OBJETIVO: Describir cómo los diferentes Sistemas de Información de Salud de Dengue que existen a nivel nacional funcionaron en términos de coordinación e interoperabilidad para la toma de decisiones diarias durante la epidemia producida en el año 2017 en Perú. METODOLOGÍA: Estudio de caso exploratorio y descriptivo. Se utilizó entrevistas a profundidad para identificar los sistemas de registro de estado de salud existentes durante la epidemia del año 2017, describir sus características y comprender su funcionamiento. RESULTADOS: Se identificó 5 diferentes Sistemas de Información en Salud que trabajaron con datos de personas con dengue. Las características y procesos de flujo de información son independientes y no se encontró interoperación entre ellos. Para la toma de decisiones, cada área gubernamental usó el sistema que tenía disponible y ante la necesidad de informa...

Background: During 2021, Peru started the vaccination against SARS-CoV-2 using the BBIBP-CorV inactivated virus vaccine for health care workers (HCW). We aim to evaluate the effectiveness of the BBIBP-CorV vaccine to prevent SARS-CoV-2 infection and deaths among HCWs. Methods: Retrospective cohort study, from February 9 to June 30, 2021, using national registries of health care workers, laboratory tests for SARS-CoV-2 and deaths. We calculated the vaccine effectiveness for preventing laboratory-confirmed SARS-CoV-2 infection, COVID-19-mortality, and all-cause mortality among partially immunized and fully immunized HCWs. An extension of Cox proportional hazards regression was used to model the mortality results, and Poisson regression was used to model SARS-CoV-2 infection. Results: The study included 606,772 eligible HCWs, the mean age was 40 (IQR: 33.0, 51.0). In fully immunized HCW, th...

OBJETIVO: Describir cómo los diferentes Sistemas de Información de Salud de Dengue que existen a nivel nacional funcionaron en términos de coordinación e interoperabilidad para la toma de decisiones diarias durante la epidemia producida en el año 2017 en Perú. METODOLOGÍA: Estudio de caso exploratorio y descriptivo. Se utilizó entrevistas a profundidad para identificar los sistemas de registro de estado de salud existentes durante la epidemia del año 2017, describir sus características y comprender su funcionamiento. RESULTADOS: Se identificó 5 diferentes Sistemas de Información en Salud que trabajaron con datos de personas con dengue. Las características y procesos de flujo de información son independientes y no se encontró interoperación entre ellos. Para la toma de decisiones, cada área gubernamental usó el sistema que tenía disponible y ante la necesidad de informa...

Se realizó un estudio de caso control aninado utilizando bases de datos nacionales para determinar la efectividad de la tercera dosis respecto a solo tener dos dosis para prevenir muerte por COVID-19 durante la ola Ómicron (20 diciembre 2021 - 20 febrero 2022).

El método utilizado se calculó la tasa de muertes de COVID-19 según el estado de vacunación para la población general y diversos grupos etarios utilizando la base de datos del SINADEFF.

El presente documento fue presentado como Informe Técnico N°20 – UIE – CNSP/INS por el Centro Nacional de Salud Pública del Instituto Nacional de Salud en abril del 2022 como parte de la vigilancia de monitoreo nacional del impacto de la vacunación contra COVID-19 en el Perú.

Determina los costos indirectos asociados a problemas de salud en trabajadores de 5 empresas manufactureras de calzado de Lima, además de caracterizar los casos de ausentismo y presentismo laboral encontrados. Para ello se realiza una investigación descriptiva de base de datos secundaria que utiliza reportes médicos de los trabajadores; sus enfermedades, indicadores de salud, casos de ausentismo, atenciones y productividad por área.

Objectives. To evaluate the survival of health personnel infected by SARS-CoV-2 in the context of the vaccination process against COVID-19 in Peru. Methods: A survival analysis was performed using data from national health databases. Data from people between 18 and 59 years old infected with SARS-CoV-2 as evidenced by molecular or antigenic tests were included. Kaplan Meier graphs were produced to compare the survival of health personnel and the rest of the population during 2021 and health personnel during the first and second wave of mortality in Peru in 2020 and 2021, respectively. Results. Data from 998 295 people were included. The average age was 41.2 years (SD 15.8) and 485 167 (48.6%) were women. A higher level of survival of health workers after vaccination was found compared to the general population and to the population of health workers before vaccination. It was evidenced t...

Background: The Antimicrobial Optimization Programs (PROA) in Health Institutions are a strategy implemented in various countries. The study: Our objective was to carry out an electronic survey in health establishments that have hospitalization services in Peru. Findings: One hundred seventy establishments (38.4%) responded to the survey between MINSA (90%), ESSALUD (4.2%), Armed Forces - PNP (2.9%) and Private (2.9%). Only 49 (28.8%) had PROA working within their institution. 83.7% had a Director Resolution that they supported in functions and 38.8% reported having a PROA activity plan. The most frequent problems identified are the lack of trained human resources (24.6%), the lack of training and technical assistance (13.1%) and the failure to prescribe antibiotics (11.5%). Conclusion: It is a priority to continue strengthening the PROA in hospitals in the short term with activities tha...

Introduction: This research addresses the evaluation of teacher performance through the student-centered paradigm. Objective: To determine the teaching strategies and pedagogical skills with a constructivist approach used, from the teacher and student perspective, in the health master's programs of a Peruvian public university. Methodology: Quantitative, descriptive and cross-cutting study. Based on the Evaluation Questionnaire of the Teaching and Evaluative Methodology of University Professors (CEMEDEPU), an instrument was developed, which was validated by expert judgment with an Alpha cronbach reliability of 0.961, which was applied to teachers and students. The sample obtained was from 42 teachers and 130 students from eight master's degrees. The descriptive analysis was performed by categorizing the results in each group and the inferential analysis using the...

Evaluar la supervivencia de los trabajadores de salud infectado por SARS-CoV2 en el contexto del proceso de vacunación contra la COVID-19 en el Perú

El objetivo del mapa microbiológico es determinar la frecuencia y distribución de los microorganismos a través de su perfil de sensibilidad/resistencia antimicrobiana según el tipo de muestra clínica, localización de la infección, tipo de infección, servicio y caracterizar el fenotipo y genotipo de resistencia en pacientes hospitalizados y ambulatorios.

Objective: Todesign and build an educational model using a Virtual Simulation Laboratory Section of Pharmacology and to know the level of student satisfaction. Material and Methods: Descriptive, qualitative study of research-action type. The design and implementation of a virtual simulation laboratory, the intervention of improvement and perfection of teaching materials for the development of thepractical section of Pharmacology, Faculty of Medicine at San Marcos was planned, using the software Microlab® and CV Rat. A survey of user satisfactionin virtual laboratory technique was conducted, using the interview as aninstrument, and a Likert scale of minimum satisfaction starting in 1 to maximum of 10. Sample size of 26 students. Results: A new process of Experimental Pharmacology Laboratory teaching - learning was implemented, using virtual simulation. Most students in the virtual class ...

Background: Pictograms on medications aim to convey essential information, such as potential risks during pregnancy. However, their comprehension varies significantly based on the culture and health practices of each region. Objective: Evaluate the knowledge, practices, and understanding of pictograms warning about potential hazards associated with medication use during pregnancy in pregnant and non-pregnant women attending a reference Maternal Perinatal Institute in Peru. Method: Observational, cross-sectional study with non-random sampling. 409 women were surveyed regarding their knowledge of contraindicated medications during pregnancy, the presence of pictograms, frequency of reviewing package inserts, and interpretation of three U.S. approved pictograms from the Food and Drug Administration and the European Medicines Agency, used in products marketed in Peru. Results: 85% of partici...

Background: In Peru, there is an increase in the creation of mobile health (mHealth) apps; however, this situation could present problems related to the quality of information these apps share, data security and privacy, usability, and effectiveness, as there is no specific local regulation about their creation and use. Objective: The objective of this study was to review mHealth apps created, uploaded, or used in Peru, and perform an analysis of the national regulatory framework that could be applied to evaluate whether there is a need to develop and implement a specific regulation to these apps. Methods: A total of 3 reviews were performed. First, we reviewed information about Peruvian mHealth apps created up to May 2019 from scientific publications, news, government communications, and virtual stores, and evaluated their purpose, creator, and the available evidence of their usability ...

Introduction. Mobile applications represent a promising alternative for providing support in the management of Dengue patients. However, the usability of these tools in Peru is unknown. Objectives. To evaluate the usability and usage recommendations of the Dengue ONQOY application in managing Dengue patients in rural areas of Peru. Methods. A qualitative study was conducted, which included semi-structured interviews with 8 experts in Dengue management. Data were coded using Atlas. Ti software. Three categories were assessed: (1) informative usability (2) design usability, and (3) recommendations for improvement. Results. Three key aspects were highlighted. (1) The application is perceived as valuable for first- level doctors in peripheral areas with limited Dengue experience due to its personalized approachand academic value. (2) Its ease of use and practicality were emphasized, although...

Introducción. En el Perú el sistema de tele-triaje (STT) conducido por estudiantes voluntarios permitió la identificación remota de casos sospechosos de COVID-19. Sin embargo, aun no se conocen las barreras y facilitadores de su implementación. Objetivos. Describir las barreras y facilitadores sobre la implementación de un sistema de tele-triaje para la identificación de casos sospechosos de COVID-19 en el Perú. Métodos. Se desarrolló un estudio de métodos mixtos que describió las características de los usuarios que participaron en el STT (cuantitativo). También se exploró las percepciones de usuarios y voluntarios respecto a las barreras y facilitadores sobre la implementación de este servicio (cualitativo). Resultados. Entre los 4317 usuarios evaluados por el STT, la edad media fue 36,2 años (desviación estándar: 13,2), 58,6% fueron mujeres y solo el 41,4% fueron cla...

Objective. To analyze the changes in the density of human resources in health (DHRH), in the Ministry of Health at the regional and provincial level in Peru, in order to describe the response of the health system on this component during the COVID-19 epidemic. Methods. Descriptivestudy based on the analysis of the INFORHUS national database of the Ministry of Health. To calculate the DHRH, the health personnel registered in the INFORHUS database were considered as the numerator and the population assigned to the Seguro Integral de Salud - SIS as the denominator. Health personnel who died and were still registered, and personnel diagnosed with COVID-19 by rapid or molecular testing during the months considered in the analysis, were excluded. The percentage changes of DHRH between the months of april to august 2020 were analyzed at the regional and provincial level in Peru. Results. In the...