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Implementación de GLASS-AMR: Una evaluación en la Región del Mediterráneo Oriental de la OMS
Mohamed Sarhan1, Shaffi Fazaludeen Koya1, Elizabeth Tayler2
1World Health Organization Regional Office for the Eastern Mediterranean, Cairo, Egypt.
Mass gathering medicine (Amsterdam, Netherlands)
|December 22, 2025
Resumen
El Sistema Mundial de Vigilancia de la Resistencia y el Uso de Antimicrobianos (GLASS) enfrentó desafíos en la calidad y puntualidad de los datos en la Región del Mediterráneo Oriental. Centrarse en la sostenibilidad y la calidad de los datos es crucial para una vigilancia nacional eficaz de la resistencia a los antimicrobianos.
Área de la Ciencia:
- Salud Pública
- Epidemiología
- Seguridad Sanitaria Mundial
Sus antecedentes:
- El Sistema Mundial de Vigilancia de la Resistencia y el Uso de Antimicrobianos (GLASS) se estableció para monitorear la resistencia a los antimicrobianos (RAM) a nivel mundial.
- La resistencia a los antimicrobianos representa una amenaza significativa para la salud pública en todo el mundo, lo que requiere sistemas de vigilancia sólidos.
Objetivo del estudio:
- Evaluar la implementación del sistema de vigilancia de la RAM de GLASS en la Región del Mediterráneo Oriental de la Organización Mundial de la Salud.
- Evaluar los atributos clave del sistema de vigilancia de la RAM de GLASS utilizando un enfoque de métodos mixtos.
Principales métodos:
- Se adaptó el marco de evaluación de los Centros para el Control de Enfermedades de EE. UU.
- Se utilizaron métodos mixtos, que incluyeron revisión de documentos, análisis de datos de vigilancia y triangulación con puntos focales nacionales.
- Se revisaron documentos de GLASS, informes, datos del Esquema Regional de Evaluación Externa de la Calidad (REQAS) e informes de consultores de la OMS.
Principales resultados:
- Todos los países de la región enviaron datos a GLASS para 2022, pero la representatividad varió.
- La compleja gestión de datos y los requisitos de presentación de informes, junto con posibles problemas en la selección de pacientes y la garantía de calidad de laboratorio, afectaron la sensibilidad y la calidad de los datos.
- Si bien la calidad de los datos mostró algunas fortalezas en comparación con otras regiones de la OMS, se observaron variaciones significativas entre países en cuanto a calidad y completitud.
- La estructura de presentación de informes anuales del sistema limitó los ciclos de retroalimentación locales oportunos para la toma de decisiones.
Conclusiones:
- La variabilidad en la calidad, sensibilidad, representatividad y puntualidad de los datos puede haber obstaculizado la utilidad del sistema para guiar la toma de decisiones.
- La implementación futura de sistemas nacionales de vigilancia de la RAM debe priorizar la sostenibilidad y la generación y utilización de datos de alta calidad para intervenciones rápidas.
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