluated during the period. El Salvador has prioritized its actions focused on key populations, people with HIV, for this five-year period, it has focused on prevention, diagnosis, and care strategies, deepening the focus on achieving the goals