<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0186-2391</journal-id>
<journal-title><![CDATA[Acta pediátrica de México]]></journal-title>
<abbrev-journal-title><![CDATA[Acta pediatr. Méx]]></abbrev-journal-title>
<issn>0186-2391</issn>
<publisher>
<publisher-name><![CDATA[Instituto Nacional de Pediatría]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0186-23912016000600322</article-id>
<article-id pub-id-type="doi">10.18233/apm37no6pp322-327</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Prevención de neumonía asociada a ventilación con paquete de verificación en la Unidad de Cuidados Intensivos. Estudio piloto]]></article-title>
<article-title xml:lang="en"><![CDATA[Pilot study, VAP prevention using a bundle in the Intensive Care Unit]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández-Orozco]]></surname>
<given-names><![CDATA[HG]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Castañeda-Narváez]]></surname>
<given-names><![CDATA[JL]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lucas-Reséndiz]]></surname>
<given-names><![CDATA[ME]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rosas-Ruiz]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Aparicio-Santiago]]></surname>
<given-names><![CDATA[GL]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Zárate-Castañón]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Camacho-Soto]]></surname>
<given-names><![CDATA[SA]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Nacional de Pediatría Departamento de Infectología ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Nacional de Pediatría  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Instituto Nacional de Pediatría  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Instituto Nacional de Pediatría  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Instituto Nacional de Pediatría  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2016</year>
</pub-date>
<volume>37</volume>
<numero>6</numero>
<fpage>322</fpage>
<lpage>327</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0186-23912016000600322&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0186-23912016000600322&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0186-23912016000600322&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción: los paquetes de verificación son una estrategia efectiva para la prevención de neumonías asociadas a ventilador.  Objetivo: determinar la viabilidad y beneficios de aplicar un paquete de verificación para prevenir neumonías asociadas a ventilador.  Material y métodos: estudio piloto transversal, ambispectivo realizado del 2011 al 2013, determinando la tasa de neumonías asociadas a ventilador por 1,000 días ventilador en ese periodo y aplicando a partir del 2012 un paquete de verificación, para prevenir neumonías asociadas a ventilador en niños con ventilación mecánica en la Unidad de Cuidados Intensivos Pediátricos.  Resultados: el cumplimiento de los parámetros evaluados mediante el paquete de prevención de neumonías asociadas a ventilador implementado en 2012 fue de entre 66 y 100%, con una disminución en la incidencia de neumonías asociadas a ventilador de 47% en el periodo 2011 a 2012 y de 69% en 2013, con tasas de neumonía asociada a ventilador de 13.85, 7.29 y 4.3 neumonías por 1,000 días ventilador, respectivamente.  Conclusiones: el uso de paquete de verificación para prevención de neumonías es aplicable y efectivo para disminuir estas infecciones asociadas a la atención de la salud. Implica el compromiso y trabajo multidisciplinario de todo el servicio, así como un programa para llevar a cabo esta estrategia, por lo cual se planea su aplicación en todas las unidades de cuidados intensivos de la institución.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction: Use of verification bundles an effective strategy for the prevention of ventilator-associated pneumonia (VAP).  Objective: To determine the feasibility and benefits of applying a verification bundles to prevent VAP.  Methods: Cross, ambispective pilot study from 2011 to 2013 determining the rate of ventilator-associated pneumonia per 1,000 ventilator-days in that period and applying from 2012 a package of verification to prevent VAP in children with mechanical ventilation in the pediatric intensive care unit.  Results: Compliance with the parameters evaluated by VAP prevention verification package implemented in 2012 was 66% to 100%, resulting in a decrease in the incidence of VAP of 47% in the period 2011-2012 and 69% 2013, presenting rates VAP of 13.85, 7.29 and 4.3 pneumonias per 1,000 ventilator-days respectively.  Conclusions: The use of verification package for prevention of pneumonia is applicable and effective in reducing rates of VAP. This involves the commitment and multidisciplinary work of the whole service and a program to carry out this strategy of prevention to infections; the plan is implement this strategy in all intensive care units of the institution.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[neumonía asociada a ventilador]]></kwd>
<kwd lng="es"><![CDATA[paquete de verificación]]></kwd>
<kwd lng="es"><![CDATA[prevención]]></kwd>
<kwd lng="es"><![CDATA[pediatría]]></kwd>
<kwd lng="es"><![CDATA[prevención efectiva]]></kwd>
<kwd lng="en"><![CDATA[ventilator-associated pneumonia]]></kwd>
<kwd lng="en"><![CDATA[VAP]]></kwd>
<kwd lng="en"><![CDATA[bundles testing]]></kwd>
<kwd lng="en"><![CDATA[prevention]]></kwd>
<kwd lng="en"><![CDATA[pediatrics]]></kwd>
<kwd lng="en"><![CDATA[effective prevention]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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