Las infecciones asociadas a la atención en saludrepresentan un problema de salud pública y sonun indicador de la calidad en prestación y gestiónen salud. En este contexto, los programasde vigilancia y control epidemológico de estasenfermedades, y la adaptación e implementaciónde guías para su prevención son estrategiasque pueden mejorar la seguridad del paciente ydeben ser una prioridad para las instituciones.Un panel de expertos de las áreas de infectología,cuidados intensivos, neumología, enfermería,terapia respiratoria y farmacia, preparó unaguía de práctica clínica para la prevención de lasinfecciones asociadas a dispositivos médicos,mediante un proceso de adaptación de otrasguías por medio de una estrategia de búsquedasistemática basada en la “evidencia”.
Healthcare associated infections (HAI) are an important public health problem and an indicator of the quality of healthcare and management.In this scenario, surveillance and epidemiologic control programs and the adaptation and implementation of clinical guidelines for HAI preventionare estrategies that can improve the safety of patient care and should be prioritized in the institutions. Evidence based clinical practice guidelines for the prevention of infections asociated with invasive medical devices were prepared by an expert panel in infectious diseases, critical care, pulmonary care, nursery, respiratory therapy and pharmacy by means of a process ofadaptation of other guidelines available through a systematic review of the literature. These guidelines are intended to be used by healthcare workers with the aim of establishing estrategies to prevent HAI related to invasive medical devices. Recommendations based of scientific evidence adapted to our setting are made related to general estrategies such as checklists, handwashing, surveillance and supervision systems. Specific recommendations to prevent bloodstream infections related to intravascular catheters, respiratory infections related to mechanical ventilation and urinary tract infections related to urinary catheters are made.
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