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Protocolo de Vigilancia y Control de Infeccion Respiratoria Aguda-INS

Protocolo de Vigilancia y Control de Infeccion Respiratoria Aguda-INS

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Published by HSBCalidad
Protocolo de Vigilancia y Control de Infeccion Respiratoria Aguda-INS
Protocolo de Vigilancia y Control de Infeccion Respiratoria Aguda-INS

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Published by: HSBCalidad on Jun 06, 2012
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11/08/2013

 
 
Q_@MB]@ _&1?XCLCNDIMCD S M@IW_@NBI ]DNRG QÛONCMDQ_@W@M@N@ GB XCLCNDIMCD SM@IW_@N GB CIHBMMCÝI_B]QC_DW@_CD DLRGD 
Qälcid 4 gb 71Xbr}cýi; 11
Q_@&_1?)11=)1111&141
 
Hbmed qrýucfd rbxc}cýi;?147&15
Bndo`rdg` q`r;Btcq` Himc`idn Cifi`qrbxbiconb}Lrq` Bihbrfbgdgb} Wrdi}fc}conb}Hbmed; ?144/1</42_bxc}dg` q`r;Qdwrcmcd ]dnd} ]}qb}Qr`hb}c`idn Ricxbr}cwdrcdBtcq` Himc`idn Cifi`qrbxbiconb}Hbmed; ?144/1</?2Dqr`odg` q`r;Grd) Gdicj Xdnbrd Diwbtbrd]ogcrbmw`r gb Xclcndimcd s M`iwr`n bi ]dng QûoncmdHbmed; ?144/15/15
4) @OKBWCX@]4)4) @okbwcx` lbibrdn
_bdnc{dr bn }blcfcbiw` m`iwci` s }c}wbfäwcm` gb nd} gchbrbiwb} b}wrdwblcd} qdrd nd xclcndimcd gb ndcihbmmcýi rb}qcrdw`rcd dlgd gb dmbrg` m`i n`} qr`mb}`} b}wdonbmcg`} qdrd nd i`wchcmdmcýi.rbm`nbmmcýi s diänc}c} gb n`} gdw`}. tb qbrfcwd lbibrdr cih`rfdmcýi `q`rwid. xäncgd s m`ihcdonbqdrd `rcbiwdr fbgcgd} gb qrbxbimcýi. xclcndimcd s m`iwr`n)
 d) @okbwcx`} b}qbmæhcm`}
Gbwbmwdr gb fdibrd `q`rwid n`} md}`} gb C_DL ci}cwdgd md}dgd q`r dlbiwb} qdwýlbi`}rb}qcrdw`rc`} m`i`mcg`} ` ibx`} tb wbildi q`wbimcdn bqcgãfcm` ` qdigãfcm`)Qr`xbbr i fbmdic}f` gb dnbrwd} bqcgbfc`nýlcmd} m`i bn hci gb cicmcdr nd} fbgcgd} gbqrbxbimcýi. m`iwr`n s fcwcldmcýi tb qbgdi }br cfqnbfbiwdgd} qdrd gc}fcicr bn cfqdmw` gb ndC_D bi nd qrb}wdmcýi gb }brxcmc`} gb }dng s nd m`ficgdg)Cgbiwchcmdr nd mcrmndmcýi gb dlbiwb} bwc`nýlcm`} cfqncmdg`} bi nd xclcndimcd mbiwcibnd gb B]C
 ”
 C_DL)Gbwbrfcidr nd mdrld gb nd cihbmmcýi rb}qcrdw`rcd dlgd bi nd qrb}wdmcýi gb }brxcmc`} gb }dng big`igb }b bhbmwûd xclcndimcd mbiwcibnd gb B]C
 ”
C_DL)Mdrdmwbrc{dr nd f`rwdncgdg q`r C_D i`wchcmdgd d wrdxã} gbn }c}wbfd gb xclcndimcd s m`iwr`n bi}dng qûoncmd. ]cxclcnd)
?) DNMDIMB
B}wb g`mfbiw` gbhcib nd fbw`g`n`læd qdrd n`} qr`mb}`} b}wdonbmcg`} qdrd nd i`wchcmdmcýi.rbm`nbmmcýi s diänc}c} gb n`} gdw`} tb `rcbiwdrdi nd} fbgcgd} gb qrbxbimcýi s m`iwr`n gb n`} md}`}gb cihbmmcýi rb}qcrdw`rcd dlgd. b}wä gcrclcg` d nd} ci}wcwmc`ib} s qbr}`id} rb}q`i}donb} gb ndxclcndimcd gbn bxbiw` s d n`} bimdrldg`} gb w`fdr nd} gbmc}c`ib} gb }dng qûoncmd bi bn äfocw`idmc`idn. gbqdrwdfbiwdn. gc}wrcwdn s ficmcqdn. }blûi }b rbtcbrd)
=) _B]Q@I]DOCNCGDG
B} rb}q`i}docncgdg gbn Ci}wcww` Idmc`idn gb ]dng d wrdxã} ]ogcrbmmcýi gb xclcndimcd s m`iwr`n bi}dng qûoncmd. bfcwcr n`} qdräfbwr`} qdrd rbdnc{dr nd xclcndimcd d wrdxã} gb b}wb g`mfbiw` s gb n`}dmw`rb} gbn }c}wbfd;Fcic}wbrc` gb nd Qr`wbmmcýi ]`mcdn&Mbiwr` Idmc`idn gb Bindmb)Ci}wcww` Idmc`idn gb ]dng&]ogcrbmmcýi gb Xclcndimcd s M`iwr`n bi ]dng Qûoncmd)Ricgdgb} i`wchcmdg`rd}; Biwcgdgb} wbrrcw`rcdnb} gb mdrämwbr idmc`idn. gbqdrwdfbiwdn. gc}wrcwdn sficmcqdn)Ricgdgb} qrcfdrcd} lbibrdg`rd} gb gdw`}; Biwcgdgb} gb mdrämwbr qûoncm` s qrcxdg` tb mdqwdin`} bxbiw`} gb ciwbrã} bi }dng qûoncmd)
 
 
Q_@MB]@ _&1?XCLCNDIMCD S M@IW_@NBI ]DNRG QÛONCMDQ_@W@M@N@ GB XCLCNDIMCD SM@IW_@N GB CIHBMMCÝI_B]QC_DW@_CD DLRGD 
Qälcid ? gb 71Xbr}cýi; 11
Q_@&_1?)11=)1111&141
 
Hbmed qrýucfd rbxc}cýi;?147&15
Bndo`rdg` q`r;Btcq` Himc`idn Cifi`qrbxbiconb}Lrq` Bihbrfbgdgb} Wrdi}fc}conb}Hbmed; ?144/1</42_bxc}dg` q`r;Qdwrcmcd ]dnd} ]}qb}Qr`hb}c`idn Ricxbr}cwdrcdBtcq` Himc`idn Cifi`qrbxbiconb}Hbmed; ?144/1</?2Dqr`odg` q`r;Grd) Gdicj Xdnbrd Diwbtbrd]ogcrbmw`r gb Xclcndimcd s M`iwr`n bi ]dng QûoncmdHbmed; ?144/15/15
7) GBHCICMC@IB]
Nd} m`iwbicgd} bi bn Gbmrbw` =245 gb `mworb 3 gb ?118 gbn Fcic}wbrc` gb nd Qr`wbmmcýi ]`mcdn q`rbn mdn }b mrbd s rblndfbiwd bn ]c}wbfd gb xclcndimcd bi }dng qûoncmd s }b gcmwdi `wrd}gc}q`}cmc`ib})
2) M@IWBICG@2)4) Cfq`rwdimcd gbn bxbiw`
Nd} nbmmc`ib} dqrbigcgd} bi nd} rbmcbiwb} bfbrlbimcd} q`r cihbmmcýi rb}qcrdw`rcd dlgd bi fig`.biwrb bnnd} nd gbmndrdmcýi gb qdigbfcd grdiwb bn dô` ?113 q`r i ibx` }owcq` gb cihnbi{d s n`}diwbrc`rb} bqc}`gc`} gb ibx`} xcr} m`f` ]D_] b cihnbi{d dxcdr E2I4. edi lbibrdg` ndibmb}cgdg gb rbm`i`mbr nd cfq`rwdimcd gb h`rwdnbmbr nd b}wrmwrd s n`} qr`mb}`} gb xclcndimcd gb ndcihbmmcýi rb}qcrdw`rcd dlgd) Rid gb nd} rbm`fbigdmc`ib} ciwbridmc`idnb} b} nd gb m`i}`ncgdr ndxclcndimcd gb nd cihbmmcýi rb}qcrdw`rcd dlgd lrdxb ci}cwdgd fbimc`idgd bi bn _blndfbiw`]dicwdrc` Ciwbridmc`idn ?112 m`f` id gb nd} b}wrdwblcd} tb ldrdiwcmbi id `q`rwid gbwbmmcýi sqrbxbimcýi gb b}wb wcq` gb bfbrlbimcd})Bi M`n`focd ditb }b ed rbdnc{dg` bn }blcfcbiw` s nd i`wchcmdmcýi gb nd cihbmmcýi rb}qcrdw`rcddlgd }b qrb}biwdi ncfcwdmc`ib} qdrd gbwbmwdr bn cimrbfbiw` gb nd f`roc&f`rwdncgdg md}dg`} q`rgchbrbiwb} dlbiwb} bwc`nýlcm`}) B} q`r bnn` tb }b gbob qr`qbigbr qdrd tb nd rbm`nbmmcýi}c}wbfäwcmd s bn diänc}c} gb cih`rfdmcýi gbn bxbiw` qr`q`rmc`ibi nd} dnbrwd} gb }cwdmc`ib} tbdfbrcwbi fbgcgd} gb qrbxbimcýi s m`iwr`n. nd d}clidmcýi bhcmcbiwb gb n`} rbmr}`} s nd h`rfndmcýib}wrdwblcd} qdrd nd rbgmmcýi gbn cfqdmw` bi nd qrb}wdmcýi gb }brxcmc`} gb }dng)
 2)4)4) Gb}mrcqmcýi gbn bxbiw`Bihbrfbgdg ]cfcndr d nd Cihnbi{d %B]C#
Nd bihbrfbgdg }cfcndr d nd cihnbi{d b} id cihbmmcýi gbn }c}wbfd rb}qcrdw`rc` gb idwrdnb{d xcrdn.dnwdfbiwb m`iwdlc`}d tb qbgb qrb}biwdr}b gb h`rfd nbxb s gb m`rwd grdmcýi: ` bi h`rfdmnæicmdfbiwb lrdxb ` m`fqncmdgd) Cimnsb hcborb gb cicmc` }ûocw` fds`r gb =5» M s w`} s `wr`}}æiw`fd} gb wrdmw` rb}qcrdw`rc` }qbrc`r m`f` g`n`r gb ldrldiwd. rci`rrbd s }æiw`fd} }c}wãfcm`}m`f` g`n`r gb mdob{d. g`n`rb} f}mndrb} s hdwcld) Ditb lbibrdnfbiwb nd bihbrfbgdg }brb}bnxb bi q`m`} gæd}. nd w`} s bn fdnb}wdr qbgbi qbr}c}wcr fä} gb ? }bfdid} %47#) Bn fdibk` gbnd B]C b} dfondw`rc`)Nd }bxbrcgdg mnæicmd gb nd cihbmmcýi qbgb buwbigbr}b gb}gb id cihbmmcýi d}ciw`fäwcmd dibf`iæd xcrdn qrcfdrcd s fbrwb) Nd lrdi fds`ræd gb n`} md}`} gb cihnbi{d m`rrb}q`igb dcihbmmcýi rb}qcrdw`rcd dnwd. dlgd s dw`ncfcwdgd) Biwrb nd} m`fqncmdmc`ib} hrbmbiwb} s gb fds`rrcb}l` }b bimbiwrdi ibf`iæd odmwbrcdid }bmigdrcd. gbocg` d tb bn xcr} gb cihnbi{d dnwbrd bnbqcwbnc` wrdtb`or`itcdn m`i cihndfdmcýi gb nd fm`}d s qbrgcgd gb n`} mcnc`}. m`igcmc`ib} tbqrbgc}q`ibi d id }`orbcihbmmcýi odmwbrcdid. bi b}qbmcdn q`r
]wrbqw`m`mm} qibf`icdb.]wdqesn`m`mm} drb} 
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Qälcid = gb 71Xbr}cýi; 11
Q_@&_1?)11=)1111&141
 
Hbmed qrýucfd rbxc}cýi;?147&15
Bndo`rdg` q`r;Btcq` Himc`idn Cifi`qrbxbiconb}Lrq` Bihbrfbgdgb} Wrdi}fc}conb}Hbmed; ?144/1</42_bxc}dg` q`r;Qdwrcmcd ]dnd} ]}qb}Qr`hb}c`idn Ricxbr}cwdrcdBtcq` Himc`idn Cifi`qrbxbiconb}Hbmed; ?144/1</?2Dqr`odg` q`r;Grd) Gdicj Xdnbrd Diwbtbrd]ogcrbmw`r gb Xclcndimcd s M`iwr`n bi ]dng QûoncmdHbmed; ?144/15/15
Bn m`fqr`fc}` fcuw`. xcrdn s odmwbrcdi`. b} nd m`fqncmdmcýi qnf`idr `o}brxdgd m`i fds`rhrbmbimcd grdiwb n`} or`wb}) N`} qdmcbiwb} qrb}biwdi id qr`lrb}cýi lrdgdn gb n`} }æiw`fd} `id fbk`ræd wrdi}cw`rcd. }blcgd gb i dlrdxdfcbiw` s mnæicmd gb ibf`iæd %42#) Wdfocãi }b`o}brxd budmbrodmcýi gb m`igcmc`ib} mrýicmd} gb od}b s `wcwc} fbgcd bi icô`} s m`i fbi`rhrbmbimcd }b qrb}biwd fc`}cwc}. fc`mdrgcwc}. }æigr`fb gb me`tb wýucm` s bn }æigr`fb gb _bsb%d}`mcdg` lbibrdnfbiwb dn }` gb d}qcrcid s gb `wr`} fbgcmdfbiw`} tb m`iwcbibi ämcg`dmbwcn}dncmæncm`#)Nd B]C wcbib m`f` qrcimcqdn dlbiwb bwc`nýlcm` dn xcr} gb cihnbi{d. }ci bfodrl` `wr`} xcr}rb}qcrdw`rc`} qbgbi qr`x`mdr i mdgr` }cfcndr; dgbi`xcr}. xcr} }cimcwcdn rb}qcrdw`rc` %X]_# sqdrdcihnbi{d 4. ? s =) Nd bihbrfbgdg rb}qcrdw`rcd md}dgd q`r bn xcr} gb cihnbi{d b} gchæmcn gbgc}wcilcr gb nd bihbrfbgdg md}dgd q`r `wr`} qdwýlbi`} rb}qcrdw`rc`} m`i od}b }`n` bi n`}}æiw`fd}. b}qbmcdnfbiwb bi icô`} mdig` mcrmnd }cfnwäibdfbiwb bn xcr} }cimcwcdn rb}qcrdw`rc`) ]cnd cihbmmcýi rb}qcrdw`rcd b} md}dgd q`r X]_ d n`} q`m`} gæd} gb nd buq`}cmcýi s nd wrdi}fc}cýi gbnxcr} dn bqcwbnc` id}dn  `mndr. }b qrb}biwd m`ilb}wcýi id}dn. hcborb. tb m`i hrbmbimcdgb}dqdrbmb gb}qã} gb g`} gæd}. g`n`r gb ldrldiwd s w`}) B}w`} }æiw`fd} qbgbi qbr}c}wcr m`f`id cihbmmcýi gbn wrdmw` rb}qcrdw`rc` }qbrc`r q`r xdrcd} }bfdid} s nbl` rb}`nxbr}b }ci fä}cimcgbiwb}. bi qdrwcmndr bi qdmcbiwb} tb edi wbicg` id cihbmmcýi q`r X]_ diwbrc`r) Bi n`}ndmwdiwb} m`i cihbmmcýi m`i X]_ biwrb bn =1 dn 21" qbgb gb}drr`nndr cihbmmcýi gb nd} xæd} odkd}g`} d wrb} gæd} gb}qã} gb nd dqdrcmcýi gb n`} }cli`} s }æiw`fd} %48#)Gb cldn h`rfd }c nd cihbmmcýi rb}qcrdw`rcd b} mdgd q`r dgbi`xcr} b} mnæicmdfbiwb cigc}wcilconb}gb nd cihbmmcýi md}dgd q`r bn xcr} gb cihnbi{d ` X]_. sd tb bn dgbi`xcr} wdfocãi qbgbm`fqdrwcr b}wdmc`idncgdg s m`mcrmndmcýi bi nd m`ficgdg) Bi lbibrdn. bn mdgr` rb}qcrdw`rc`qr`gmcg` q`r dgbi`xcr} qrb}biwd hcborb. g`n`r gb ldrldiwd. m`ilb}wcýi id}dn. rcicwc}. w`}. g`n`rdog`fcidn s gcdrrbd bi dnli`} md}`} m`i cihbmmcýi q`r }br`wcq`} biwãrcm`} m`f` bn 71 s 74) Md}ci =1" gb n`} qdmcbiwb} qrb}biwdi fdichb}wdmc`ib} mnæicmd} }c}wãfcmd} m`f` fdnb}wdr lbibrdn.b}mdn`hræ`}. fcdnlcd} s mbhdnbd) Ri q`rmbiwdkb cfq`rwdiwb qrbmc}dräi cilrb}` e`}qcwdndrc`. wdiw` q`rnd lrdxbgdg gbn qr`mb}` cihbmmc`}` m`f` q`r nd b}md}d bgdg gbn qdmcbiwb %4<#)
D}qbmw`} bwc`nýlcm`};Xcr} gb cihnbi{d;
qbrwbibmbi d nd hdfcncd @rwe`fsu`xcrcgdb s }b gcxcgbi bi wrb} wcq`}; D.O s M: }`ndfbiwb n`} wcq`} D s O }b m`i}cgbrd tb md}di f`rocncgdg }clichcmdwcxd biefdi`}) N`} xcr} gb cihnbi{d wcq` D }b gcxcgbi bi }owcq`} gb dmbrg` d nd} qr`wbæid}gb }qbrhcmcb nndfdgd} ebfdlnwcicid %ED# s ibrdfcicgd}d %ID#) Ed}wd nd hbmed. }b edicgbiwchcmdg` 48 }owcq`} gb ED s 3 }owcq`} gb ID)
Dgbi`xcr};
qbrwbibmbi d nd hdfcncd Dgbi`xcrcgdb. }`i xcr} GID gb g`onb mdgbid. i`bimdq}ndg`}. buc}wbi 24 }br`wcq`} gcxcgcg`} bi 8 wcq`} tb md}di cihbmmcýi bi efdi`}:D. O. M. G. B. s H) Dnli`} }br`wcq`} }`i d}`mcdg`} d cihbmmcýi qrcfdrcd gbn wrdmw`rb}qcrdw`rc` `wr`} }br`wcq`} m`f` bn =4. 71 s 74 b}wäi rbndmc`idg`} qrcimcqdnfbiwb m`ild}wr`biwbrcwc})
Xcr} ]cimcwcdn _b}qcrdw`rc` %X]_#;
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; Qbrwbibmbi d nd hdfcncd Qdrdfsu`xcrcgdb. b} i xcr} _ID mocbrw` }b edicgbiwchcmdg`} 7 wcq`} diwclãicmdfbiwb gchbrbiwb}: 4. ?. = s 7)

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