Justificación de la adherencia a única guía de práctica clínica de neumonía en el adulto en Colombia, una revisión de literatura

Abstract

Introduction. The Clinical Practice Guidelines (CPG) are documents that seek to optimize patient care based on the best scientific evidence and the evaluation of the potential benefits and harms of different therapeutic options. Community-Acquired Pneumonia (CAN) in adults constitutes the main infectious cause of worldwide death and to reduce their morbidity and mortality, the unified national adherence to a single CPG of this disease is considered a priority. Objective. Justify the need for unified national adherence to a single CPG for CAN in adults as an essential requirement for quality assurance in health care in the country for this condition. Methodology. A review of the literature was made to collect, evaluate and integrate the results about CAN in adults in Colombia. Discussion. The findings show a lack of adherence to the CPGs of CAN in Colombia. Although national studies have not found a relationship between low adherence to CPG and mortality from CAN in adults, this relationship has been demonstrated in several international studies. It is essential to develop in a consensual manner with scientific societies and health professionals a single CPG for CAN in adults, in addition to requiring unified national adherence to it, raised to the category of quality of health care by competent authorities and that said CPG be carried out in an interdisciplinary manner and based on extensive epidemiological studies that give it national applicability. Results There is bibliographic evidence to justify that the unified national adherence to a single CPG of CAN is the best method to guarantee the quality of health care in the country for this pathology, since it not only reduces the morbidity and mortality of the disease but also decreases the costs of your attention. Keywords. Adherence, clinical practice guidelines, Community-Acquired Pneumonia, literature review, Colombia.