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Introduction. The Institutional Pharmacovigilance Program (PIFv) is a component of the National Pharmacovigilance Program (PNFv) executed by the Health Service Provider Institutions (IPS). Objective. Analyze the influence of operational risk factors in the PIFv of IPS with medium and high complexity pharmaceutical service in the Department of Córdoba in 2019. Methodology. Observational, cross-sectional study of association and quantitative approach; the population as well as the sample was formed by IPS with a medium and high complexity pharmaceutical service that were the subject of a technical assistance visit to the PIFv by the health section, to collect the information from the survey, the "HPE Software - PIFv" version 00 was designed with which the "HENRI PIFv Scale for the qualification of the implementation of the pharmacovigilance program in IPS" was automated; descriptive and inferential statistics were applied. Results. The technological tool consolidated the findings of each visit into a record, reducing the survey time by 50%. 13.8% of the IPS were of a public nature and 86.2% were from the private sector; 65.5% of the institutions studied classified the PIFv status as "not implemented", 31.1% as "in implementation" and 3.4% as "implemented"; 55.1% of the IPS presented 100% underreporting of Adverse Drug Event (ADE) in 2019; 31% of the IPS that received a technical assistance visit presented a status of the PIFv “not implemented” and underreporting of EAM of 100%; Inferential statistics did not identify significant statistical associations between the variables studied. Conclusion. In the human talent responsible for the PIFv it was observed that work itinerancy, work overload and / or a low training in pharmacovigilance can constitute operational risk factors for PIFv in the IPS studied, the same effect can produce the absence of a program of pharmacovigilance in the health section.

Objective. The current research study aims to determine the relationship between social risk factors and urinary tract infections in pregnant women admitted to the hospitalization service of a healthcare institution of III level in Montería. Methodology. Descriptive, cross-sectional study with a quantitative approach, test statistics were used to establish associations between social risk factors and urinary tract infections, the sample consisted of 37 pregnant women hospitalized with UTI. For the collection of information, a survey was applied that included sociodemographic aspects, gyneco-obstetric factors, healthcare personnel and hygiene habits, and aspects related to urinary tract infections. Findings. Most of the patients were between 24 - 29 years old with 41%, 73% were in common law union, 73% came from urban areas, 57% belonged to a low socioeconomic status, 32% had technician studies and 27 % and 41%. were employed. The low socioeconomic status, low educational level, unemployment, lack of self-care, inadequate health habits, lack of adherence to prenatal control, and failures in health education were as social risk factors. Conclusion. Besides, through multiple correspondence analysis, it was found that there is a relationship between the variables that represent social risk factors with the variables associated with UTI, the low socioeconomic level and history of UTI, glasses of water consumed by the pregnant woman per day associated with knowledge about UTI, and a relationship was also found between underwear used, the frequency of intimate relations with the variable prevention of UTI.

COVID-19 is an emerging disease of possible zoonotic origin caused by the SARS-CoV-2 virus. It is presumed to have originated in an animal and passed from that animal to humans, in which it has spread very successfully since it was first discovered in late 2019. However, its return from humans to other animal species and again back to humans has been demonstrated, which has involved several mutations and variants that have affected the dynamics of SARS-CoV-2 infection. The possible routes of transmission and its zoonotic potential are currently under investigation worldwide; however, in Colombia, the epidemiological situation of this pathology cannot be accurately estimated due to the low notification of human and animal cases and fragmented epidemiological surveillance systems. Therefore, carrying out strategies to control zoonoses, such as emerging zoonotic disease surveillance, would benefit the region and the country with an awareness and understanding of the synergies involved under the "One Health" approach. Objective. To characterize SARS-CoV-2 infection in dogs and cats in 8 municipalities of the department of Córdoba, Colombia. Methodology. With the approval of the ethics committee of the Instituto de Investigaciones Biológicas del Trópico (IIBT) No. 0410-2020 and the ethics committee of the Faculty of Medicina Veterinaria y Zootecnia of the Universidad de Córdoba Acta No. 005 26 (May 2021). A cross-sectional descriptive molecular and serological surveillance was carried out, where oral and rectal swabs and blood samples were taken proportionally to the estimated population of dogs and cats in the 8 municipalities of the department using the following strategies: house-to-house sampling, deworming, and vaccination campaigns with departmental partners and veterinary centers, and direct request between September 2020 and September 2021. Results. Under the one health approach, this study provided the first genomic report of SARS-CoV-2 B.1.111 lineage infection in a cat in Colombia and the first human-dog transmission event of the IOTA variant in Latin America. Four active cases and an infection rate of 11.5% were identified. Three scientific articles were generated, two presented in a Q2 and a Q1 journal in English, and one to be submitted to a Q2 journal in Spanish where the data obtained from the present investigation were presented and made public. Conclusion. The characterization of SARS-CoV-2 infection in domestic animals living in the department of Córdoba provided relevant information to motivate further research by implementing interdisciplinary and different serological, molecular, and genomic methods of epidemiological surveillance.

Introducción Se considera la accidentalidad como eventos involuntarios generados al menos por un vehículo en movimiento que causa daño a personas o bienes involucrados en el mismo. Objetivo Determinar el comportamiento del incidente vial en Montería 2011 a 2015. Método. Estudio Descriptivo1, retrospectivo2 con comunicación y abordaje cuantitativo3. El presente estudio es de la investigación cuantitativa4, enfoque analítico. Se utilizó la información contenida en la base de datos de la Secretaria de tránsito y transporte de Montería; de los años 2011 a 2015. Resultados. De enero de 2011 a 31 de diciembre de 2015 se registraron 2.598 IV, los resultados del análisis del incidente vial en Montería 2011 – 2015 evidencian que ocurre un IV con lesiones personales cada 12 horas; la mortalidad es más frecuente entre motociclistas (71,3%) y parrilleros (26%) que en otras formas de transporte; el grupo de edad más afectado es el de mayores de 18 años (66%); las zonas de mayor accidentalidad son Centro, La Castellana y Mocarí; las tres vías coinciden con zonas de alto tráfico y pueden ser clasificadas como de alto riesgo, la imprudencia y la velocidad se ha demostrado como la principal causa de incidentes viales en las ciudades. Conclusión El comportamiento del incidente vial en Montería, muestra la aparente influencia del número de motocicletas, el deficiente estado del parque automotor como origen probable de los accidentes con lesiones personales y fallecimientos. Recomendaciones. Es importante identificar las causas que no han permitido avanzar decididamente en la reducción del incidente vial.

Reconstruir las trayectorias de vida de un grupo de mujeres que lograron salir del ciclo de la violencia en sus relaciones de pareja. Conocer estas trayectorias permitirá acercarnos a la comprensión del fenómeno de estudio y plantear estrategias que contribuyan al cuidado integral de mujeres que presenten esta situación

The serological evaluation of SARS-CoV-2 is an alternative that allows knowing the prevalence and dynamics of this infection in populations. Aim. To determine the clinical and socio-demographic dynamics of SARS-CoV-2 infection in a region of the Colombian Caribbean. Methods. Between July and November 2020, a cross-sectional observational study was carried out. The work was carried out in Córdoba, located in the northeast of Colombia in the Caribbean area. Eight municipalities with the largest population were chosen, and 2,564 blood samples were taken. The commercial ELISA was used with the recombinant protein antigen N of SARS-CoV-2. The people included in the study were asked for sociodemographic and clinical data related to pulmonary and extra-pulmonary manifestation of this disease, which were analyzed by statistical methods. Results. A seroposivity of 40.8% was obtained for SARS-CoV-2 in the Cordoba region of the Colombian Caribbean. In the bivariate analysis, no differences were observed in seropositivity against SARS-CoV-2 about gender or age range (P> 0.05). Higher seropositivity was found in low socioeconomic status and symptomatic patients (P <0.0001). 30.7% of the asymptomatic patients were seropositive for SARS-CoV-2, which would be linked to the spread of this infection. In the multivariate analysis, seroconversion was related to poverty and clinical manifestations such as anosmia and ageusia (P <0.05). Conclusions. The high seropositivity in the department of Córdoba would be related to a possible community immunity. Seropositivity would be related to clinical manifestations such as anosmia and ageusia. In addition, the association between seropositivity and socioeconomic level suggests an appropriate context for the transmission of the virus, this being determined by informal economic activities in low-income groups.

Food-borne diseases (FBD) constitute a growing and important public health problem, causing morbidity and mortality mainly in children, the elderly and pregnant women; in addition to economic problems worldwide. In order to know their behavior and establish foundations, what to do, create policies, programs and strategies for their control and prevention, a descriptive, retrospective and longitudinal study of the cases of FBD reported to the Department of Health Secretariat of Córdoba (DHSC ) in the period between 2012 and 2017. In the observation window, 2,533 cases of FBD were notified to the surveillance system -SIVIGILA, allowing an incidence rate of 25 cases per 100.000 inhabitants in the Department to be estimated. The reports made it possible to establish that the population most affected by pathologies associated with food during this period was female. Likewise, the age group most affected are infants and children from 0 to 4 years old and the ethnic group called "other", characterized as people who do not identify themselves in any ethnic group. Most of the reported cases were found in the urban capital, especially in Montería, Tierralta, Sahagún, Chinú and Cereté. The prevalent place was the home, followed by street sales and educational institutions. Regarding the implicated food and etiological agent, the DHSC has little information in this regard, however, it was found that most of the samples analyzed present as a result "Pending" or "Not identified" and that the agents frequently identified were E. coli, Salmonella spp., total coliforms and Sthaphylococcus aureus. Also, all food samples collected in the field investigation were cheese.

El lugar en donde se dio desarrollo a las prácticas empresariales fue la Secretaria de Salud y Seguridad Social del Municipio de Montería-Córdoba, en el segundo semestre de 2021, y el primer semestre de 2022; las actividades que se ejecutaron al interior de la Secretaria de Salud, fue en apoyo al área jurídica, dichas actividades se enfocaron, en el proceso de contratación y apoyo jurídico en asuntos relacionados con Inspección, vigilancia y control, de acuerdo, a la Ley 9 de 1979, Ley 715 de 2001, Sistema General de Seguridad Social en Salud, según los términos de la Ley 100 de 1993 y las demás normas concordantes. Mediante herramientas como lo es la matriz de criterio de priorización y matriz DOFA, se pudieron identificar, posibles mejoras, para el desarrollo de las actividades. Dichas herramientas permitieron conocer la situación en la que se encontraba el ente territorial en ese momento, en dicho análisis se pudo evidenciar de manera más contundente la situación de la secretaria de Salud y Seguridad Social del Municipio de Montería, dentro de las posibles mejoras uno de las necesidades más destacada, era la falta de documentación de procesos, lo cual; dicha necesidad fue confirmada por la auditoria que presento el Instituto Nacional de Vigilancia de Medicamentos Y Alimentos (INVIMA) a el área de Seguridad Ambiental del ente territorial, en donde, uno de los requerimientos fue el establecimiento de un procedimiento sancionatorio administrativo propio de la Secretaria de Salud, contra empresas que pongan en riesgo la salud pública del municipio. Identificada las posibles mejoras, y teniendo en órbita las recomendaciones hechas por el INVIMA, en conjunto con el referente del área jurídica en convenio con el referente del área de alimentos. Se estableció la necesidad priorizada de instaurar el proceso sancionatorio. Los referentes y el director de prácticas, aprobaron la ejecución del proceso sancionador como producto de prácticas empresariales, esto con el fin de mejorar el proceso de inspección, vigilancia y control (IVC) del área de Seguridad Ambiental, garantizando así el bienestar de la población Monteriana.

La realización de esta Monografía tuvo como objetivo proponer un protocolo para el manejo y disposición final de aceites lubricantes vehiculares usados, en la ciudad de Montería, Córdoba, con el fin de comprender el peligro que presenta para el medio ambiente y la Salud pública la inadecuada gestión de estos residuos peligrosos. El interés de hacer esta propuesta se origina por la observación del mal manejo de los establecimientos de Mecánica preventiva y correctiva de los Aceites lubricantes usados en el Municipio de Montería, porque al momento de realizar el cambio de aceites lubricantes a motocicletas y automóviles, no siguen un modelo o unas normas para minimizar la contaminación. La metodología para el desarrollo de la propuesta fue realizada a través de investigación de campo, se obtuvieron fotografías de algunos establecimientos de mecánica del municipio de Montería, recolección de información de sitios web, informes entro otros. La propuesta de un protocolo para el manejo y disposición final de Aceites lubricantes Vehículares usados se apoyó en instrucciones sobre el manejo y almacenamiento temporal del aceite lubricante usado, por gestores de nivel internacional. Lo que se plantea con la propuesta de disposición final de los aceites lubricantes usados, es presentar una manera adecuada de como los establecimientos de Mecánica pueden reducir la generación de estos residuos o desechos peligrosos, siguiendo unos estándares, principios, técnicas apropiadas y normas nacionales e internacionales.

Dengue has become a disease of interest in Public Health, the most important arbovirus of all time due to the socioeconomic burden it produces and the number of cases that are reported daily. To date, an effective vaccine has not been created for its cure or prevention, today it is known that safe practices at home and in the community to control its main vector, Aedes Aegypti, are the only effective way to prevent it since it may be present in containers resulting from human activity, among other factors. that favor its appearance such as climate change and sanitary conditions Objective: To determine the factors that act as facilitators and barriers in the adoption of daily preventive practices of dengue in families from Montería, Córdoba. Materials and methods: Quantitative, descriptive, correlational and cross-sectional study, with a sample of187 individuals from Montería who suffered from dengue or a member of their family. The data were obtained through structured surveys through home visits and telephone calls. Results: a large percentage of individuals have good knowledge about dengue and how to prevent it, but risk behaviors persist, community participation to carry out preventive activities is very deficient, as well as the support, monitoring, evaluation and control by the authorities in the execution of dengue prevention campaigns or activities. Conclusions: more barriers were found than facilitators, which is why more regular interventions are necessary by the entities in charge of health education and strategies related to behavioral change.

La Morbilidad es el índice de personas enfermas en un lugar y tiempo determinado. El índice de la tasa de morbilidad es un dato estadístico útil para estudiar los procesos de evolución y control de las enfermedades. La Organización Mundial de la Salud (OMS) la define como toda desviación subjetiva en un estado de bienestar. Honorio Horna (2006) El objetivo principal es determinar las principales causas de Morbilidad y Mortalidad de la ESE CAMU Moñitos, del departamento de Córdoba. En su sentido general la mortalidad en condición o cualidad para un sentido más específico, podemos investigar con índices de defunciones para calcular en número de muertos que se han obtenido durante los próximos años en la institución con los estudios demográficos, mortalidad se completa según la Organización Mundial de la Salud nos dice Conocer la mortalidad se refiere al número y causas de defunciones producidas en un lugar y un intervalo de tiempo. La metodología se basa en un lineamiento de proceso prioritarios de la ESE CAMU Moñitos del departamento de Córdoba, mediante una investigación de tipo documental, que permitiría recoger la información necesaria para su diagnóstico y posible construcción del perfil, para ello, se solicitó apoyo a las entidades locales del municipio y la entidad investigada. Dentro de los hallazgos encontrados de la Mortalidad en la población se debe principalmente por infartos de diferentes manifestaciones, cabe notar que hace falta información de las causas y demás características suministradas por ESE CAMU Moñitos

Introduction: Dengue is one of the most widespread vector-borne diseases in the world. However, the management that has been given to prevention and care strategies is centered on medical and chemical methods, ignoring the traditional knowledge and practices that the communities possess. Objective: To interpret the knowledge, attitudes and practices of the indigenous people of a reservation in the Department of Córdoba related to the prevention and control of dengue, to build a community strategy for the prevention of dengue. Methodology: The qualitative paradigm was used under a microethnographic design where participant observation, 1 focus group, 23 semi-structured interviews and social cartography were applied. Results: the participating population has a low level of academic training, their work activities are related to the informal sector of the economy, 21 of the participants do not have access to drinking water at home. On the other hand, basic knowledge about the transmission mechanism of dengue, symptoms and the type of vector that transmits it is evidenced. Doubts and inconsistencies persist in said knowledge that needs to be strengthened, such as those related to the conception and form of transmission of this disease. Conclusion: Practices related to the prevention and control of dengue were found, such as the incense of native plants of the region or fumigation techniques with chemical products, which shows the articulation between the modern and the traditional that from the perspective of the present investigation result very important for the design and planning of the strategy.