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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Evaluar la eficiencia de sustituir algunos dispositivos m&#233;dicos por otros dise&#241;ados para prevenir exposiciones percut&#225;neas &#40;EP&#41;&#46;</p> <span class="elsevierStyleSectionTitle">M&#233;todos</span><p class="elsevierStyleSimplePara elsevierViewall">Se han estimado las relaciones coste-efectividad de sustituir algunos dispositivos por otros dise&#241;ados para prevenir EP&#58; se han considerado los costes de adquisici&#243;n y de la asistencia a una EP&#59; el n&#250;mero de EP prevenibles por cada dispositivo se ha estimado a partir de las 252 exposiciones ocupacionales notificadas por el personal de un hospital de 1&#46;300 camas de marzo de 2002 a febrero de 2003&#46; Se ha calculado la relaci&#243;n entre el coste adicional de los dispositivos alternativos y el n&#250;mero de EP evitables de alto riesgo &#40;las que cumpl&#237;an 2 o m&#225;s de los siguientes&#58; EP moderadamente profunda o profunda&#44; por objeto insertado en vaso&#44; o por objeto expuesto a la sangre&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Orden de los dispositivos seg&#250;n la relaci&#243;n costeefectividad&#58;aguja con resguardo para cat&#233;ter implantado &#40;&#8722;2&#44;65 &#8364;&#47;EP evitada&#41;&#44; seguida por jeringa con resguardo &#40;869&#44;79 &#8364;&#47;EP&#41;&#44; aguja con aletas con resguardo&#44; equipo de perfusion con v&#225;lvulas y cat&#233;ter endovenoso perif&#233;rico con retracci&#243;n del fiador&#46; Orden seg&#250;n relaci&#243;n entre coste adicional y n&#250;mero de EP de alto riesgo evitadas&#58; aguja para acceso a cat&#233;ter implantado&#44; seguida por aguja con aletas&#44; jeringa para aguja hipod&#233;rmica&#44; cat&#233;ter endovenoso y equipo de infusion con v&#225;lvulas&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">El ahorro en asistencia a EP compensa el coste adicional de algunos dispositivos dise&#241;ados para prevenirlas&#46; Un an&#225;lisis coste-efectividad ayuda a establecer prioridades&#44; pero debe tener en cuenta el riesgo de las EP asociadas con cada dispositivo&#46;</p>"
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        "titulo" => "Abstract"
        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">To assess the efficiency of the replacement of several medical devices by engineered sharp injury &#40;SI&#41; prevention devices &#40;ESIPDs&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Methods</span><p class="elsevierStyleSimplePara elsevierViewall">The cost-effectiveness ratios of the replacement of medical devices in use by ESIPDs were estimated&#58; their purchasing costs and the direct costs of sharp injury care were taken into account&#59; the number of SI avoidable by each ESIPD was estimated from the 252 occupational SI notified by healthcare workers at a 1&#44;300 bed hospital from March 2002 to February 2003&#46; The relationship between ESIPD additional costs and the number of high-risk SI was estimated &#40;SI were classified as high-risk if they met two or more of the following criteria&#58; moderately-deep or deep injury&#44; injury with a device previously inserted in an artery or vein&#44; or with a device exposed to blood&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">ESIPDs order according to cost-effectiveness ratio&#58; safety needle for implanted ports &#40;&#8722;2&#46;65 &#8364;&#47;SI avoided&#41;&#44; followed by syringes with protective shield &#40;869&#46;79 &#8364;&#47;SI&#41;&#44; resheathable winged steel needles&#44; needleless administration sets&#44; and short catheters with protective encasement&#46; ESIPDs order according to relationship between additional costs and number of high-risk sharp injuries avoided&#58; safety needles for implanted ports&#44; followed by winged steel needles&#44; hypodermic syringes&#44;short catheter and needleless administration sets&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">Savings in SI care outweigh additional costs of certain ESIPDs&#46; Cost-effectiveness analysis is useful in assigning priorities&#59; however the risks of SI by every device must be taken into account&#46;</p>"
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                      "titulo" => "A case-control study of HIV seroconversion in health care workers after percutaneous exposure"
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                    0 => array:2 [
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                  "referenciaCompleta" => "NIOSH Alert&#58; Preventing Needlestick Injuries in Health Care Settings&#46; DHHS &#40;NIOSH&#41; Publication N&#46;&#176; 2000-108&#46; November 1999 &#91;accedido 30 Mar 2000&#93;&#46; Disponible en&#58;<a class="elsevierStyleInterRef" href="http://www.cdc.gov/niosh/2000-108.html">http&#58;&#47;&#47;www&#46;cdc&#46;gov&#47;niosh&#47;2000-108&#46;html</a>"
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                      "titulo" => "Selection of needlestick prevention devices&#58; a conceptual framework for approaching product evaluation"
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                      "Revista" => array:6 [
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