(714131127)...

7/24/2019 (714131127) Sistema+de+vigilancia+epidemiolgica+para+la+prevencin+de+los+desordenes+acumulativos+t

http:///reader/full/714131127-sistemadevigilanciaepidemiologicaparalaprevenciondelosdesordenesacumulativostra 1/46

SISTEMA DE VIGILANCIA EPIDEMIOLOGICA PARA LA PREVENCION

DE LOS DESORDENES ACUMULATIVOS TRAUMATICOS EN LA

GERENCIA COMPLEJO DE BARRANCABERMEJA DE ECOPETROL

REPUBLICA DE COLOMBIA MINISTERIODE MINAS Y ENERGIA EMPRESACOLOMBIANA DE PETRLEOS

ECOPETROL

DEPARTAMENTO DE SALUD OCUPACIONAL Y AMBIENTEGERENCIA COMPLEJO BARRANCABERMEJA

UNIVERSIDAD DE ANTIOQUIA FACULTADNACIONAL DE SALUD PUBLICA

CENTRO DE INVESTIGACIONES

AUTORES

JAIRO ESTRADA MUOZMARIA PATRICIA ARBELEZ MONTOYA

HORACIO BERRO VASQUEZ

COLABORADORES POR ECOPETROL

NESTOR OYAGAEUCARIS ALZATEEDGAR MONROYSUSANA CALVO

HELENA JARAMILLO



CONTENIDO

Intr!"##$%n&' O()*t$+,-' F"*nt*, !* In.r/0#$%n 1 V0r$0(2*,-'&' S$,t*/0 !* In.r/0#$%n !* P*r,n02'-'-' S$,t*/0 Un$# !* In.r/0#$%n *n S02"!-'3' S$,t*/0 !* In.r/0#$%n F0#tr*, !* R$*,4 O#"50#$n02-'6' Otr0, ."*nt*, !* $n.r/0#$%n 1 F2")4r0/0,3' E,t7n!0r*, !* *)*#"#$%n6' E,tr0t*4$0,8' P20n !* 5r#*,0/$*nt 1 0n72$,$, !* 2, !0t,9' A##$n*, t:#n$#0,

An*;,

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ANE=OS

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2"/(024$0 @ L$,t0 !* #>*?"* 50r0 *+02"0#$%n ,$/52$.$#0!0 !*2 r$*,4!* t*n,$n+$t$, 1 2*,$n*, 5r tr0"/0 0#"/"20t$+ !* 2, /$*/(r,,"5*r$r*,'

An*; ' In.r/0#$%n ,(r* 20 5(20#$%n 0 r$*,4An*; ' C"*,t$n0r$ !* S$4n, 1 S



INTRODUCCION

L, !*,%r!*n*, !* tr0"/0 0#"/"20t$+ DTA t0/($:n !*n/$n0!, L*,$n*,5r *,."*r r*5*t$t$+ LER #n,t$t"1*n "n #n)"nt !* *n.*r/*!0!*, !* 2,t*)$!, (20n!, #0r0#t*r$0!, 5r /2*,t$0 !*($2$!0! $n#050#$!0! 50r0 *)*r#*r

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1. OBJETIVOS

G*n*r02

V$4$20r *n *2 0/($*nt* 20(r02 1 *n 2, tr0(0)0!r*, !* 20 GCB !* ECOPETROL 205r*,*n#$0 !* 2, !*,%r!*n*, tr0"/7t$#, 0#"/"20t$+, 1 2, .0#tr*, !* r$*,4 *n2, !$.*r*nt*, .$#$, t02*, #/ r*5*t$#$%n 5,t"r0 *;tr*/0 5,t"r0 *,t7t$#0."*r0 .0#tr*, 0/($*nt02*, .0#tr*, 5,$#,#$02*, 1 !* r40n$0#$%n !*2 tr0(0)#n *2 .$n !* 5r*+*n$r !$#>, !*,%r!*n*, *n 20 5(20#$%n tr0(0)0!r0 r*02$0r *2!$04n%,t$# 5r*# *2 ,*4"$/$*nt 1 20 *!"#0#$%n 0 20 5(20#$%n *;5"*,t0'

E,5*#



2. Fuentes de Informacin Varia!"es.

En t:r/$n, 5r7#t$#, ,* !$,5n* !* tr*, ."*nt*, !* $n.r/0#$%n *n *2 0/($*nt*20(r02 *n 20 !*t*##$%n 5r*# !* 2, tr0(0)0!r*, *;5"*,t, 1 *n 20 *+02"0#$%n

*r4n%/$#0 0 2, .$#$, !* 2, tr0(0)0!r*, ?"* #n,"2t*n 5r *,t, !*,%r!*n*,'L0, ."*nt*, !* $n.r/0#$%n $!*nt$.$#0!0, *n 20 GCB t$*n*n #%/ #0r0#t*r



-'3 SIFRO S$,t*/0 !* In.r/0#$%n ,(r* F0#tr*, !* R$*,4 O#"50#$n02

E, "n0 >*rr0/$*nt0 #/5"t0r$0!0 50r0 .r/"20r *2 50nr0/0 !* .0#tr*, !*r$*,4 #"50#$n02 ?"* 5*r/$t* r*4$,tr0r 1 !*t*r/$n0r *2 4r0! !* 5*2$4r,$!0! 1!* r*5*r#",$%n !* !$#>, .0#tr*, !* r$*,4'

P*r/$t* 20 #n,"2t0 !* 20 ,$t"0#$%n *n ?"* ,* *n#"*ntr0n 2, .0#tr*, !* r$*,4#"50#$n02 5r 2, *n#0r40!, !* $/52*/*nt0r 20, /*!$!0, !* $nt*r+*n#$%n,(r* *22, 1 5r 2, #r!$n0!r*, !* 2, 5r1*#t, !* ,02"! #"50#$n02 !* 20*/5r*,0'

M*!$0nt* *,t0 052$#0#$%n ,* 4*n*r0n r*5rt*, 50r0 *+02"0r *2 $/50#t ?"* t$*n*n20, /*!$!0, !* $nt*r+*n#$%n ,(r* 2, .0#tr*, !* r$*,4 1 r$*nt0r 20 4*,t$%n,(r* 20, #n!$#$n*, !* tr0(0) 1 /*!$ 0/($*nt*' P0r0 *2 5r*,*nt* 5rt#2*,t* ,$,t*/0 5"*!* ,*r 0!*#"0! 50r0 20 *+02"0#$%n !* 2, .0#tr*, !* r$*,4*r4n%/$# 0 50rt$r !* 2, .$#$, 2 ?"* ,* #n+*rt$r7 *n *2 5r$/*r t0/$ ?"*!*,!* *2 0/($*nt* ,* *,t0(2*#* *n *,t* 5rt#2

-'6' Otr0, F"*nt*, !* In.r/0#$%n 1 F2")4r0/0,

L0, ."*nt*, !* $n.r/0#$%n ?"* 5r5n* *2 5r*,*nt* S$,t*/0 !* V$4$20n#$0E5$!*/$2%4$#0 !* 2, DTA ,n !* +0r$, t$5,

In.r/0#$%n 5*r,n02 !*2 tr0(0)0!r +0r$0(2*, (t*n$!0, !*2 SIP n/*r !*r*4$,tr t$5 !* n%/$n0 ,*; n$+*2 *!"#0t$+ 0nt$4*!0! *n 20 */5r*,0!*5*n!*n#$0 .$#$ t$*/5 *n *2 .$#$' V*r An*;, & - 1 3In.r/0#$%n !* 2, .0#tr*, !* r$*,4 !* #0!0 "n !* 2, .$#$, (t*n$!0 !*2SIFRO V*r An*; 6In.r/0#$%n !* 20, #n!$#$n*, ($/*#7n$#0, 1 *r4n%/$#0, !* 2, .$#$, ?"*>0n ,$! #02$.$#0!, !* 02t r$*,4 *r4n%/$# (t*n$!0 !* 052$#0r #"*,t$n0r$5r .$#$ V*r An*; 8In.r/0#$%n !* r$*,4 *,5*#



DIAGRAMA GENERAL DE FLUJOS DE INFORMACION

SISTEMA DE VIGILANCIA EPIDEMIOLOGICA DE D.T.A.

S.I.P.Informacin sobre trabajador

Divisin de Salud

S.U.I.S.

SIFRO

Informacin sobre patologas

Informacin sobre panorama

De factores de riesgo

SIS!"# D!$I%I'(I#

!PID!"IO&O%I(#.!' D..#.

Departamento S.O.#.

Direccin del %.(.).

E2 S$,t*/0 !* V$4$20n#$0 E5$!*/$2%4$#0 !* 2, DTA t$*n* *n #"*nt0 20$n.r/0#$%n ?"* 5r+$*n* !*2 S$,t*/0 !* In.r/0#$%n !* P*r,n02 !*2 S$,t*/0 !*In.r/0#$%n !* 2, F0#tr*, !* R$*,4 1 !*2 S$,t*/0 Un$.$#0! !* In.r/0#$%n *nS02"! t02 #/ ,* /"*,tr0 *n *2 4r7.$# 0nt*r$r' E,t0 $n.r/0#$%n 20 5r#*,0 *2S$,t*/0 !* V$4$20n#$0 E5$!*/$2%4$#0 0 tr0+:, !* ,", r*,5*#t$+, r*,5n,0(2*, 15,t*r$r/*nt* */$t* 20 $n.r/0#$%n n*#*,0r$0 50r0 S02"! 50r0 S02"!O#"50#$n02 1 A/($*nt* 50r0 #0!0 "n0 !* 20, G*r*n#$0, 50r0 20 !$r*##$%n !* 20GCB 50r0 *2 4r"5 !* +$4$20n#$0 *5$!*/$2%4$#0 !* 2, DTA 1 50r0 *2 C/$t: !*

V$4$20n#$0 E5$!*/$2%4$#0 !* 20 */5r*,0'

D*,!* *2 5"nt !* +$,t0 !*2 /0n*) !* 20 $n.r/0#$%n 5r+*n$*nt* !*2 0/($*nt* ,*50rt* !* 20 ?"* ,* t$*n* 02/0#*n0!0 *n *2 SIFRO 1 !* 20 ?"* ,* 02/0#*n* 0 50rt$r!* 20 5"*,t0 *n /0r#>0 !*2 SIVEO'

Vi#i"ancia en e" am!iente

L0 $n.r/0#$%n ?"* 0#t"02/*nt* 5"*!* ,*r ,"/$n$,tr0!0 5r *2 SIFRO $n#2"1*>0,t0 n$+*2*, !* ."*nt* !* r$*,4 * $n!$#0 *2 n/*r !* tr0(0)0!r*, *;5"*,t, 0:2' S$n */(0r4 2, r*?"*r$/$*nt, !*2 S$,t*/0 !* V$4$20n#$0 !* 2, D*,%r!*n*,

!* Tr0"/0 A#"/"20t$+ r*?"$*r* 0,#$0r *2 r$*,4 #"50#$n02 02 .$#$ !*2tr0(0)0!r 5r 2 ?"* 50r0 5!*r #n,$!*r0r *,t* S$,t*/0 #/ ."*nt* !*$n.r/0#$%n 50r0 *,t* 5rt#2 ,* r*?"$*r* ," 0!*#"0#$%n #n 50nr0/0 !*.0#tr*, !* r$*,4 ,*4n *2 .$#$ !*2 tr0(0)0!r 5r !*5*n!*n#$0 #n (0,* *n*+02"0#$n*, 0/($*nt02*, !* *,t,' An*;, & 1 -



En #"0nt 0 2, .0#tr*, !* r$*,4 *r4n%/$# *,t, ,* #20,$.$#0n *n #"0tr#0t*4r0#$*n! "n0 *+02"0#$%n !* t$5 *r4n%/$#0 1($/*#7n$#0'

En *,t0 *+02"0#$%n !* 0#"*r! #n 2, 5"nt0)*, (t*n$!, 20 #02$.$#0#$%n 5"*!*,*r E(CELE)TE' B*E)&' R&+O)&BLE' %EFICIE)TE o P,SI$&.

En #0, !* ?"* *2 .$#$ ,*0 #02$.$#0! #/ *;#*2*nt* ("*n r0n0(2* ,*t/0 20 !*#$,$%n !* >0#*r "n0 n"*+0 *+02"0#$%n 02 0 1 !* r*tr02$/*nt0r 20#02$!0! !* 20 $n.r/0#$%n !*2 SIFRO #n (0,* *n *,t0 *+02"0#$%n *n #0, !* ?"**2 .$#$ ,*0 #02$.$#0! #/ !*.$#$*nt* 5:,$/ ,* t/0, !, !*#$,$n*, "n0$nt*r+*n#$%n *,5*#0 ,$! *.$#0'

L0 *+02"0#$%n *,5*#0#*n5r"*(0, *,5*#


http:///reader/full/714131127-sistemadevigilanciaepidemiologicaparalaprevenciondelosdesordenesacumulativostr 10/46

Oficio

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#n,"2t0 *;t*rn0 #!$4, #$*=

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D*t*##$ %n 5r*##"* ,t$n0r$ , $4n ,

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E;0/* n /*!$# 4*n*r02

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TRAUMA ACUMULATIVO



4. Est5ndares de eecucin

E2 S$,t*/0 !* V$4$20n#$0 E5$!*/$2%4$#0 *n DTA *, #n,$,t*nt* #n 2 520nt*0!*n 20 P20r7 5r"*(0, 50r0 20 #n.$r/0#$%n !$04n%,t$#0'

A 2, tr0(0)0!r*, ?"* ,* 2*, #n.$r/* 024"n !* 2, DTA /*n#$n0!, ,* 2*,>0r7 *2 tr0t0/$*nt $n!$#0! 5r 2, *,5*#$02$,t0, 1 22*40! *2 #0, ,* >0r7 "n0*+02"0#$%n 50r0 !*t*r/$n0r tr t$5 !* #n!"#t0, #/ 20 r*"($#0#$%n 20(r02'

P0r0 >0#*r 20 $/520nt0#$%n !*2 SIVEO S$,t*/0 !* V$4$20n#$0 E5$!*/$2%4$#0O#"50#$n02 *, n*#*,0r$ #r!$n0r *,."*r, *ntr* In.r/7t$#0 S02"!

O#"50#$n02 1 M*!$#$n0 In!",tr$02'

E2 5*r0!r !*2 S$,t*/0 !* V$4$20n#$0 E5$!*/$2%4$#0 O#"50#$n02 SIVEO!*(*r7 r*02$0r $nt*4r0#$%n !* 20 $n.r/0#$%n 4*n*r0!0 5r SUIS SIFRO 1 *2 SIP#n "n0 5*r$!$#$!0! /*n,"02'

E2 /0n*) !* $n.r/0#$%n !*2 S$,t*/0 !* V$4$20n#$0 E5$!*/$2%4$#0 *n DTA ,*."n!0/*nt0 *n 20 $n.r/0#$%n ,"/$n$,tr0!0 5r *2 SIVEO'



C"0n! *n 20 D$+$,$%n !* S02"! ,* !$04n,t$?"* "n DTA ,* !*(*r7 r*/$t$r *,t0$n.r/0#$%n 0 SOA 50r0 *+02"0#$%n !* /$#r0/($*nt* 20(r02 !*2 tr0(0)0!r0.*#t0! 1 tr0t0r !* !*.$n$r 5,$(2* r$4*n #"50#$n02' I4"02/*nt* ,* !*(*r7#n.rnt0r *,t0 $n.r/0#$%n #n 20 #02$.$#0#$%n ?"* 5r*+$0/*nt* ,* >0 >*#> !*2

.$#$ 50r0 >0#*r 2, 0)",t*, 5*rt$n*nt*,'E2 $n.r/* 0n"02 !*(*r7 !$,#"t$r,* #n 2, tr0(0)0!r*, #20,$.$#0!, #/ !* 02tr$*,4 #n 50rt$#$50#$%n #n)"nt0 !* ,"5*r+$,r 1 *2 SOA 50r0 24r0r$nt*r+*n#$n*, *.*#t$+0, 1 #rr*#t$+, !*2 ,$,t*/0 !* +$4$20n#$0' S* !*(*r7 r*02$0r"n (2*t



6. Estrate#ias

R*,5n,0($2$!0!*, 1 r*#"r,, !$,5n$(2*,

6'& R*,5n,0($2$!0!*,

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S* #n.r/0r7 "n 4r"5 !* +$4$20n#$0 *5$!*/$2%4$#0 !* 20 ,$4"$*nt* /0n*r0

D, ."n#$n0r$, !* SOA ?"* *,t:n 50rt$#$50n! *n 20 0t*n#$%n 02 0/($*nt* Un/:!$# $n!",tr$02 Un0 F$,$t*r05*"t0 !* 20 D$+$,$%n !* S02"!'

Crr*,5n!* 0 *,t* 4r"5 r*02$0r 20 ,



F"n#$n*, !* /:!$#, $n!",tr$02*,'

A#t"0r7n !*ntr !* 20 R*! !* A4*nt*, C*nt$n*20 *n *2 !$04n%,t$# !* 50t240+*n$! !0n! 20 */5r*,0 *n *2 !*,0rr22 !*2 ,$,t*/0 !* $n.r/0#$%n*,5*#$02/*nt* #n *2 !*,0rr22 !*2 SUIS *nt*n!$:n!,* #/ "n0 0#t$+$!0!$n+2"#r0!0 0 20 5r7#t$#0 !$0r$0 !* 0t*n#$%n !* tr0(0)0!r*, 5*r #n "n0 +$,$%n*5$!*/$2%4$#0 !*2 /0n*) !*2 !0t'

F"n#$n*, !* F$,$t*r05*"t0

Crr*,5n!* 0 *,t* 5r.*,$n02 50rt$#$50r *n *2 C/$t: !* V$4$20n#$0E5$!*/$2%4$#0 r*02$0r 20, 5r"*(0, ."n#$n02*, !$04n%,t$#0, 1 5r5$#$0r 2,5r#*,, !* r*>0($2$t0#$%n' S* #n#$(* ," 50rt$#$50#$%n *n *2 /0n*) !* #0,, !**,5*#$02 #/52*)$!0! *n 2, 5r#*,, !* ,



7. P"an de Procesamiento &n5"isis de "osdatos

7.1. Cr8tica de "os datos.

P0r0 40r0nt$0r #n.$0($2$!0! *n *2 SIVEO *, n*#*,0r$ !$,5n*r !* !, 5r#*,,5r "n 20! r*02$0r #050#$t0#$%n 50r0 2, ."n#$n0r$, !* 20, !$.*r*nt*,!*5*n!*n#$0, 5r 50rt* !*2 SOA *n *2 /0n*) !*2 SIFRO !* t02 /0n*r0 ?"*#"0n! >040n 2, !$.*r*nt*, $n.r/*, !* 2, .0#tr*, !* r$*,4 *n #0!0 "n !* 2,.$#$, 2 >040n 2"*4 !* "n0 nr/02$0#$%n 50r0 >/4*n*$0r 20 $n.r/0#$%n !*tr 20! >0#*r !* +02$!0#$%n !* 2, $n,tr"/*nt, !* *+02"0#$%n !* 20, #n!$#$n*,($/*#7n$#0, 1 *r4n%/$#0, 2 ?"* ,* (t$*n* #n r*4$,tr .0r7 20 #02$.$#0#$%n4*n*r02 !* r$*,4 5r DTA 50r0 2, !$.*r*nt*, .$#$, !* 20 GCB 5r!*5*n!*n#$0 !* 0#"*r! #n 2, #r$t*r$, 10 !*.$n$!, *n *,t* 5rt#2' L00nt*r$r $n.r/0#$%n ,*r+$r7 50r0 !*.$n$r 2, .$#$, ?"* r*?"$*r*n ,*r *+02"0!,50r0 Cn!$#$n*, B$/*#7n$#0, 1 Cn!$#$n*, Er4n%/$#,'

Un0 +* r*02$0!0, *,t0, !, *+02"0#$n*, 20 $n.r/0#$%n r*,"2t0nt* !* *,t*5r#*, !*(*r7 ,*r !$4$t0!0 *n *2 SIVEO'

A"t/7t$#0/*nt* ,* >0r7 /*!$0nt* *2 SIVEO 20 #20,$.$#0#$%n !* .$#$,' D*0#"*r! #n 2, 5"nt0)*, ?"* ,* (t*n40n *n *,t0 *+02"0#$%n 1 0 20,#0t*4r0#*r,* 20 #20,$.$#0#$%n !* 2,.$#$, !* A2t



0!*20nt* ,* !*.$n*n *n *,t* !#"/*nt 1 ?"* 5*r/$t$r7n 20 *+02"0#$%n 1#ntr2 !* *,t* ,$,t*/0 !* +$4$20n#$0 *5$!*/$2%4$#0'

8'3' In!$#0!r*,

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3' POSTURA &

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6' PUESTO DE TRABAJO &

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