{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T20:06:43Z","timestamp":1790021203565,"version":"4.0.1"},"reference-count":24,"publisher":"Instituto Nacional de Salud (Colombia)","issue":"3","license":[{"start":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T00:00:00Z","timestamp":1787184000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100022965","name":"Ministerio de Ciencia, Tecnolog\u00eda e Innovaci\u00f3n","doi-asserted-by":"publisher","award":["210484467820"],"award-info":[{"award-number":["210484467820"]}],"id":[{"id":"10.13039\/100022965","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["revistabiomedica.org"],"crossmark-restriction":false},"short-container-title":["Biomed."],"abstract":"<jats:p>Introducci\u00f3n. El distrito de Santiago de Cali es la segunda entidad territorial con mayor n\u00famero de casos de tuberculosis en Colombia. Desde el 2016, la Secretar\u00eda de Salud P\u00fablica implement\u00f3 el plan de control de infecciones en las instituciones prestadoras de servicios de salud con programas activos contra la tuberculosis, lo que hizo necesaria su evaluaci\u00f3n.Objetivo. Contrastar los aspectos normativos y los elementos contextuales que influyen en la operaci\u00f3n del plan de control de infecciones de tuberculosis, para documentar buenas pr\u00e1cticas y \u00e1reas de oportunidad en las instituciones prestadoras de servicios de salud.Materiales y m\u00e9todos. Se llev\u00f3 a cabo un estudio evaluativo con enfoque mixto para analizar las capacidades institucionales del plan de control de infecciones. El componente cuantitativo incluy\u00f3 la revisi\u00f3n documental y la evaluaci\u00f3n de las medidas administrativas, ambientales y de protecci\u00f3n respiratoria. Con el componente cualitativo, mediante el estudio de caso, se analizaron la normatividad, la gobernanza, el financiamiento, los sistemas de informaci\u00f3n, la infraestructura y la formaci\u00f3n del personal. La informaci\u00f3n se integr\u00f3 mediante triangulaci\u00f3n.Resultados. El cumplimiento promedio del plan de control de infecciones fue del 70,8 % en las medidas administrativas, del 62,1 % en el control ambiental y del 90,5 % en de protecci\u00f3n respiratoria. Se identific\u00f3 la ausencia de normatividad nacional espec\u00edfica, frecuente rotaci\u00f3n del personal, falta de capacitaci\u00f3n, brechas en inversi\u00f3n y mantenimiento ambiental, e insuficiente monitoreo de la tuberculosis ocupacional. Entre las fortalezas, se destacaron la captaci\u00f3n de pacientes sintom\u00e1ticos respiratorios y la disponibilidad de elementos de protecci\u00f3n respiratoria.Conclusiones. Se evidenciaron brechas estructurales asociadas con la falta de un marco normativo nacional, debilidades de gobernanza, limitaciones financieras y deficiencias en el seguimiento y en la formaci\u00f3n. Se recomienda determinar responsabilidades, asignar recursos y establecer protocolos operativos en las instituciones prestadoras de servicios de salud. La sostenibilidad del plan de control de infecciones requiere indicadores de seguimiento, auditor\u00edas peri\u00f3dicas y capacitaci\u00f3n continua.<\/jats:p>","DOI":"10.7705\/biomedica.8210","type":"journal-article","created":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T13:09:31Z","timestamp":1788268171000},"page":"466-480","update-policy":"https:\/\/doi.org\/10.7705\/crossmark","source":"Crossref","is-referenced-by-count":0,"title":["Directrices estructurales para la sostenibilidad del plan de control de infecciones de tuberculosis en instituciones prestadoras de servicios de salud, distrito de Cali, 2021","Structural guidelines for the sustainability of the tuberculosis infection control plan"],"prefix":"10.7705","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7967-0677","authenticated-orcid":false,"given":"M\u00f3nica","family":"Espinosa","sequence":"first","affiliation":[{"name":"Grupo de Micobacterias, Direcci\u00f3n de Investigaci\u00f3n en Salud P\u00fablica, Instituto Nacional de Salud, Bogot\u00e1, D. C., Colombia;\u00a0Escuela de Salud P\u00fablica, Universidad del Valle, Santiago de Cali, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2231-4591","authenticated-orcid":false,"given":"Lucy del Carmen","family":"Luna","sequence":"additional","affiliation":[{"name":"Secretar\u00eda Distrital de Salud P\u00fablica, Santiago de Cali, Colombia; Red Nacional de Investigaci\u00f3n Innovaci\u00f3n y Gesti\u00f3n del Conocimiento en Tuberculosis, Bogot\u00e1, D. C., Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1901-2736","authenticated-orcid":false,"given":"Claudia","family":"Rojas","sequence":"additional","affiliation":[{"name":"Grupo de Micobacterias, Direcci\u00f3n de Investigaci\u00f3n en Salud P\u00fablica, Instituto Nacional de Salud, Bogot\u00e1, D. C., Colombia; Red Nacional de Investigaci\u00f3n Innovaci\u00f3n y Gesti\u00f3n del Conocimiento en Tuberculosis, Bogot\u00e1, D. C., Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8577-0228","authenticated-orcid":false,"given":"Gloria Mercedes","family":"Puerto","sequence":"additional","affiliation":[{"name":"Grupo de Micobacterias, Direcci\u00f3n de Investigaci\u00f3n en Salud P\u00fablica, Instituto Nacional de Salud, Bogot\u00e1, D. C., Colombia; Red Nacional de Investigaci\u00f3n Innovaci\u00f3n y Gesti\u00f3n del Conocimiento en Tuberculosis, Bogot\u00e1, D. C., Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2525-9935","authenticated-orcid":false,"given":"Robinson","family":"Pacheco","sequence":"additional","affiliation":[{"name":"Red Nacional de Investigaci\u00f3n Innovaci\u00f3n y Gesti\u00f3n del Conocimiento en Tuberculosis, Bogot\u00e1, D. C., Colombia;\u00a0Grupo de Investigaci\u00f3n Esculapio, Universidad Libre Seccional Cali, Santiago de Cali, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8792-2002","authenticated-orcid":false,"given":"Claudia Marcela","family":"Castro","sequence":"additional","affiliation":[{"name":"Grupo de Micobacterias, Direcci\u00f3n de Investigaci\u00f3n en Salud P\u00fablica, Instituto Nacional de Salud, Bogot\u00e1, D. C., Colombia; Red Nacional de Investigaci\u00f3n Innovaci\u00f3n y Gesti\u00f3n del Conocimiento en Tuberculosis, Bogot\u00e1, D. C., Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"4444","published-online":{"date-parts":[[2026,8,20]]},"reference":[{"key":"167803","unstructured":"Instituto Nacional de Salud. Informe de evento tuberculosis. Bogot\u00e1: Instituto Nacional de Salud; 2024. Fecha de consulta: 10 de julio del 2025. 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