The Clinical Practice Guidelines, a step forward for the control of Sexually Transmitted Infections in Colombia

Hernando Gaitán-Duarte

Resumen


This issue of the Revista Colombiana de Obstetricia y Ginecología features the Clinical Practice Guideline (CPG) for the syndromic management of Sexually Transmitted Infections (STIs) in Colombia. This guideline is part of a set of Guidelines developed by the cinetsalliance in response to Grant 500 of 2009 funded by Colciencias at the request of the former Ministry of Social Protection.

The development of this guideline required the joint effort of academic institutions and scientific societies in order to provide Colombia with the papers containing the recommendations for the management of patients suffering from some of the diseases of greatest Public Health concern. The Colombian Federation of Obstetrics and Gynecology (fecolsog) had an active participation in the development of this Guideline published today, as well as in the development of the Guidelines for pregnancy and childbirth.

Clinical Practice Guidelines (CPG) have been defined as “systematically developed statements to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances” (1). More recently, they were defined as “documents containing recommendations designed to improve patient care. They are built on systematic search for evidence and careful consideration of benefits and harm derived from other management alternatives” (2). It is important to emphasize that guidelines are not only based on evidence, but they must also build on clinical experience and patient experience when it comes to stating recommendations.


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Referencias


Field MJ, Lohr KN, editors. Clinical Practice Guidelines: Directions for a New Program, Institute of Medicine, Washington, DC: National Academy Press; 1990.

Institute of Medicine. Clinical Practice Guidelines We Can Trust. Brief Report. 2011 March [visitado 2013 Jul 11]. Disponible en: http://www.iom.edu/~/media/Files/Report%20Files/2011/Clinical-Practice-Guidelines-We-Can-Trust/Clinical%20Practice%20Guidelines%202011%20Report%20Brief.pdf

Qaseem A, Forland F, Macbeth F, Ollenschläger G, Phillips S, van der Wees P. Guidelines International Network: toward international standards for clinical practice guidelines. Annals of Internal Medicine. 2012;156:525-31.

Salud, INd SIVIGILA, Sistema Nacional de Vigilancia en Salud Pública. 2012; Disponible en: http://www.ins.gov.co/lineas-de-accion/Subdireccion-Vigilancia/sivigila/Paginas/sivigila.aspx

Ángel-Müller E, Rodríguez A, Núñez-Forero LM, Moyano LF, González P, Osorio E, et al. Prevalencia y factores asociados a la infección por C. trachomatis, N. gonorrheae, T. vaginalis, C. albicans, sífilis, VIH y vaginosis bacteriana en mujeres con síntomas de infección vaginal en tres sitios de atención de Bogotá, Colombia, 2010. Rev Colomb Obstet Ginecol. 2012;63:14-24.

Tolosa J, Chaithongwongwatthana S, Daly S, Maw W, Gaitan H, Lumbiganon P, et al. The International Infections in Pregnancy (IIP) study: variations in the prevalence of bacterial vaginosis and distribution of morphotypes in vaginal smears among pregnant women. Am J Obstet Gynecol. 2006;195:1198-204.

Instrumento AGREE II Instrumento para la evaluación de guías de práctica clínica [visitado 2013 Jun 20]. Disponible en: http://www.agreetrust.org/resourcecentre/agree-ii-translations/


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ISSN Impreso       0034-7434 

ISSN Electrónico   2463-0225

https://doi.org/10.18597/issn.0034-7434