Analysis of the operational management of the tuberculosis infection control plan in Santiago de Cali

• Autores: Serna-Trejos, Juan Santiago, Castro Osorio, Claudia Marcela, Mónica Espinosa Arana, Mónica Espinosa Arana, Luna-Miranda, Lucy del Carmen, Pacheco López, Robinson, Rojas Zúñiga, Claudia Nathaly, Puerto Castro , Gloria Mercedes
• Formato: artículo
• Fecha de Publicación: 2025
• Institución: Universidad de Huánuco
• Repositorio: Revistas - Universidad de Huánuco
• Lenguaje: español
• OAI Identifier: oai:ojs2.localhost:article/608
• Enlace del recurso: http://revistas.udh.edu.pe/index.php/RPCS/article/view/608
• Nivel de acceso: acceso abierto
• Materia: Evaluation of health programs; infection control; tuberculosis; Colombia; Evaluación de Programas y Proyectos de Salud; Control de Infecciones; Tuberculosis

Objective: To analyze the operational management of the infection control plan (ICP) for tuberculosis in hospital care settings in a city with a high burden of the disease. Methods. An analysis of operational management was conducted in 37 institutions providing health services in the city of Cali, by applying a tool to collect information on the implementation of administrative, environmental and respiratory protection control measures. Additionally, the program design evaluation was conducted. Results: Administrative control measures were not implemented in 65 % of the institutions, primarily due to the absence of written infection control plans and a lack of risk assessment. 70 % of institutions failed to comply with environmental measures, especially in the verification of air flows, while respiratory control was well implemented in 78. However, the absence of ft testing for N95 respirators was identifed. An ICP model is proposed for health care service settings. Conclusion: Health service providers should strengthen the implementation of ICP in TB, prioritizing administrative and environmental control measures. It is essential to guarantee sufficient financial resources and to have trained personnel to ensure their proper implementation. Furthermore, continuous monitoring is essential to reduce TB transmission in health care settings.