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array:22 [ "pii" => "S0025775314005557" "issn" => "00257753" "doi" => "10.1016/j.medcli.2014.07.010" "estado" => "S300" "fechaPublicacion" => "2014-07-01" "aid" => "3060" "copyrightAnyo" => "2014" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Med Clin. 2014;143 Supl 1:43-7" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1063 "formatos" => array:3 [ "EPUB" => 3 "HTML" => 770 "PDF" => 290 ] ] "itemSiguiente" => array:17 [ "pii" => "S0025775314005569" "issn" => "00257753" "doi" => "10.1016/j.medcli.2014.07.011" "estado" => "S300" "fechaPublicacion" => "2014-07-01" "aid" => "3061" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Med Clin. 2014;143 Supl 1:48-54" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 2324 "formatos" => array:3 [ "EPUB" => 5 "HTML" => 1909 "PDF" => 410 ] ] 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"identificador" => "aff0005" ] ] ] 1 => array:3 [ "nombre" => "Miquel" "apellidos" => "Pujol" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:4 [ "nombre" => "Francesc" "apellidos" => "Gudiol" "email" => array:1 [ 0 => "fgudiol@bellvitgehospital.cat" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Centro Coordinador del Programa VINCat, Hospital de Bellvitge, L’Hospitalet de Llobregat, Barcelona, España" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Secretario del Programa VINCat, Hospital de Bellvitge, L’Hospitalet de Llobregat, Barcelona, España" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Director del Programa VINCat, Hospital de Bellvitge, L’Hospitalet de Llobregat, Barcelona, España" "etiqueta" => "c" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Autor para correspondencia." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Validation of the structure and resources of nosocomial infection control team in hospitals ascribed to VINCat program in Catalonia, Spain" ] ] "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Referencias no citadas</span><p id="par0005" class="elsevierStylePara elsevierViewall"><a class="elsevierStyleCrossRefs" href="#bib0005">[1–19]</a>.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:6 [ 0 => array:2 [ "identificador" => "xres361075" "titulo" => "Resumen" ] 1 => array:2 [ "identificador" => "xpalclavsec341019" "titulo" => "Palabras clave" ] 2 => array:2 [ "identificador" => "xres361074" "titulo" => "Abstract" ] 3 => array:2 [ "identificador" => "xpalclavsec341018" "titulo" => "Keywords" ] 4 => array:2 [ "identificador" => "sec0005" "titulo" => "Referencias no citadas" ] 5 => array:1 [ "titulo" => "Bibliografía" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec341019" "palabras" => array:4 [ 0 => "Infección relacionada con el sistema sanitario" 1 => "Validación" 2 => "Equipos de control de infección" 3 => "Vigilancia epidemiológica" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec341018" "palabras" => array:4 [ 0 => "Healthcare-related infection" 1 => "Validation" 2 => "Infection control team" 3 => "Epidemiological surveillance" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Este estudio tiene como objetivo principal validar la estructura de los equipos de control de infección (ECI) adheridos al Programa VINCat y como objetivo secundario establecer la concordancia de los recursos de cada centro con los requerimientos establecidos.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Investigación cualitativa consistente en un estudio etnográfico mediante observación participante durante los años 2008 a 2010. Los centros se estratificaron en 3 grupos según complejidad y camas. El instrumento de trabajo fue una entrevista semiestructurada grupal. La entrevista transcrita se envió a los informantes para su validación. En noviembre de 2010 se envió un cuestionario sobre la dotación y el número de horas de dedicación de los ECI.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Durante 2008-2010 participaron en el programa 65 centros. En el año 2010, los ECI del grupo <span class="elsevierStyleSmallCaps">I</span> disponían de una media de 2 médicos, uno con dedicación completa, y de 1 enfermera por cada 230 camas; en el grupo <span class="elsevierStyleSmallCaps">II</span>, de 1 médico a tiempo parcial y de 1 enfermera por cada 180 camas, y en el grupo <span class="elsevierStyleSmallCaps">III</span> de 1 médico y de 1 enfermera por cada 98 camas, ambos a tiempo parcial. En 2010, todos los centros poseían ECI estructurado, comisión de infecciones operativa, representante del centro en el programa y recursos informáticos suficientes.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Los hospitales participantes en el Programa VINCat disponen en la actualidad de una estructura de vigilancia adecuada y reúnen los recursos humanos y técnicos mínimos requeridos para proporcionar datos de alta calidad; sin embargo, los recursos humanos de los ECI no están adecuadamente consolidados.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">The main objective of this study was to validate the structure of the infection control team (ICT) in the hospitals adhered to VINCat program and secondary objective was to establish the consistency of resources of each center with the requirements established by the program.</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Qualitative research consisting of an ethnographic study using participant observation during the years 2008-2010. The centers were stratified in three groups by complexity and beds. The instrument was a semistructured interview to members of the ICT. The transcription of the interview was sent to informants for validation. In November 2010 a questionnaire regarding human resources and number hours dedicated to the ICT was sent.</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">During 2008-2010, 65 centers had been adhered to VINCat program. In 2010, the ICT of Group <span class="elsevierStyleSmallCaps">I</span> hospitals had a mean of two physician, one in full-time and one nurse for every 230 beds. In Group <span class="elsevierStyleSmallCaps">II</span>, one physician part-time and one nurse per 180 beds and in Group <span class="elsevierStyleSmallCaps">III</span> a physician and a nurse for every 98 beds, both part-time. In 2010, all hospitals had a structured ICT, an operative infection committee, and a hospital member representing the center at the program as well as enough electronic resources.</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The hospitals participating in the program have now VINCat an adequate surveillance structure and meet the minimum technical and human resources required to provide high-quality data. However human resources are not guaranteed.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:19 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "[1]" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Estimating the proportion of healthcare-associated infections that are reasonably preventable and the related mortality and costs" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "C.A. Umscheid" 1 => "M.D. Mitchell" 2 => "J.A. Doshi" 3 => "R. Agarwal" 4 => "K. Williams" 5 => "P.J. Brennan" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1086/657912" "Revista" => array:6 [ "tituloSerie" => "Infect Control Hosp Epidemiol." "fecha" => "2011" "volumen" => "32" "paginaInicial" => "101" "paginaFinal" => "114" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21460463" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "[2]" "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "CDC NNIS System. National Nosocomial Infections Surveillance (NNIS) System Report, data summary from January 1992 through June 2004, issued October 2004. Am J Infect Control. 2004;32:470-85." ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "[3]" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "An intervention to decrease catheter-related bloodstream infections in the ICU" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "P. Pronovost" 1 => "D. Needham" 2 => "S. Berenholtz" 3 => "D. Sinopoli" 4 => "H. Chu" 5 => "S. Cosgrove" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1056/NEJMoa061115" "Revista" => array:6 [ "tituloSerie" => "N Engl J Med." "fecha" => "2006" "volumen" => "355" "paginaInicial" => "2725" "paginaFinal" => "2732" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17192537" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "[4]" "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Kohn L, Corrigan J, Donaldson M, editors. To Err Is Human: Building a Safer Health System. Washington, DC: Committee on Quality of Health Care in America, Institute of Medicine. National Academies Press; 1999." ] ] ] 4 => array:3 [ "identificador" => "bib0025" "etiqueta" => "[5]" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The development and successful implementation of the VINCat Program" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "F. Gudiol" 1 => "E. Limón" 2 => "E. Fondevilla" 3 => "J.M. Argimon" 4 => "B. Almirante" 5 => "M. Pujol" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/S0213-005X(12)70089-7" "Revista" => array:7 [ "tituloSerie" => "Enferm Infecc Microbiol Clin." "fecha" => "2012" "volumen" => "30" "numero" => "Suppl 3" "paginaInicial" => "3" "paginaFinal" => "6" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22776147" "web" => "Medline" ] ] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib0030" "etiqueta" => "[6]" "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Freixas N, Sopena N, Limón E, Bella F, Matas L, Almirante B, et al. Surveillance of methicillin-resistant Staphylococcus aureus (MRSA) in acute care hospitals. Results of the VINCat Program (2008-2010). Enferm Infecc Microbiol Clin. 2012;30 Suppl 3:39-42." ] ] ] 6 => array:3 [ "identificador" => "bib0035" "etiqueta" => "[7]" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Device-associated infection rates in Adult Intensive Care Units in Catalonia: VINCat Program findings" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "J. Vallès" 1 => "E. Limón" 2 => "E. Díaz" 3 => "I. Fernández" 4 => "M. Palomar" 5 => "F. Barcenilla" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/S0213-005X(12)70094-0" "Revista" => array:7 [ "tituloSerie" => "Enferm Infecc Microbiol Clin." "fecha" => "2012" "volumen" => "30" "numero" => "Suppl 3" "paginaInicial" => "33" "paginaFinal" => "38" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22776152" "web" => "Medline" ] ] ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib0040" "etiqueta" => "[8]" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Epidemiology of surgical site infections after total hip and knee joint replacement during 2007-2009: a report from the VINCat Program" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "J. López-Contreras" 1 => "E. Limón" 2 => "L. Matas" 3 => "M. Olona" 4 => "M. Sallés" 5 => "M. Pujol" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/S0213-005X(12)70093-9" "Revista" => array:7 [ "tituloSerie" => "Enferm Infecc Microbiol Clin." "fecha" => "2012" "volumen" => "30" "numero" => "Suppl 3" "paginaInicial" => "26" "paginaFinal" => "32" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22776151" "web" => "Medline" ] ] ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib0045" "etiqueta" => "[9]" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Surveillance of surgical site infections in elective colorectal surgery. Results of the VINCat Program (2007-2010)" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "M. Pujol" 1 => "E. Limón" 2 => "J. López-Contreras" 3 => "M. Sallés" 4 => "F. Bella" 5 => "F. Gudiol" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/S0213-005X(12)70092-7" "Revista" => array:7 [ "tituloSerie" => "Enferm Infecc Microbiol Clin." "fecha" => "2012" "volumen" => "30" "numero" => "Suppl 3" "paginaInicial" => "20" "paginaFinal" => "25" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22776150" "web" => "Medline" ] ] ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bib0050" "etiqueta" => "[10]" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "VINCat Program. Laboratory-based surveillance of hospital-acquired catheter-related bloodstream infections in Catalonia. Results of the VINCat Program (2007-2010)" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "B. Almirante" 1 => "E. Limón" 2 => "N. Freixas" 3 => "F. Gudiol" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/S0213-005X(12)70091-5" "Revista" => array:7 [ "tituloSerie" => "Enferm Infecc Microbiol Clin" "fecha" => "2012" "volumen" => "30" "numero" => "Suppl 3" "paginaInicial" => "13" "paginaFinal" => "19" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22776149" "web" => "Medline" ] ] ] ] ] ] ] ] 10 => array:3 [ "identificador" => "bib0055" "etiqueta" => "[11]" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "VINCat Program. Prevalence of nosocomial infections in acute care hospitals in Catalonia (VINCat Program)" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "M. Olona" 1 => "E. Limón" 2 => "F. Barcenilla" 3 => "S. Grau" 4 => "F. 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