Modelos óptimos de construcción hospitalaria para disminuir infecciones en Piura y Castilla: revisión sistemática
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Publisher
Vive Rev. Salud
Abstract
Esta revisión sistemática analiza modelos óptimos de construcción hospitalaria para reducir IIH en las regiones de Piura y Castilla, caracterizadas por clima tropical y alta vulnerabilidad epidemiológica. El objetivo fue sintetizar evidencias sobre diseños arquitectónicos, sistemas de ventilación y protocolos constructivos efectivos. Tras aplicar la metodología PRISMA, se identificaron 153 estudios en PubMed, Scopus, Web of Science y repositorios regionales; tras cribado por criterios de inclusión (artículos en español/inglés de 20 años, enfoque en reducción de IIH) y exclusión (documentos sin acceso completo, revisiones narrativas o baja calidad metodológica), se incluyeron 11 investigaciones. Los resultados demuestran que modelos integrados (bioclimáticos adaptados, ventilación híbrida y gestión colaborativa) reducen IIH hasta en 52%, aunque su implementación enfrenta barreras técnicas y económicas. Se concluye que la adopción de estrategias contextualizadas, costo-eficientes y colaborativas es necesaria para transformar la infraestructura sanitaria en una "barrera activa" contra infecciones en estas regiones.
This systematic review analyzes optimal hospital construction models to reduce healthcare-associated infections (HAIs) in the Piura and Castilla regions, characterized by tropical climate and high epidemiological vulnerability. The objective was to synthesize evidence on architectural designs, ventilation systems, and effective construction protocols. Following the PRISMA methodology, 153 studies were identified in PubMed, Scopus, Web of Science, and regional repositories; after screening by inclusion criteria (articles in Spanish/English from the last 20 years, focus on HAI reduction) and exclusion criteria (documents without full access, narrative reviews, or low methodological quality), 11 studies were included. Results show that integrated models (adapted bioclimatic designs, hybrid ventilation, and collaborative management) reduce HAIs by up to 52%, although their implementation faces technical and economic barriers. It is concluded that adopting contextualized, cost-effective, and collaborative strategies is necessary to transform healthcare infrastructure into an "active barrier" against infections in these regions.
This systematic review analyzes optimal hospital construction models to reduce healthcare-associated infections (HAIs) in the Piura and Castilla regions, characterized by tropical climate and high epidemiological vulnerability. The objective was to synthesize evidence on architectural designs, ventilation systems, and effective construction protocols. Following the PRISMA methodology, 153 studies were identified in PubMed, Scopus, Web of Science, and regional repositories; after screening by inclusion criteria (articles in Spanish/English from the last 20 years, focus on HAI reduction) and exclusion criteria (documents without full access, narrative reviews, or low methodological quality), 11 studies were included. Results show that integrated models (adapted bioclimatic designs, hybrid ventilation, and collaborative management) reduce HAIs by up to 52%, although their implementation faces technical and economic barriers. It is concluded that adopting contextualized, cost-effective, and collaborative strategies is necessary to transform healthcare infrastructure into an "active barrier" against infections in these regions.
Description
Vol. 8, No. 23
Keywords
Arquitectura hospitalaria bioclimática, Control infecciones constructivas, Gestión colaborativa construcción, Modelos 3C salud, Optimización flujos hospitalarios, Resiliencia hospitalaria tropical, Bioclimatic hospital architecture, Construction infection control, Collaborative construction management, 3C health models, Hospital flow optimization, Tropical hospital resilience, Arquitetura hospitalar bioclimática, Controle de infecções na construção, Gestão colaborativa da construção, Modelos 3C em saúde, Otimização dos fluxos hospitalares, Resiliência hospitalar tropical