<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2307-3349</journal-id>
<journal-title><![CDATA[Revista de salud publica del Paraguay]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. salud publica Parag.]]></abbrev-journal-title>
<issn>2307-3349</issn>
<publisher>
<publisher-name><![CDATA[INSTITUTO NACIONAL DE SALUD - MSP Y BS]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2307-33492021000100020</article-id>
<article-id pub-id-type="doi">10.18004/rspp.2021.junio.20</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Estrategias de Instrucción sobre Medidas de Protección Individual a trabajadores de nueve hospitales del Paraguay durante la pandemia COVID-19]]></article-title>
<article-title xml:lang="en"><![CDATA[Instructional Strategies on Individual Protection Measures for workers in nine paraguayan hospitals during the COVID-19 pandemic]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez Bejarano]]></surname>
<given-names><![CDATA[D]]></given-names>
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<surname><![CDATA[Vigo]]></surname>
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<surname><![CDATA[González]]></surname>
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<surname><![CDATA[Samudio]]></surname>
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<surname><![CDATA[Delgado]]></surname>
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<surname><![CDATA[Martínez]]></surname>
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<surname><![CDATA[Molinas]]></surname>
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<surname><![CDATA[Florentín]]></surname>
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<surname><![CDATA[Velázquez]]></surname>
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<surname><![CDATA[Lemir]]></surname>
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<surname><![CDATA[Caballero]]></surname>
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<surname><![CDATA[Ramos]]></surname>
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<surname><![CDATA[Rolón Ruiz Diaz]]></surname>
<given-names><![CDATA[A]]></given-names>
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<contrib contrib-type="author">
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<surname><![CDATA[Rios-González]]></surname>
<given-names><![CDATA[CM]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Sociedad Paraguaya de Neumología  ]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Ministerio de Salud Pública y Bienestar Social X Región Sanitaria, Hospital Regional de Ciudad del Este ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Nacional del Este Facultad de Ciencias de la Salud ]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Ministerio de Salud Pública y Bienestar Social Hospital General de Luque ]]></institution>
<addr-line><![CDATA[Luque ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Hospital Central del Instituto de Previsión Social, Hospital Central Servicio de Cardiología ]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Universidad Nacional de Caaguazú Facultad de Ciencias Médicas Dirección de Investigación]]></institution>
<addr-line><![CDATA[Cnel. Oviedo ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2021</year>
</pub-date>
<volume>11</volume>
<numero>1</numero>
<fpage>20</fpage>
<lpage>27</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2307-33492021000100020&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2307-33492021000100020&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2307-33492021000100020&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN   Introducción: La adherencia a las medidas de bioseguridad por el personal de salud es una estricta necesidad en los tiempos de pandemia por COVID-19.  Objetivo: Evaluar el impacto de dos estrategias de instrucción sobre Medidas de Protección Individual a trabajadores de nueve hospitales del Paraguay durante la pandemia COVID-19.  Metodología:  Estudio cuasi experimental, modelo antes/después, realizado durante los meses de marzo y abril de 2020; se han comparado dos estrategias didácticas sobre medidas de protección individual en trabajadores de nueve hospitales del Paraguay, agrupados en tres conglomerados seleccionados por conveniencia (médicos, enfermería y personal de apoyo). La instrucción y la supervisión fue realizada por neumólogos pertenecientes a los hospitales mediante la aplicación de un protocolo uniforme. Todos los análisis de datos se llevaron a cabo utilizando el software JASP, versión 0.9.01.  Resultados: Fueron incluidos en el estudio 792 individuos. La competencia de lavado de manos (81% vs 79%) después de ambos enfoques didácticos, sin embargo, el desempeño en puesta y retirada de EPI mostró diferencia significativa (60% vs 73% y 56% vs 66%, respectivamente). Hubo disparidad en la tasa de prácticas realizadas después de la reunión de instrucción (76% vs 89%), y aunque el papel del azar en este análisis fue inferior al 5%, es importante tener en consideración esta variable al analizar los desenlaces.  Conclusión:  Fue posible optimizar el aprendizaje uniforme de protocolos de protección individual con medidas accesibles en algunos grupos estudiados aquí. La retirada de equipo de protección personal constituyó el eslabón más débil de las competencias abordadas en este ensayo. Al ser liderado este proyecto por especialistas de cada hospital se realza la importancia del trabajo en equipo y sentido de compromiso.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Adherence to biosecurity measures by healthcare workers is a strict necessity in times of pandemic of COVID-19.  Objective: Evaluate the impact of two instructional strategies on Individual Protection Measures for workers of nine hospitals in Paraguay during the COVID-19 pandemic.  Methodology: Quasi-experimental study, before / after model, carried out during the months of March and April 2020, two didactic strategies have been compared, on individual protection measures in workers of nine hospitals in Paraguay, grouped in three conglomerates selected for convenience (doctors , nursing and support staff). Instruction and supervision was carried out by pulmonologists belonging to the hospitals through the application of a uniform protocol. All data analyzes were carried out using JASP software, version 0.9.01.  Results: 792 individuals were included in the study. The hand washing competence (81% vs 79%) after both didactic approaches, however, the performance in putting on and taking off PPE showed a significant difference (60% vs 73% and 56% vs 66%, respectively). There was a disparity in the rate of practices performed after the training meeting (76% vs 89%), and although the role of chance in this analysis was less than 5%, it is important to take this variable into consideration when analyzing the outcomes.  Conclusion:  It was possible to optimize the uniform learning of individual protection protocols with accessible measures in some groups studied here. The removal of personal protective equipment was the weakest link in the competencies addressed in this trial. The fact that this project was led by specialists from each hospital highlights the importance of teamwork and sense of commitment.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Bioseguridad]]></kwd>
<kwd lng="es"><![CDATA[personal de salud]]></kwd>
<kwd lng="es"><![CDATA[equipo de protección personal]]></kwd>
<kwd lng="es"><![CDATA[COVID-19.]]></kwd>
<kwd lng="en"><![CDATA[Biosecurity]]></kwd>
<kwd lng="en"><![CDATA[health personnel]]></kwd>
<kwd lng="en"><![CDATA[personal protective equipment]]></kwd>
<kwd lng="en"><![CDATA[COVID-19.]]></kwd>
</kwd-group>
</article-meta>
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