Objetivo: Elaborar una línea de base al describir las características y calidad de las guías de práctica clínica (GPC) del Seguro Social de Salud del Perú (EsSalud) producidas hasta diciembre de 2015. Material y métodos: Estudio de corte transversal. Se solicitaron las GPC de las 33 redes asistenciales de EsSalud hasta diciembre de 2015. Se evaluó la calidad metodológica con el instrumento AGREE II. Resultados: Se recibieron 710 GPC; el 79% de estas fueron desarrolladas en Lima y Callao, siendo la mayoría del área clínica (62%) y con una antigüedad mayor de 5 a˜nos (52%). Se realizó la evaluación de calidad de 31 GPC; se obtuvieron puntuaciones bajas en los 6 dominios, siendo los referidos al rigor metodológico (6%) y aplicabilidad (8%) los que menor promedio obtuvieron. Las GPC elaboradas en regiones diferentes a Lima y Callao obtuvieron puntajes promedios aún menores....

The aim of this study was to evaluate the effect of protein supplementation at service and before delivery on the load of gastrointestinal nematodes in naturally infested dairy goats. Two groups of 17 goats were evaluated: control group (SinSu) without supplementation and supplemented (ConSu) with 19% protein during service and 45 days prepartum. The animals were monitored every 15 days during service and in the 45 days before lambing and monthly during the rest of the trial. The parasitic load (eggs per gram of feces – epg) and their differentiation into genus were determined, in addition to the hematocrit, total proteins, body condition (BCS) and clinical and Famacha grade. The weight of the offspring and milk production at 90 days were recorded. No significant differences were found in epg of the two groups before lambing, but protein supplementation resulted in a lower parasitic lo...

This study was made possible through the financial support of the Instituto Nacional de Salud (National Institute of Health, Lima, Peru) and the PROVAC Initiative of the Pan American Health Organization (Washington, DC, USA). This study was presented at 9th International Symposium of Pneumococci and Pneumococcal Diseases, Hyderabad, India, March 2014, and supported by the National Council of Science, Technology and Technological Innovation of Peru (CONCYTEC) and International Clinical Epidemiology Network (INCLEN Trust).