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font-family:"Arial",sans-serif; mso-fareast-font-family:Calibri; mso-fareast-theme-font:minor-latin;} @list l18:level5 {mso-level-number-format:alpha-lower; mso-level-tab-stop:none; mso-level-number-position:left; text-indent:-18.0pt;} @list l18:level6 {mso-level-number-format:roman-lower; mso-level-tab-stop:none; mso-level-number-position:right; text-indent:-9.0pt;} @list l18:level7 {mso-level-tab-stop:none; mso-level-number-position:left; text-indent:-18.0pt;} @list l18:level8 {mso-level-number-format:alpha-lower; mso-level-tab-stop:none; mso-level-number-position:left; text-indent:-18.0pt;} @list l18:level9 {mso-level-number-format:roman-lower; mso-level-tab-stop:none; mso-level-number-position:right; text-indent:-9.0pt;} @list l19 {mso-list-id:2043363216; mso-list-type:hybrid; mso-list-template-ids:1895318298 -802677118 805961753 805961755 805961743 805961753 805961755 805961743 805961753 805961755;} @list l19:level1 {mso-level-tab-stop:none; mso-level-number-position:left; text-indent:-18.0pt; mso-ansi-font-weight:bold;} @list l19:level2 {mso-level-number-format:alpha-lower; mso-level-tab-stop:none; mso-level-number-position:left; text-indent:-18.0pt;} @list l19:level3 {mso-level-number-format:roman-lower; mso-level-tab-stop:none; mso-level-number-position:right; text-indent:-9.0pt;} @list l19:level4 {mso-level-tab-stop:none; mso-level-number-position:left; text-indent:-18.0pt;} @list l19:level5 {mso-level-number-format:alpha-lower; mso-level-tab-stop:none; mso-level-number-position:left; text-indent:-18.0pt;} @list l19:level6 {mso-level-number-format:roman-lower; mso-level-tab-stop:none; mso-level-number-position:right; text-indent:-9.0pt;} @list l19:level7 {mso-level-tab-stop:none; mso-level-number-position:left; text-indent:-18.0pt;} @list l19:level8 {mso-level-number-format:alpha-lower; mso-level-tab-stop:none; mso-level-number-position:left; text-indent:-18.0pt;} @list l19:level9 {mso-level-number-format:roman-lower; mso-level-tab-stop:none; mso-level-number-position:right; text-indent:-9.0pt;} @list l5:level3 lfo16 {mso-level-start-at:0;} @list l5:level4 lfo16 {mso-level-start-at:0;} @list l5:level5 lfo16 {mso-level-start-at:0;} @list l5:level6 lfo16 {mso-level-start-at:0;} @list l5:level7 lfo16 {mso-level-start-at:0;} @list l5:level8 lfo16 {mso-level-start-at:0;} @list l5:level9 lfo16 {mso-level-start-at:0;} ol {margin-bottom:0cm;} ul {margin-bottom:0cm;} --> </style> <!--[if gte mso 10]> <style> /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Tabla normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri",sans-serif; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi; mso-ansi-language:ES; mso-fareast-language:EN-US;} table.MsoTableGrid {mso-style-name:"Tabla con cuadrcula"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-priority:59; mso-style-unhide:no; border:solid windowtext 1.0pt; mso-border-alt:solid windowtext .5pt; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-border-insideh:.5pt solid windowtext; mso-border-insidev:.5pt solid windowtext; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri",sans-serif; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi; mso-fareast-language:EN-US;} table.MsoTableLightShading {mso-style-name:"Sombreado claro"; mso-tstyle-rowband-size:1; mso-tstyle-colband-size:1; mso-style-noshow:yes; mso-style-priority:60; border-top:solid black 1.0pt; mso-border-top-themecolor:text1; border-left:none; border-bottom:solid black 1.0pt; mso-border-bottom-themecolor:text1; border-right:none; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri",sans-serif; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi; color:black; mso-themecolor:text1; mso-themeshade:191; mso-fareast-language:EN-US;} table.MsoTableLightShadingFirstRow {mso-style-name:"Sombreado claro"; mso-table-condition:first-row; mso-style-noshow:yes; mso-style-priority:60; mso-tstyle-border-top:1.0pt solid black; mso-tstyle-border-top-themecolor:text1; mso-tstyle-border-left:cell-none; mso-tstyle-border-bottom:1.0pt solid black; mso-tstyle-border-bottom-themecolor:text1; mso-tstyle-border-right:cell-none; mso-tstyle-border-insideh:cell-none; mso-tstyle-border-insidev:cell-none; mso-para-margin-top:auto; mso-para-margin-bottom:auto; line-height:normal; mso-ansi-font-weight:bold; mso-bidi-font-weight:bold;} table.MsoTableLightShadingLastRow {mso-style-name:"Sombreado claro"; mso-table-condition:last-row; mso-style-noshow:yes; mso-style-priority:60; mso-tstyle-border-top:1.0pt solid black; mso-tstyle-border-top-themecolor:text1; mso-tstyle-border-left:cell-none; mso-tstyle-border-bottom:1.0pt solid black; mso-tstyle-border-bottom-themecolor:text1; mso-tstyle-border-right:cell-none; mso-tstyle-border-insideh:cell-none; mso-tstyle-border-insidev:cell-none; mso-para-margin-top:auto; mso-para-margin-bottom:auto; line-height:normal; mso-ansi-font-weight:bold; mso-bidi-font-weight:bold;} table.MsoTableLightShadingFirstCol {mso-style-name:"Sombreado claro"; mso-table-condition:first-column; mso-style-noshow:yes; mso-style-priority:60; mso-ansi-font-weight:bold; mso-bidi-font-weight:bold;} table.MsoTableLightShadingLastCol {mso-style-name:"Sombreado claro"; mso-table-condition:last-column; mso-style-noshow:yes; mso-style-priority:60; mso-ansi-font-weight:bold; mso-bidi-font-weight:bold;} table.MsoTableLightShadingOddColumn {mso-style-name:"Sombreado claro"; mso-table-condition:odd-column; mso-style-noshow:yes; mso-style-priority:60; mso-tstyle-shading:silver; mso-tstyle-shading-themecolor:text1; mso-tstyle-shading-themetint:63; mso-tstyle-border-left:cell-none; mso-tstyle-border-right:cell-none; mso-tstyle-border-insideh:cell-none; mso-tstyle-border-insidev:cell-none;} table.MsoTableLightShadingOddRow {mso-style-name:"Sombreado claro"; mso-table-condition:odd-row; mso-style-noshow:yes; mso-style-priority:60; mso-tstyle-shading:silver; mso-tstyle-shading-themecolor:text1; mso-tstyle-shading-themetint:63; mso-tstyle-border-left:cell-none; mso-tstyle-border-right:cell-none; mso-tstyle-border-insideh:cell-none; mso-tstyle-border-insidev:cell-none;} table.MsoTable15Grid3 {mso-style-name:"Tabla de cuadrcula 3"; mso-tstyle-rowband-size:1; mso-tstyle-colband-size:1; mso-style-priority:39; mso-style-unhide:no; mso-style-qformat:yes; border:solid #666666 1.0pt; mso-border-themecolor:text1; mso-border-themetint:153; mso-border-alt:solid #666666 .5pt; mso-border-themecolor:text1; mso-border-themetint:153; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-border-insideh:.5pt solid #666666; mso-border-insideh-themecolor:text1; mso-border-insideh-themetint:153; mso-border-insidev:.5pt solid #666666; mso-border-insidev-themecolor:text1; mso-border-insidev-themetint:153; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:12.0pt; font-family:"Arial",sans-serif; mso-fareast-font-family:"Times New Roman"; mso-bidi-font-family:"Times New Roman"; mso-fareast-language:ES-EC;} table.MsoTable15Grid3FirstRow {mso-style-name:"Tabla de cuadrcula 3"; mso-table-condition:first-row; mso-style-priority:39; mso-style-unhide:no; mso-style-qformat:yes; mso-tstyle-shading:white; mso-tstyle-shading-themecolor:background1; mso-tstyle-border-top:cell-none; mso-tstyle-border-left:cell-none; mso-tstyle-border-right:cell-none; mso-tstyle-border-insideh:cell-none; mso-tstyle-border-insidev:cell-none; mso-ansi-font-weight:bold; mso-bidi-font-weight:bold;} table.MsoTable15Grid3LastRow {mso-style-name:"Tabla de cuadrcula 3"; mso-table-condition:last-row; mso-style-priority:39; mso-style-unhide:no; mso-style-qformat:yes; mso-tstyle-shading:white; mso-tstyle-shading-themecolor:background1; mso-tstyle-border-left:cell-none; mso-tstyle-border-bottom:cell-none; mso-tstyle-border-right:cell-none; mso-tstyle-border-insideh:cell-none; mso-tstyle-border-insidev:cell-none; mso-ansi-font-weight:bold; mso-bidi-font-weight:bold;} table.MsoTable15Grid3FirstCol {mso-style-name:"Tabla de cuadrcula 3"; mso-table-condition:first-column; mso-style-priority:39; mso-style-unhide:no; mso-style-qformat:yes; mso-tstyle-shading:white; mso-tstyle-shading-themecolor:background1; mso-tstyle-border-top:cell-none; mso-tstyle-border-left:cell-none; mso-tstyle-border-bottom:cell-none; mso-tstyle-border-insideh:cell-none; mso-tstyle-border-insidev:cell-none; text-align:right; mso-ansi-font-style:italic; mso-bidi-font-style:italic;} table.MsoTable15Grid3LastCol {mso-style-name:"Tabla de cuadrcula 3"; mso-table-condition:last-column; mso-style-priority:39; mso-style-unhide:no; mso-style-qformat:yes; mso-tstyle-shading:white; mso-tstyle-shading-themecolor:background1; mso-tstyle-border-top:cell-none; mso-tstyle-border-bottom:cell-none; mso-tstyle-border-right:cell-none; mso-tstyle-border-insideh:cell-none; mso-tstyle-border-insidev:cell-none; mso-ansi-font-style:italic; mso-bidi-font-style:italic;} table.MsoTable15Grid3OddColumn {mso-style-name:"Tabla de cuadrcula 3"; mso-table-condition:odd-column; mso-style-priority:39; mso-style-unhide:no; mso-style-qformat:yes; mso-tstyle-shading:#CCCCCC; mso-tstyle-shading-themecolor:text1; mso-tstyle-shading-themetint:51;} table.MsoTable15Grid3OddRow {mso-style-name:"Tabla de cuadrcula 3"; mso-table-condition:odd-row; mso-style-priority:39; mso-style-unhide:no; mso-style-qformat:yes; mso-tstyle-shading:#CCCCCC; mso-tstyle-shading-themecolor:text1; mso-tstyle-shading-themetint:51;} table.MsoTable15Grid3NECell {mso-style-name:"Tabla de cuadrcula 3"; mso-table-condition:ne-cell; mso-style-priority:39; mso-style-unhide:no; mso-style-qformat:yes; mso-tstyle-border-bottom:.5pt solid #666666; mso-tstyle-border-bottom-themecolor:text1; mso-tstyle-border-bottom-themetint:153;} table.MsoTable15Grid3NWCell {mso-style-name:"Tabla de cuadrcula 3"; mso-table-condition:nw-cell; mso-style-priority:39; mso-style-unhide:no; mso-style-qformat:yes; mso-tstyle-border-bottom:.5pt solid #666666; mso-tstyle-border-bottom-themecolor:text1; mso-tstyle-border-bottom-themetint:153;} table.MsoTable15Grid3SECell {mso-style-name:"Tabla de cuadrcula 3"; mso-table-condition:se-cell; mso-style-priority:39; mso-style-unhide:no; mso-style-qformat:yes; mso-tstyle-border-top:.5pt solid #666666; mso-tstyle-border-top-themecolor:text1; mso-tstyle-border-top-themetint:153;} table.MsoTable15Grid3SWCell {mso-style-name:"Tabla de cuadrcula 3"; mso-table-condition:sw-cell; mso-style-priority:39; mso-style-unhide:no; mso-style-qformat:yes; mso-tstyle-border-top:.5pt solid #666666; mso-tstyle-border-top-themecolor:text1; mso-tstyle-border-top-themetint:153;} table.MsoTable15Grid4Accent1 {mso-style-name:"Tabla con cuadrcula 4 - nfasis 1"; mso-tstyle-rowband-size:1; mso-tstyle-colband-size:1; mso-style-priority:49; mso-style-unhide:no; border:solid #8EAADB 1.0pt; mso-border-themecolor:accent1; mso-border-themetint:153; mso-border-alt:solid #8EAADB .5pt; mso-border-themecolor:accent1; mso-border-themetint:153; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-border-insideh:.5pt solid #8EAADB; mso-border-insideh-themecolor:accent1; mso-border-insideh-themetint:153; mso-border-insidev:.5pt solid #8EAADB; mso-border-insidev-themecolor:accent1; mso-border-insidev-themetint:153; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri",sans-serif; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Yu Mincho"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi; mso-fareast-language:EN-US;} table.MsoTable15Grid4Accent1FirstRow {mso-style-name:"Tabla con cuadrcula 4 - nfasis 1"; mso-table-condition:first-row; mso-style-priority:49; mso-style-unhide:no; mso-tstyle-shading:#4472C4; mso-tstyle-shading-themecolor:accent1; mso-tstyle-border-top:.5pt solid #4472C4; mso-tstyle-border-top-themecolor:accent1; mso-tstyle-border-left:.5pt solid #4472C4; mso-tstyle-border-left-themecolor:accent1; mso-tstyle-border-bottom:.5pt solid #4472C4; mso-tstyle-border-bottom-themecolor:accent1; mso-tstyle-border-right:.5pt solid #4472C4; mso-tstyle-border-right-themecolor:accent1; mso-tstyle-border-insideh:cell-none; mso-tstyle-border-insidev:cell-none; color:white; mso-themecolor:background1; mso-ansi-font-weight:bold; mso-bidi-font-weight:bold;} table.MsoTable15Grid4Accent1LastRow {mso-style-name:"Tabla con cuadrcula 4 - nfasis 1"; mso-table-condition:last-row; mso-style-priority:49; mso-style-unhide:no; mso-tstyle-border-top:1.5pt double #4472C4; mso-tstyle-border-top-themecolor:accent1; mso-ansi-font-weight:bold; mso-bidi-font-weight:bold;} table.MsoTable15Grid4Accent1FirstCol {mso-style-name:"Tabla con cuadrcula 4 - nfasis 1"; mso-table-condition:first-column; mso-style-priority:49; mso-style-unhide:no; mso-ansi-font-weight:bold; mso-bidi-font-weight:bold;} table.MsoTable15Grid4Accent1LastCol {mso-style-name:"Tabla con cuadrcula 4 - nfasis 1"; mso-table-condition:last-column; mso-style-priority:49; mso-style-unhide:no; mso-ansi-font-weight:bold; mso-bidi-font-weight:bold;} table.MsoTable15Grid4Accent1OddColumn {mso-style-name:"Tabla con cuadrcula 4 - nfasis 1"; mso-table-condition:odd-column; mso-style-priority:49; mso-style-unhide:no; mso-tstyle-shading:#D9E2F3; mso-tstyle-shading-themecolor:accent1; mso-tstyle-shading-themetint:51;} table.MsoTable15Grid4Accent1OddRow {mso-style-name:"Tabla con cuadrcula 4 - nfasis 1"; mso-table-condition:odd-row; mso-style-priority:49; mso-style-unhide:no; mso-tstyle-shading:#D9E2F3; mso-tstyle-shading-themecolor:accent1; mso-tstyle-shading-themetint:51;} table.MsoTable15Grid6ColorfulAccent1 {mso-style-name:"Tabla con cuadrcula 6 con colores - nfasis 1"; mso-tstyle-rowband-size:1; mso-tstyle-colband-size:1; mso-style-priority:51; mso-style-unhide:no; border:solid #8EAADB 1.0pt; mso-border-themecolor:accent1; mso-border-themetint:153; mso-border-alt:solid #8EAADB .5pt; mso-border-themecolor:accent1; mso-border-themetint:153; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-border-insideh:.5pt solid #8EAADB; mso-border-insideh-themecolor:accent1; mso-border-insideh-themetint:153; mso-border-insidev:.5pt solid #8EAADB; mso-border-insidev-themecolor:accent1; mso-border-insidev-themetint:153; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri",sans-serif; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Yu Mincho"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi; color:#2F5496; mso-themecolor:accent1; mso-themeshade:191; mso-fareast-language:EN-US;} table.MsoTable15Grid6ColorfulAccent1FirstRow {mso-style-name:"Tabla con cuadrcula 6 con colores - nfasis 1"; mso-table-condition:first-row; mso-style-priority:51; mso-style-unhide:no; mso-tstyle-border-bottom:1.5pt solid #8EAADB; mso-tstyle-border-bottom-themecolor:accent1; mso-tstyle-border-bottom-themetint:153; mso-ansi-font-weight:bold; mso-bidi-font-weight:bold;} table.MsoTable15Grid6ColorfulAccent1LastRow {mso-style-name:"Tabla con cuadrcula 6 con colores - nfasis 1"; mso-table-condition:last-row; mso-style-priority:51; mso-style-unhide:no; mso-tstyle-border-top:1.5pt double #8EAADB; mso-tstyle-border-top-themecolor:accent1; mso-tstyle-border-top-themetint:153; mso-ansi-font-weight:bold; mso-bidi-font-weight:bold;} table.MsoTable15Grid6ColorfulAccent1FirstCol {mso-style-name:"Tabla con cuadrcula 6 con colores - nfasis 1"; mso-table-condition:first-column; mso-style-priority:51; mso-style-unhide:no; mso-ansi-font-weight:bold; mso-bidi-font-weight:bold;} table.MsoTable15Grid6ColorfulAccent1LastCol {mso-style-name:"Tabla con cuadrcula 6 con colores - nfasis 1"; mso-table-condition:last-column; mso-style-priority:51; mso-style-unhide:no; mso-ansi-font-weight:bold; mso-bidi-font-weight:bold;} table.MsoTable15Grid6ColorfulAccent1OddColumn {mso-style-name:"Tabla con cuadrcula 6 con colores - nfasis 1"; mso-table-condition:odd-column; mso-style-priority:51; mso-style-unhide:no; mso-tstyle-shading:#D9E2F3; mso-tstyle-shading-themecolor:accent1; mso-tstyle-shading-themetint:51;} table.MsoTable15Grid6ColorfulAccent1OddRow {mso-style-name:"Tabla con cuadrcula 6 con colores - nfasis 1"; mso-table-condition:odd-row; mso-style-priority:51; mso-style-unhide:no; mso-tstyle-shading:#D9E2F3; mso-tstyle-shading-themecolor:accent1; mso-tstyle-shading-themetint:51;} table.MsoTable15Grid4Accent5 {mso-style-name:"Tabla con cuadrcula 4 - nfasis 5"; mso-tstyle-rowband-size:1; mso-tstyle-colband-size:1; mso-style-priority:49; mso-style-unhide:no; border:solid #9CC2E5 1.0pt; mso-border-themecolor:accent5; mso-border-themetint:153; mso-border-alt:solid #9CC2E5 .5pt; mso-border-themecolor:accent5; mso-border-themetint:153; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-border-insideh:.5pt solid #9CC2E5; mso-border-insideh-themecolor:accent5; mso-border-insideh-themetint:153; mso-border-insidev:.5pt solid #9CC2E5; mso-border-insidev-themecolor:accent5; mso-border-insidev-themetint:153; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri",sans-serif; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Yu Mincho"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi; mso-fareast-language:EN-US;} table.MsoTable15Grid4Accent5FirstRow {mso-style-name:"Tabla con cuadrcula 4 - nfasis 5"; mso-table-condition:first-row; mso-style-priority:49; mso-style-unhide:no; mso-tstyle-shading:#5B9BD5; mso-tstyle-shading-themecolor:accent5; mso-tstyle-border-top:.5pt solid #5B9BD5; mso-tstyle-border-top-themecolor:accent5; mso-tstyle-border-left:.5pt solid #5B9BD5; mso-tstyle-border-left-themecolor:accent5; mso-tstyle-border-bottom:.5pt solid #5B9BD5; mso-tstyle-border-bottom-themecolor:accent5; mso-tstyle-border-right:.5pt solid #5B9BD5; mso-tstyle-border-right-themecolor:accent5; mso-tstyle-border-insideh:cell-none; mso-tstyle-border-insidev:cell-none; color:white; mso-themecolor:background1; mso-ansi-font-weight:bold; mso-bidi-font-weight:bold;} table.MsoTable15Grid4Accent5LastRow {mso-style-name:"Tabla con cuadrcula 4 - nfasis 5"; mso-table-condition:last-row; mso-style-priority:49; mso-style-unhide:no; mso-tstyle-border-top:1.5pt double #5B9BD5; mso-tstyle-border-top-themecolor:accent5; mso-ansi-font-weight:bold; mso-bidi-font-weight:bold;} table.MsoTable15Grid4Accent5FirstCol {mso-style-name:"Tabla con cuadrcula 4 - nfasis 5"; mso-table-condition:first-column; mso-style-priority:49; mso-style-unhide:no; mso-ansi-font-weight:bold; mso-bidi-font-weight:bold;} table.MsoTable15Grid4Accent5LastCol {mso-style-name:"Tabla con cuadrcula 4 - nfasis 5"; mso-table-condition:last-column; mso-style-priority:49; mso-style-unhide:no; mso-ansi-font-weight:bold; mso-bidi-font-weight:bold;} table.MsoTable15Grid4Accent5OddColumn {mso-style-name:"Tabla con cuadrcula 4 - nfasis 5"; mso-table-condition:odd-column; mso-style-priority:49; mso-style-unhide:no; mso-tstyle-shading:#DEEAF6; mso-tstyle-shading-themecolor:accent5; mso-tstyle-shading-themetint:51;} table.MsoTable15Grid4Accent5OddRow {mso-style-name:"Tabla con cuadrcula 4 - nfasis 5"; mso-table-condition:odd-row; mso-style-priority:49; mso-style-unhide:no; mso-tstyle-shading:#DEEAF6; mso-tstyle-shading-themecolor:accent5; mso-tstyle-shading-themetint:51;} table.MsoTable15List2 {mso-style-name:"Tabla de lista 2"; mso-tstyle-rowband-size:1; mso-tstyle-colband-size:1; mso-style-priority:52; mso-style-unhide:no; border-top:solid #666666 1.0pt; mso-border-top-themecolor:text1; mso-border-top-themetint:153; border-left:none; border-bottom:solid #666666 1.0pt; mso-border-bottom-themecolor:text1; mso-border-bottom-themetint:153; border-right:none; mso-border-top-alt:solid #666666 .5pt; mso-border-top-themecolor:text1; mso-border-top-themetint:153; mso-border-bottom-alt:solid #666666 .5pt; mso-border-bottom-themecolor:text1; mso-border-bottom-themetint:153; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-border-insideh:.5pt solid #666666; mso-border-insideh-themecolor:text1; mso-border-insideh-themetint:153; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:12.0pt; font-family:"Arial",sans-serif; mso-fareast-font-family:"Times New Roman"; mso-bidi-font-family:"Times New Roman"; mso-fareast-language:ES-EC;} table.MsoTable15List2FirstRow {mso-style-name:"Tabla de lista 2"; mso-table-condition:first-row; mso-style-priority:52; mso-style-unhide:no; mso-ansi-font-weight:bold; mso-bidi-font-weight:bold;} table.MsoTable15List2LastRow {mso-style-name:"Tabla de lista 2"; mso-table-condition:last-row; mso-style-priority:52; mso-style-unhide:no; mso-ansi-font-weight:bold; mso-bidi-font-weight:bold;} table.MsoTable15List2FirstCol {mso-style-name:"Tabla de lista 2"; mso-table-condition:first-column; mso-style-priority:52; mso-style-unhide:no; mso-ansi-font-weight:bold; mso-bidi-font-weight:bold;} table.MsoTable15List2LastCol {mso-style-name:"Tabla de lista 2"; mso-table-condition:last-column; mso-style-priority:52; mso-style-unhide:no; mso-ansi-font-weight:bold; mso-bidi-font-weight:bold;} table.MsoTable15List2OddColumn {mso-style-name:"Tabla de lista 2"; mso-table-condition:odd-column; mso-style-priority:52; mso-style-unhide:no; mso-tstyle-shading:#CCCCCC; mso-tstyle-shading-themecolor:text1; mso-tstyle-shading-themetint:51;} table.MsoTable15List2OddRow {mso-style-name:"Tabla de lista 2"; mso-table-condition:odd-row; mso-style-priority:52; mso-style-unhide:no; mso-tstyle-shading:#CCCCCC; mso-tstyle-shading-themecolor:text1; mso-tstyle-shading-themetint:51;} table.MsoTable15List6Colorful {mso-style-name:"Tabla de lista 6 con colores"; mso-tstyle-rowband-size:1; mso-tstyle-colband-size:1; mso-style-priority:51; mso-style-unhide:no; border-top:solid black 1.0pt; mso-border-top-themecolor:text1; border-left:none; border-bottom:solid black 1.0pt; mso-border-bottom-themecolor:text1; border-right:none; mso-border-top-alt:solid black .5pt; mso-border-top-themecolor:text1; mso-border-bottom-alt:solid black .5pt; mso-border-bottom-themecolor:text1; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri",sans-serif; mso-fareast-font-family:Calibri; mso-bidi-font-family:"Times New Roman"; color:black; mso-themecolor:text1; mso-fareast-language:EN-US;} table.MsoTable15List6ColorfulFirstRow {mso-style-name:"Tabla de lista 6 con colores"; mso-table-condition:first-row; mso-style-priority:51; mso-style-unhide:no; mso-tstyle-border-bottom:.5pt solid black; mso-tstyle-border-bottom-themecolor:text1; mso-ansi-font-weight:bold; mso-bidi-font-weight:bold;} table.MsoTable15List6ColorfulLastRow {mso-style-name:"Tabla de lista 6 con colores"; mso-table-condition:last-row; mso-style-priority:51; mso-style-unhide:no; mso-tstyle-border-top:1.5pt double black; mso-tstyle-border-top-themecolor:text1; mso-ansi-font-weight:bold; mso-bidi-font-weight:bold;} table.MsoTable15List6ColorfulFirstCol {mso-style-name:"Tabla de lista 6 con colores"; mso-table-condition:first-column; mso-style-priority:51; mso-style-unhide:no; mso-ansi-font-weight:bold; mso-bidi-font-weight:bold;} table.MsoTable15List6ColorfulLastCol {mso-style-name:"Tabla de lista 6 con colores"; mso-table-condition:last-column; mso-style-priority:51; mso-style-unhide:no; mso-ansi-font-weight:bold; mso-bidi-font-weight:bold;} table.MsoTable15List6ColorfulOddColumn {mso-style-name:"Tabla de lista 6 con colores"; mso-table-condition:odd-column; mso-style-priority:51; mso-style-unhide:no; mso-tstyle-shading:#CCCCCC; mso-tstyle-shading-themecolor:text1; mso-tstyle-shading-themetint:51;} table.MsoTable15List6ColorfulOddRow {mso-style-name:"Tabla de lista 6 con colores"; mso-table-condition:odd-row; mso-style-priority:51; mso-style-unhide:no; mso-tstyle-shading:#CCCCCC; mso-tstyle-shading-themecolor:text1; mso-tstyle-shading-themetint:51;} table.Tablanormal41 {mso-style-name:"Tabla normal 41"; mso-tstyle-rowband-size:1; mso-tstyle-colband-size:1; mso-style-priority:99; mso-style-unhide:no; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri",sans-serif; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi; mso-ansi-language:ES; mso-fareast-language:EN-US;} table.Tablanormal41FirstRow {mso-style-name:"Tabla normal 41"; mso-table-condition:first-row; mso-style-priority:99; mso-style-unhide:no; mso-ansi-font-weight:bold; mso-bidi-font-weight:bold;} table.Tablanormal41LastRow {mso-style-name:"Tabla normal 41"; mso-table-condition:last-row; mso-style-priority:99; mso-style-unhide:no; mso-ansi-font-weight:bold; mso-bidi-font-weight:bold;} table.Tablanormal41FirstCol {mso-style-name:"Tabla normal 41"; mso-table-condition:first-column; mso-style-priority:99; mso-style-unhide:no; mso-ansi-font-weight:bold; mso-bidi-font-weight:bold;} table.Tablanormal41LastCol {mso-style-name:"Tabla normal 41"; mso-table-condition:last-column; mso-style-priority:99; mso-style-unhide:no; mso-ansi-font-weight:bold; mso-bidi-font-weight:bold;} table.Tablanormal41OddColumn {mso-style-name:"Tabla normal 41"; mso-table-condition:odd-column; mso-style-priority:99; mso-style-unhide:no; mso-tstyle-shading:#F2F2F2; mso-tstyle-shading-themecolor:background1; mso-tstyle-shading-themeshade:242;} table.Tablanormal41OddRow {mso-style-name:"Tabla normal 41"; mso-table-condition:odd-row; mso-style-priority:99; mso-style-unhide:no; mso-tstyle-shading:#F2F2F2; mso-tstyle-shading-themecolor:background1; mso-tstyle-shading-themeshade:242;} table.Tablanormal51 {mso-style-name:"Tabla normal 51"; mso-tstyle-rowband-size:1; mso-tstyle-colband-size:1; mso-style-priority:99; mso-style-unhide:no; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri",sans-serif; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi; mso-ansi-language:ES; mso-fareast-language:EN-US;} table.Tablanormal51FirstRow {mso-style-name:"Tabla normal 51"; mso-table-condition:first-row; mso-style-priority:99; mso-style-unhide:no; mso-tstyle-shading:white; mso-tstyle-shading-themecolor:background1; mso-tstyle-border-bottom:.5pt solid #7F7F7F; mso-tstyle-border-bottom-themecolor:text1; mso-tstyle-border-bottom-themetint:128; font-size:13.0pt; mso-ansi-font-size:13.0pt; mso-bidi-font-size:13.0pt; font-family:"Calibri Light",sans-serif; mso-ascii-font-family:"Calibri Light"; mso-ascii-theme-font:major-latin; mso-fareast-font-family:"Yu Gothic Light"; mso-fareast-theme-font:major-fareast; mso-hansi-font-family:"Calibri Light"; mso-hansi-theme-font:major-latin; mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:major-bidi; mso-ansi-font-style:italic; mso-bidi-font-style:italic;} table.Tablanormal51LastRow {mso-style-name:"Tabla normal 51"; mso-table-condition:last-row; mso-style-priority:99; mso-style-unhide:no; mso-tstyle-shading:white; mso-tstyle-shading-themecolor:background1; mso-tstyle-border-top:.5pt solid #7F7F7F; mso-tstyle-border-top-themecolor:text1; mso-tstyle-border-top-themetint:128; font-size:13.0pt; mso-ansi-font-size:13.0pt; mso-bidi-font-size:13.0pt; font-family:"Calibri Light",sans-serif; mso-ascii-font-family:"Calibri Light"; mso-ascii-theme-font:major-latin; mso-fareast-font-family:"Yu Gothic Light"; mso-fareast-theme-font:major-fareast; mso-hansi-font-family:"Calibri Light"; mso-hansi-theme-font:major-latin; mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:major-bidi; mso-ansi-font-style:italic; mso-bidi-font-style:italic;} table.Tablanormal51FirstCol {mso-style-name:"Tabla normal 51"; mso-table-condition:first-column; mso-style-priority:99; mso-style-unhide:no; mso-tstyle-shading:white; mso-tstyle-shading-themecolor:background1; mso-tstyle-border-right:.5pt solid #7F7F7F; mso-tstyle-border-right-themecolor:text1; mso-tstyle-border-right-themetint:128; text-align:right; font-size:13.0pt; mso-ansi-font-size:13.0pt; mso-bidi-font-size:13.0pt; font-family:"Calibri Light",sans-serif; mso-ascii-font-family:"Calibri Light"; mso-ascii-theme-font:major-latin; mso-fareast-font-family:"Yu Gothic Light"; mso-fareast-theme-font:major-fareast; mso-hansi-font-family:"Calibri Light"; mso-hansi-theme-font:major-latin; mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:major-bidi; mso-ansi-font-style:italic; mso-bidi-font-style:italic;} table.Tablanormal51LastCol {mso-style-name:"Tabla normal 51"; mso-table-condition:last-column; mso-style-priority:99; mso-style-unhide:no; mso-tstyle-shading:white; mso-tstyle-shading-themecolor:background1; mso-tstyle-border-left:.5pt solid #7F7F7F; mso-tstyle-border-left-themecolor:text1; mso-tstyle-border-left-themetint:128; font-size:13.0pt; mso-ansi-font-size:13.0pt; mso-bidi-font-size:13.0pt; font-family:"Calibri Light",sans-serif; mso-ascii-font-family:"Calibri Light"; mso-ascii-theme-font:major-latin; mso-fareast-font-family:"Yu Gothic Light"; mso-fareast-theme-font:major-fareast; mso-hansi-font-family:"Calibri Light"; mso-hansi-theme-font:major-latin; mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:major-bidi; mso-ansi-font-style:italic; mso-bidi-font-style:italic;} table.Tablanormal51OddColumn {mso-style-name:"Tabla normal 51"; mso-table-condition:odd-column; mso-style-priority:99; mso-style-unhide:no; mso-tstyle-shading:#F2F2F2; mso-tstyle-shading-themecolor:background1; mso-tstyle-shading-themeshade:242;} table.Tablanormal51OddRow {mso-style-name:"Tabla normal 51"; mso-table-condition:odd-row; mso-style-priority:99; mso-style-unhide:no; mso-tstyle-shading:#F2F2F2; mso-tstyle-shading-themecolor:background1; mso-tstyle-shading-themeshade:242;} table.Tablanormal51NECell {mso-style-name:"Tabla normal 51"; mso-table-condition:ne-cell; mso-style-priority:99; mso-style-unhide:no; mso-tstyle-border-left:cell-none;} table.Tablanormal51NWCell {mso-style-name:"Tabla normal 51"; mso-table-condition:nw-cell; mso-style-priority:99; mso-style-unhide:no; mso-tstyle-border-right:cell-none;} table.Tablanormal51SECell {mso-style-name:"Tabla normal 51"; mso-table-condition:se-cell; mso-style-priority:99; mso-style-unhide:no; mso-tstyle-border-left:cell-none;} table.Tablanormal51SWCell {mso-style-name:"Tabla normal 51"; mso-table-condition:sw-cell; mso-style-priority:99; mso-style-unhide:no; mso-tstyle-border-right:cell-none;} table.Tablanormal21 {mso-style-name:"Tabla normal 21"; mso-tstyle-rowband-size:1; mso-tstyle-colband-size:1; mso-style-priority:99; mso-style-unhide:no; border-top:solid #7F7F7F 1.0pt; mso-border-top-themecolor:text1; mso-border-top-themetint:128; border-left:none; border-bottom:solid #7F7F7F 1.0pt; mso-border-bottom-themecolor:text1; mso-border-bottom-themetint:128; border-right:none; mso-border-top-alt:solid #7F7F7F .5pt; mso-border-top-themecolor:text1; mso-border-top-themetint:128; mso-border-bottom-alt:solid #7F7F7F .5pt; mso-border-bottom-themecolor:text1; mso-border-bottom-themetint:128; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri",sans-serif; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi; mso-ansi-language:ES; mso-fareast-language:EN-US;} table.Tablanormal21FirstRow {mso-style-name:"Tabla normal 21"; mso-table-condition:first-row; mso-style-priority:99; mso-style-unhide:no; mso-tstyle-border-bottom:.5pt solid #7F7F7F; mso-tstyle-border-bottom-themecolor:text1; mso-tstyle-border-bottom-themetint:128; mso-ansi-font-weight:bold; mso-bidi-font-weight:bold;} table.Tablanormal21LastRow {mso-style-name:"Tabla normal 21"; mso-table-condition:last-row; mso-style-priority:99; mso-style-unhide:no; mso-tstyle-border-top:.5pt solid #7F7F7F; mso-tstyle-border-top-themecolor:text1; mso-tstyle-border-top-themetint:128; mso-ansi-font-weight:bold; mso-bidi-font-weight:bold;} table.Tablanormal21FirstCol {mso-style-name:"Tabla normal 21"; mso-table-condition:first-column; mso-style-priority:99; mso-style-unhide:no; mso-ansi-font-weight:bold; mso-bidi-font-weight:bold;} table.Tablanormal21LastCol {mso-style-name:"Tabla normal 21"; mso-table-condition:last-column; mso-style-priority:99; mso-style-unhide:no; mso-ansi-font-weight:bold; mso-bidi-font-weight:bold;} table.Tablanormal21OddColumn {mso-style-name:"Tabla normal 21"; mso-table-condition:odd-column; mso-style-priority:99; mso-style-unhide:no; mso-tstyle-border-left:.5pt solid #7F7F7F; mso-tstyle-border-left-themecolor:text1; mso-tstyle-border-left-themetint:128; mso-tstyle-border-right:.5pt solid #7F7F7F; mso-tstyle-border-right-themecolor:text1; mso-tstyle-border-right-themetint:128;} table.Tablanormal21EvenColumn {mso-style-name:"Tabla normal 21"; mso-table-condition:even-column; mso-style-priority:99; mso-style-unhide:no; mso-tstyle-border-left:.5pt solid #7F7F7F; mso-tstyle-border-left-themecolor:text1; mso-tstyle-border-left-themetint:128; mso-tstyle-border-right:.5pt solid #7F7F7F; mso-tstyle-border-right-themecolor:text1; mso-tstyle-border-right-themetint:128;} table.Tablanormal21OddRow {mso-style-name:"Tabla normal 21"; mso-table-condition:odd-row; mso-style-priority:99; mso-style-unhide:no; mso-tstyle-border-top:.5pt solid #7F7F7F; mso-tstyle-border-top-themecolor:text1; mso-tstyle-border-top-themetint:128; mso-tstyle-border-bottom:.5pt solid #7F7F7F; mso-tstyle-border-bottom-themecolor:text1; mso-tstyle-border-bottom-themetint:128;} table.Tabladelista6concolores1 {mso-style-name:"Tabla de lista 6 con colores1"; mso-tstyle-rowband-size:1; mso-tstyle-colband-size:1; mso-style-priority:51; mso-style-unhide:no; border-top:solid black 1.0pt; border-left:none; border-bottom:solid black 1.0pt; border-right:none; mso-border-top-alt:solid black .5pt; mso-border-bottom-alt:solid black .5pt; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri",sans-serif; mso-fareast-font-family:Calibri; mso-bidi-font-family:"Times New Roman"; color:black; mso-fareast-language:EN-US;} table.Tabladelista6concolores1FirstRow {mso-style-name:"Tabla de lista 6 con colores1"; mso-table-condition:first-row; mso-style-priority:51; mso-style-unhide:no; mso-tstyle-border-bottom:.5pt solid black; mso-ansi-font-weight:bold; mso-bidi-font-weight:bold;} table.Tabladelista6concolores1LastRow {mso-style-name:"Tabla de lista 6 con colores1"; mso-table-condition:last-row; mso-style-priority:51; mso-style-unhide:no; mso-tstyle-border-top:1.5pt double black; mso-ansi-font-weight:bold; mso-bidi-font-weight:bold;} table.Tabladelista6concolores1FirstCol {mso-style-name:"Tabla de lista 6 con colores1"; mso-table-condition:first-column; mso-style-priority:51; mso-style-unhide:no; mso-ansi-font-weight:bold; mso-bidi-font-weight:bold;} table.Tabladelista6concolores1LastCol {mso-style-name:"Tabla de lista 6 con colores1"; mso-table-condition:last-column; mso-style-priority:51; 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mso-style-unhide:no; mso-ansi-font-weight:bold; mso-bidi-font-weight:bold;} table.Tabladelista6concolores2OddColumn {mso-style-name:"Tabla de lista 6 con colores2"; mso-table-condition:odd-column; mso-style-priority:51; mso-style-unhide:no; mso-tstyle-shading:#CCCCCC;} table.Tabladelista6concolores2OddRow {mso-style-name:"Tabla de lista 6 con colores2"; mso-table-condition:odd-row; mso-style-priority:51; mso-style-unhide:no; mso-tstyle-shading:#CCCCCC;} </style> <![endif]--><!--[if gte mso 9]><xml> <o:shapedefaults v:ext="edit" spidmax="2053"/> </xml><![endif]--><!--[if gte mso 9]><xml> <o:shapelayout v:ext="edit"> <o:idmap v:ext="edit" data="1"/> </o:shapelayout></xml><![endif]--> </head> <body lang=ES-EC link="#0563C1" vlink="#954F72" style='tab-interval:35.4pt'> <div class=WordSection1> <h1 align=center style='text-align:center'><span style='font-size:20.0pt; font-family:"Calibri",sans-serif;mso-ascii-theme-font:minor-latin;mso-hansi-theme-font: minor-latin;mso-bidi-theme-font:minor-latin;mso-ansi-language:ES-EC;mso-fareast-language: EN-US;mso-bidi-language:EN-US'>Eventos adversos por cortopunzantes<span style='mso-spacerun:yes'> </span>en el equipo de salud de una institucion de la ciudad de Guayaquil</span><a style='mso-footnote-id:ftn1' href="#_ftn1" name="_ftnref1" title=""><span class=MsoFootnoteReference><span lang=ES style='font-family:"Calibri",sans-serif;mso-ascii-theme-font:minor-latin; mso-hansi-theme-font:minor-latin;mso-bidi-theme-font:minor-latin'><span style='mso-special-character:footnote'><![if !supportFootnotes]><span class=MsoFootnoteReference><b style='mso-bidi-font-weight:normal'><span lang=ES style='font-size:24.0pt;line-height:106%;font-family:"Calibri",sans-serif; mso-ascii-theme-font:minor-latin;mso-fareast-font-family:"Times New Roman"; mso-hansi-theme-font:minor-latin;mso-bidi-theme-font:minor-latin;mso-font-kerning: 18.0pt;mso-ansi-language:ES;mso-fareast-language:ES;mso-bidi-language:AR-SA'>[1]</span></b></span><![endif]></span></span></span></a><span style='font-size:20.0pt;font-family:"Calibri",sans-serif;mso-ascii-theme-font: minor-latin;mso-hansi-theme-font:minor-latin;mso-bidi-theme-font:minor-latin; mso-ansi-language:ES-EC;mso-fareast-language:EN-US;mso-bidi-language:EN-US'><o:p></o:p></span></h1> <pre style='text-align:center;background:white'><span lang=EN-US style='font-size:11.0pt;font-family:"Calibri",sans-serif;mso-ascii-theme-font: minor-latin;mso-hansi-theme-font:minor-latin;mso-bidi-theme-font:minor-latin; color:black;mso-color-alt:windowtext;mso-ansi-language:EN-US'>Adverse events by <span class=SpellE>cortopunzantes</span> in the health team of an institution of the city of Guayaquil</span><span lang=EN-US style='font-size:11.0pt;font-family:"Calibri",sans-serif;mso-ascii-theme-font: minor-latin;mso-hansi-theme-font:minor-latin;mso-bidi-theme-font:minor-latin; mso-ansi-language:EN-US'><o:p></o:p></span></pre><pre style='background:white'><span lang=EN-US style='font-family:"Calibri",sans-serif;mso-ascii-theme-font:minor-latin; mso-hansi-theme-font:minor-latin;mso-bidi-theme-font:minor-latin;mso-ansi-language: EN-US'><o:p>&nbsp;</o:p></span></pre><pre style='text-align:center;background: white'><span lang=ES style='font-family:"Verdana",sans-serif;mso-bidi-font-family: Calibri;mso-bidi-theme-font:minor-latin;color:black;mso-color-alt:windowtext'>Olga Argentina Muoz </span><a style='mso-footnote-id:ftn2' href="#_ftn2" name="_ftnref2" title=""><span class=MsoFootnoteReference><span lang=ES style='font-size:11.0pt;font-family: "Calibri",sans-serif;mso-ascii-theme-font:minor-latin;mso-hansi-theme-font: minor-latin;mso-bidi-theme-font:minor-latin;color:black;mso-color-alt:windowtext'><span style='mso-special-character:footnote'><![if !supportFootnotes]><span class=MsoFootnoteReference><span lang=ES style='font-size:11.0pt;line-height: 106%;font-family:"Calibri",sans-serif;mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman";mso-hansi-theme-font:minor-latin; mso-bidi-theme-font:minor-latin;color:black;mso-ansi-language:ES;mso-fareast-language: ES;mso-bidi-language:AR-SA'>[2]</span></span><![endif]></span></span></span></a><span lang=ES style='font-size:11.0pt;font-family:"Calibri",sans-serif;mso-ascii-theme-font: minor-latin;mso-hansi-theme-font:minor-latin;mso-bidi-theme-font:minor-latin'><o:p></o:p></span></pre> <p class=ANGLES align=center style='margin:0cm;margin-bottom:.0001pt; text-align:center;line-height:normal'><span lang=ES style='font-family:"Verdana",sans-serif; mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin;mso-ansi-language: ES'>Norma Esperanza Silva Lima </span><a style='mso-footnote-id:ftn3' href="#_ftn3" name="_ftnref3" title=""><span class=MsoFootnoteReference><span lang=X-NONE style='font-size:11.0pt;font-family:"Calibri",sans-serif; mso-ascii-theme-font:minor-latin;mso-hansi-theme-font:minor-latin;mso-bidi-theme-font: minor-latin'><span style='mso-special-character:footnote'><![if !supportFootnotes]><span class=MsoFootnoteReference><span lang=X-NONE style='font-size:11.0pt; line-height:106%;font-family:"Calibri",sans-serif;mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman";mso-hansi-theme-font:minor-latin; mso-bidi-theme-font:minor-latin;mso-ansi-language:X-NONE;mso-fareast-language: X-NONE;mso-bidi-language:AR-SA'>[3]</span></span><![endif]></span></span></span></a><span style='font-size:11.0pt;font-family:"Calibri",sans-serif;mso-ascii-theme-font: minor-latin;mso-hansi-theme-font:minor-latin;mso-bidi-theme-font:minor-latin; mso-ansi-language:ES-EC'><o:p></o:p></span></p> <p class=ANGLES align=center style='margin:0cm;margin-bottom:.0001pt; text-align:center;line-height:normal'><span lang=ES style='font-family:"Verdana",sans-serif; mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin;mso-ansi-language: ES'>Cristina <span class=SpellE>Vimane</span> Gonzlez Osorio</span><span class=MsoFootnoteReference><span lang=ES style='font-size:11.0pt;font-family: "Calibri",sans-serif;mso-ascii-theme-font:minor-latin;mso-hansi-theme-font: minor-latin;mso-bidi-theme-font:minor-latin'> </span></span><a style='mso-footnote-id:ftn4' href="#_ftn4" name="_ftnref4" title=""><span class=MsoFootnoteReference><span lang=X-NONE style='font-size:11.0pt; font-family:"Calibri",sans-serif;mso-ascii-theme-font:minor-latin;mso-hansi-theme-font: minor-latin;mso-bidi-theme-font:minor-latin'><span style='mso-special-character: footnote'><![if !supportFootnotes]><span class=MsoFootnoteReference><span lang=X-NONE style='font-size:11.0pt;line-height:106%;font-family:"Calibri",sans-serif; mso-ascii-theme-font:minor-latin;mso-fareast-font-family:"Times New Roman"; mso-hansi-theme-font:minor-latin;mso-bidi-theme-font:minor-latin;mso-ansi-language: X-NONE;mso-fareast-language:X-NONE;mso-bidi-language:AR-SA'>[4]</span></span><![endif]></span></span></span></a><span lang=X-NONE style='font-size:11.0pt;font-family:"Calibri",sans-serif; mso-ascii-theme-font:minor-latin;mso-hansi-theme-font:minor-latin;mso-bidi-theme-font: minor-latin'><o:p></o:p></span></p> <p class=ANGLES align=center style='margin:0cm;margin-bottom:.0001pt; text-align:center;line-height:normal'><span lang=ES style='font-family:"Verdana",sans-serif; mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin;mso-ansi-language: ES'>Fanny de Lourdes Ronquillo Morn</span><a style='mso-footnote-id:ftn5' href="#_ftn5" name="_ftnref5" title=""><span class=MsoFootnoteReference><span lang=X-NONE style='font-size:11.0pt;font-family:"Calibri",sans-serif; mso-ascii-theme-font:minor-latin;mso-hansi-theme-font:minor-latin;mso-bidi-theme-font: minor-latin'><span style='mso-special-character:footnote'><![if !supportFootnotes]><span class=MsoFootnoteReference><span lang=X-NONE style='font-size:11.0pt; line-height:106%;font-family:"Calibri",sans-serif;mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman";mso-hansi-theme-font:minor-latin; mso-bidi-theme-font:minor-latin;mso-ansi-language:X-NONE;mso-fareast-language: X-NONE;mso-bidi-language:AR-SA'>[5]</span></span><![endif]></span></span></span></a><span lang=X-NONE style='font-size:11.0pt;font-family:"Calibri",sans-serif; mso-ascii-theme-font:minor-latin;mso-hansi-theme-font:minor-latin;mso-bidi-theme-font: minor-latin'><o:p></o:p></span></p> <p class=ANGLES align=left style='margin:0cm;margin-bottom:.0001pt;text-align: left;line-height:normal'><span lang=X-NONE style='font-size:12.0pt;font-family: "Calibri",sans-serif;mso-bidi-font-family:"Times New Roman"'><o:p>&nbsp;</o:p></span></p> <p class=MsoNormal align=center style='margin-top:6.0pt;margin-right:0cm; margin-bottom:6.0pt;margin-left:0cm;text-align:center;line-height:normal; mso-pagination:none;mso-layout-grid-align:none;text-autospace:none'><span lang=ES-TRAD style='font-size:10.0pt;mso-bidi-font-family:Tahoma;color:black; mso-ansi-language:ES-TRAD'>Recibido en diciembre 2018, aceptado en enero 2019</span><span lang=ES-TRAD style='font-size:10.0pt;mso-bidi-font-family:Times;color:black; mso-ansi-language:ES-TRAD'><o:p></o:p></span></p> <p class=MsoNoSpacing style='margin-top:6.0pt;margin-right:0cm;margin-bottom: 6.0pt;margin-left:0cm;text-align:justify'><span lang=ES-TRAD style='mso-fareast-font-family: "Times New Roman";mso-ansi-language:ES-TRAD'><o:p>&nbsp;</o:p></span></p> <p class=MsoNormal style='margin-top:6.0pt;margin-right:0cm;margin-bottom:6.0pt; margin-left:0cm;line-height:normal'><b style='mso-bidi-font-weight:normal'><span lang=ES style='font-size:10.0pt;mso-bidi-font-size:12.0pt;mso-fareast-font-family: "Times New Roman";mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin; mso-fareast-language:ES'>RESUMEN<o:p></o:p></span></b></p> <p class=MsoNormal style='text-align:justify;line-height:normal'><span lang=ES-TRAD style='mso-ansi-language:ES-TRAD'>Eventos adversos por <span class=SpellE>cortopunzantes</span> en el personal de un centro de atencin de la ciudad de Guayaquil, se obtuvo los siguientes resultados de 63 personas del equipo de salud. El 54% del personal de salud ha sufrido accidentes por lo menos una vez, el 46% nunca ha sufrido accidentes. El 50% del personal de salud que ha tenido accidente por corto punzante aplicando inyecciones, un 18% en extraccin de muestra de sangre, un 12% <span class=SpellE>reencapuchamiento</span> de aguja, un 9% en sutura, y existe una igualdad con un 6% en limpieza de material y desecho de material. El 74% el evento adverso por corto punzante con Aguja recta, el 18% con frasco/ampolla rota, el 9% con aguja roma y existe una igualdad con el 0% entre bistur y catter. No hubo complicaciones luego del evento adverso en <span class=GramE>el<span style='mso-spacerun:yes'> </span>100</span>% en el personal. Un 59% del personal de salud no cumple el protocolo de corto punzante, mientras que un 41% si lo cumple. Recomendaciones.  Capacitar continuamente al personal de salud, fomentar la tcnica del no re-encapuchado de las <span class=SpellE><span class=GramE>agujas,gestionar</span></span> el uso de guardianes optimizando las reas de mayor necesidad<o:p></o:p></span></p> <p class=ANGLES style='margin-top:6.0pt;line-height:normal'><b style='mso-bidi-font-weight:normal'><span lang=X-NONE style='font-size:11.0pt; font-family:"Calibri",sans-serif;mso-ascii-theme-font:minor-latin;mso-hansi-theme-font: minor-latin;mso-bidi-theme-font:minor-latin;mso-fareast-language:ES'>Palabras clave<i style='mso-bidi-font-style:normal'>: </i></span></b><span lang=X-NONE style='font-family:"Calibri",sans-serif;mso-ascii-theme-font:minor-latin; mso-hansi-theme-font:minor-latin;mso-bidi-theme-font:minor-latin'>Eventos adversos, <span class=SpellE>cortopunzantes</span>, Equipo de salud<o:p></o:p></span></p> <p class=MsoNormal style='margin-top:6.0pt;margin-right:0cm;margin-bottom:6.0pt; margin-left:0cm;line-height:normal'><b style='mso-bidi-font-weight:normal'><span lang=EN-US style='font-size:10.0pt;mso-bidi-font-size:12.0pt;mso-fareast-font-family: "Times New Roman";mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin; mso-ansi-language:EN-US;mso-fareast-language:ES'>ABSTRACT<o:p></o:p></span></b></p> <p class=MsoNormal style='text-align:justify;line-height:normal'><span lang=EN-US style='mso-ansi-language:EN-US'>Adverse events by sharps in the personnel of a health care center in the city of Guayaquil, the following results were obtained from 63 people of the health team. 54% of health personnel have suffered accidents at least once, 46% have never suffered accidents. 50% of health personnel who have had an accident due to a puncture, injections, 18% in blood sample extraction, 12% needle re-hooding, 9% suture, and there is an equality of 6% in cleaning of material and material waste. The 74% adverse event by short stitching with straight needle, 18% with broken vial / ampule, 9% with blunt needle and there is an equality with 0% between scalpel and catheter. There were no complications after the adverse event in 100% of the staff. 59% of health personnel do not comply with the stinging protocol, while 41% do so. Recommendations. - Continuously train health personnel, promote the technique of not re-hooded needles, manage the use of guardians optimizing areas of greatest need<o:p></o:p></span></p> <p class=MsoNormal style='margin-bottom:0cm;margin-bottom:.0001pt;line-height: normal;mso-outline-level:1'><b style='mso-bidi-font-weight:normal'><span lang=EN-US style='mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin; mso-ansi-language:EN-US'>Key words<i style='mso-bidi-font-style:normal'>:</i> </span></b><span lang=EN-US style='mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin; mso-ansi-language:EN-US;mso-bidi-language:EN-US'>Adverse events, sharps, Health team <o:p></o:p></span></p> <p class=ANGLES style='margin-top:6.0pt;margin-right:0cm;margin-bottom:6.0pt; margin-left:36.0pt;text-indent:-18.0pt;line-height:150%;mso-list:l1 level1 lfo2'><![if !supportLists]><b style='mso-bidi-font-weight:normal'><span lang=X-NONE style='font-size:16.0pt; mso-bidi-font-size:12.0pt;line-height:150%;mso-fareast-font-family:Arial; mso-bidi-font-family:Arial;mso-fareast-language:ES'><span style='mso-list:Ignore'>1.<span style='font:7.0pt "Times New Roman"'>&nbsp;&nbsp; </span></span></span></b><![endif]><b style='mso-bidi-font-weight:normal'><span lang=X-NONE style='font-size:16.0pt; mso-bidi-font-size:12.0pt;line-height:150%;font-family:"Calibri",sans-serif; mso-ascii-theme-font:minor-latin;mso-hansi-theme-font:minor-latin;mso-bidi-theme-font: minor-latin;mso-fareast-language:ES'>Introduccin</span></b><b style='mso-bidi-font-weight:normal'><span lang=X-NONE style='font-size:16.0pt; mso-bidi-font-size:12.0pt;line-height:150%;mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-fareast-language:ES'><o:p></o:p></span></b></p> <p class=MsoNormal style='margin-bottom:0cm;margin-bottom:.0001pt;text-align: justify;line-height:150%;mso-layout-grid-align:none;text-autospace:none'><span lang=ES style='mso-bidi-font-size:10.0pt;line-height:150%;mso-bidi-font-family: Arial'>El objetivo de este estudio fue determinar si el equipo de trabajadores que labora en un Centro de salud de la Ciudad de Guayaquil ha sufrido eventos adversos<span style='mso-spacerun:yes'> </span>por <span class=SpellE>cortopunzantes</span>. Los trabajadores de la salud corren altamente el riesgo de sufrir algn pinchazo por <span class=SpellE>cortopunzantes</span>, el cual puede ocasionar diferentes tipos de enfermedades como lo es la Hepatitis A y B, y el VIH, por otra parte, tambin se encuentran expuestos a sufrir algn tipo de discapacidad ya sea temporal o permanente. Como podemos observar existen un sinnmero de consecuencias que podra ocasionar este tipo de accidente laboral. <w:Sdt Citation="t" ID="-1927254963"><!--[if supportFields]><span style='mso-element: field-begin'></span><span style='mso-spacerun:yes'></span>CITATION m \l 3082 <span style='mso-element:field-separator'></span><![endif]-->(OMS, 2002)<!--[if supportFields]><span style='mso-element:field-end'></span><![endif]--></w:Sdt>.<o:p></o:p></span></p> <p class=MsoNormal style='margin-bottom:0cm;margin-bottom:.0001pt;text-align: justify;line-height:150%;mso-layout-grid-align:none;text-autospace:none'><span lang=ES style='mso-bidi-font-size:10.0pt;line-height:150%;mso-bidi-font-family: Arial'>Los trabajadores de salud en especial los que estn en contacto directo con el paciente, son los que estn diariamente expuestos a virus, bacterias u otros patgenos los cuales pueden ser trasmitidos por un accidente laboral por cualquier <span class=SpellE>cortopunzante</span>, lo cual significa un gran peligro para su salud del trabajador, pero generalmente estos accidentes suelen ser considerados como propios en el ejercicio de sus labores diarios.<w:Sdt Citation="t" ID="-1687124476"><!--[if supportFields]><span style='mso-element: field-begin'></span> CITATION OMS \l 3082 <span style='mso-element:field-separator'></span><![endif]--><span style='mso-spacerun:yes'></span>(OMS, s.f.)<!--[if supportFields]><span style='mso-element:field-end'></span><![endif]--></w:Sdt><o:p></o:p></span></p> <p class=MsoNormal style='margin-bottom:0cm;margin-bottom:.0001pt;text-align: justify;line-height:150%;mso-layout-grid-align:none;text-autospace:none'><span lang=ES style='mso-bidi-font-size:10.0pt;line-height:150%;mso-bidi-font-family: Arial'>Cabe recalcar que la presente investigacin puede contribuir con informacin importante para establecer mecanismos de ayuda el cual podra ser por medio de la prevencin y as evitar la transmisin de cualquier enfermedad infectocontagiosa, tambin se puede lograr que se promueva una serie de programas en donde tomen en cuenta este tema. Es importante tambin que las instituciones de salud cuenten<span style='mso-spacerun:yes'> </span>con un protocolo de actuacin frente a accidentes por cortopunzantes, y a su vez que el trabajador conozca que<span style='mso-spacerun:yes'> </span>debe hacer frente<span style='mso-spacerun:yes'> </span>a un caso de estos.<w:Sdt Citation="t" ID="-1760368592"><!--[if supportFields]><span style='mso-element: field-begin'></span> CITATION Flo08 \l 3082 <span style='mso-element:field-separator'></span><![endif]--><span style='mso-spacerun:yes'></span>(Lobos &amp; Ferrada, 2008)<!--[if supportFields]><span style='mso-element:field-end'></span><![endif]--></w:Sdt> . Los objetos <span class=SpellE>cortopunzantes</span> constituyen un gran factor de riesgo para los trabajadores de la salud, no solo por el dao que puede ocasionar sino tambin por la transmisin de enfermedades que pueden suceder. Segn estudios realizados anteriormente en Estados Unidos se ha llegado a la conclusin que ocurre cada ao entre 600.000 y 800.000 accidentes por <span class=SpellE>cortopunzantes</span> agujas, los cuales en su mayora no son reportados a la institucin donde laboran. Existen un gran nmero de microorganismos que se pueden trasmitir por un accidente por <span class=SpellE>cortopunzantes</span> entre esos tenemos el virus de la Hepatitis <span class=GramE>B ,</span> C y el VIH , los cuales constituyen los de mayor preocupacin por las consecuencias que pueden ocasionar .<w:Sdt Citation="t" ID="721494076"><!--[if supportFields]><span style='mso-element:field-begin'></span>CITATION Raq03 \l 3082 <span style='mso-element:field-separator'></span><![endif]--><span style='mso-spacerun:yes'></span>(Junco, Perez, Barroso, &amp; Guanche, 2003)<!--[if supportFields]><span style='mso-element:field-end'></span><![endif]--></w:Sdt>. Un trabajador que sufre un accidente con un objeto <span class=SpellE>cortopunzante</span> ya utilizado corre <span class=GramE>el<span style='mso-spacerun:yes'> </span>riesgo</span> ms alto de contagiarse<span style='mso-spacerun:yes'> </span>con VIH.<w:Sdt Citation="t" ID="1491900904"><!--[if supportFields]><span style='mso-element:field-begin'></span> CITATION OMS15 \l 3082 <span style='mso-element:field-separator'></span><![endif]--><span style='mso-spacerun:yes'></span>(OMS, 2015)<!--[if supportFields]><span style='mso-element:field-end'></span><![endif]--></w:Sdt><o:p></o:p></span></p> <p class=MsoNormal style='margin-bottom:0cm;margin-bottom:.0001pt;text-align: justify;line-height:150%;mso-layout-grid-align:none;text-autospace:none'><span lang=ES style='mso-bidi-font-size:10.0pt;line-height:150%;mso-bidi-font-family: Arial'><span style='mso-spacerun:yes'></span>En el Ecuador no existe un reporte de accidentes, ni costos<span style='mso-spacerun:yes'> </span>por accidentes <span class=SpellE>cortopunzantes</span> en circunstancias de trabajo, pero a nivel internacional la OSHA (Administracin de seguridad y salud ocupacional) reporta que los costos van entre 500 a 3000 dlares que incluyen tratamiento clnico y<span style='mso-spacerun:yes'> </span>psicolgico con permanentes exmenes y consultas mdicas segn la necesidad, as lo manifiesta en su publicacin la OMS en el 2013.Las condiciones<span style='mso-spacerun:yes'> </span>en las que trabaja y<span style='mso-spacerun:yes'> </span>los materiales que maneja puede influir tambin para que ocurra un accidente laboral por <span class=SpellE>cortopunzante</span><span style='mso-spacerun:yes'> </span>lo cual permitira aplicar medidas de control de manera inmediata<o:p></o:p></span></p> <p class=MsoListParagraph style='margin-bottom:0cm;margin-bottom:.0001pt; mso-add-space:auto;text-align:justify;text-indent:-18.0pt;line-height:150%; mso-list:l1 level1 lfo2;mso-layout-grid-align:none;text-autospace:none'><![if !supportLists]><b style='mso-bidi-font-weight:normal'><span lang=ES style='font-size:16.0pt; mso-bidi-font-size:11.0pt;line-height:150%;mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-fareast-language:ES'><span style='mso-list:Ignore'>2.<span style='font:7.0pt "Times New Roman"'>&nbsp;&nbsp; </span></span></span></b><![endif]><b style='mso-bidi-font-weight:normal'><span lang=ES style='font-size:16.0pt;mso-bidi-font-size:11.0pt;line-height:150%; mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-fareast-language:ES'>Materiales y mtodos<o:p></o:p></span></b></p> <p class=MsoNormal style='text-align:justify;line-height:150%'><span style='mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin;mso-ansi-language: ES-EC'>En el centro de salud en el cual vamos a realizar nuestro trabajo de investigacin , se han reportado pocos casos de accidentes laborales<span style='mso-spacerun:yes'> </span>por cortopunzante , los cuales han tenido sus debidos tratamientos ,y seguimientos, en la institucin donde laboran se han tomado todas las medidas necesarias para poder salvaguardar la vida de cada uno de sus trabajadores y se ha incrementado<span style='mso-spacerun:yes'> </span>charlas educativas para poder complementar los conocimientos que tienen todos los<span style='mso-spacerun:yes'> </span>trabajadores de salud con respecto al tema a <span style='mso-spacerun:yes'></span>tratar . <o:p></o:p></span></p> <p class=MsoNormal style='text-align:justify;line-height:150%'><span style='mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin;mso-ansi-language: ES-EC'><span style='mso-spacerun:yes'></span>Este estudio lo consideramos importante porque permitir determinar si el equipo de trabajadores que labora en un Centro de salud de la Ciudad de Guayaquil ha sufrido accidentes laborales por cortopunzantes, lo que nos dar resultados por medio de los cuales podremos plantear una serie de propuestas. Este es un estudio con originalidad porque el tema escogido es de gran relevancia en el campo hospitalario y de gran inters, es<span style='mso-spacerun:yes'> </span>factible porque ser investigado a tiempo previsto y con las autorizaciones pertinentes, por lo cual tendremos los medios y materiales para poder obtener la informacin que requerimos.<o:p></o:p></span></p> <p class=MsoListParagraph style='margin-top:6.0pt;margin-right:0cm;margin-bottom: 6.0pt;margin-left:36.0pt;mso-add-space:auto;text-align:justify;text-indent: -18.0pt;line-height:150%;mso-list:l1 level1 lfo2'><![if !supportLists]><b style='mso-bidi-font-weight:normal'><span lang=ES style='font-size:16.0pt; mso-bidi-font-size:11.0pt;line-height:150%;mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-fareast-language:ES'><span style='mso-list:Ignore'>3.<span style='font:7.0pt "Times New Roman"'>&nbsp;&nbsp; </span></span></span></b><![endif]><b style='mso-bidi-font-weight:normal'><span lang=ES style='font-size:16.0pt;mso-bidi-font-size:11.0pt;line-height:150%; mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-fareast-language:ES'>Conclusiones<o:p></o:p></span></b></p> <p class=MsoNormal style='text-align:justify;line-height:150%'><span style='mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin;mso-ansi-language: ES-EC'>Los accidentes laborales por cortopunzante, segn la revisin bibliogrfica<span style='mso-spacerun:yes'> </span>van en ascenso y muchos son causa de enfermedades infectocontagiosas o discapacitantes en el equipo de salud. En relacin al estudio realizado el personal en su mayora conoce sobre el manejo de los cortopunzantes, y sobre el cumplimiento del flujograma /protocolo a seguir<span style='mso-spacerun:yes'> </span>post exposicin para accidentes y que un elevado porcentaje no cumple con la disposicin lo que refleja una actitud negativa sobre el manejo de su salud. Sobre el conocimiento de que no debe reencapuchar la aguja en la jeringa existe un alto porcentaje que manifiesta no conocer sobre el tema. En cuanto al conocimiento del manejo del guardian o recolector de cortopunzantes en las reas de trabajo manifestaron que no conocan su manejo descarte. El personal que tiene mayor contacto con dispositivos cortopunzante es el personal de Enfermeria, laboratorista, servicios varios y promotores de salud.Con respecto a las personas de equipo de salud un alto porcentaje ha sufrido en algn momento cortes o punciones. El rea donde se suscitaron<span style='mso-spacerun:yes'> </span>los accidentes con mayor frecuencia fue el rea de procedimientos, en segundo lugar el rea del consultorio y el porcentaje ms bajo en laboratorio. Los procedimientos relacionados con los accidentes fueron en la aplicacin de inyecciones, extraccin de sangre, reencapuchando la aguja en la jeringuilla, sutura y recolectando la basura. Los dispositivos en relacin<span style='mso-spacerun:yes'> </span>con los accidentes fueron aguja recta, ampolla rota, aguja roma. No se report luego de los accidentes complicaciones de ninguna ndole. En cuanto a la Capacitacin el personal manifest en un elevado porcentaje haber sido capacitado sobre el tema.Una prenda de proteccin muy importante para determinar una complicacin post exposicin tenemos el uso de guantes a lo que el personal manifest en una gran mayora no utilizar.En lo que se refiere a la clasificacin correcta de los desechos un elevado porcentaje manifiesta no hacerlo.<o:p></o:p></span></p> <p class=MsoNormal style='margin-bottom:0cm;margin-bottom:.0001pt;text-align: justify;line-height:150%;mso-layout-grid-align:none;text-autospace:none'><span style='mso-bidi-font-size:10.0pt;line-height:150%;mso-bidi-font-family:Arial; mso-ansi-language:ES-EC'><o:p>&nbsp;</o:p></span></p> <p class=MsoNormal style='margin-top:6.0pt;margin-right:0cm;margin-bottom:6.0pt; margin-left:0cm;text-align:justify;line-height:150%'><b style='mso-bidi-font-weight: normal'><span lang=ES style='font-size:16.0pt;mso-bidi-font-size:11.0pt; line-height:150%;mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>Referencias bibliogrficas<o:p></o:p></span></b></p> <w:Sdt Bibliography="t" ID="111145805"> <p class=MsoBibliography style='text-align:justify;line-height:150%'><!--[if supportFields]><span lang=ES style='font-size:10.0pt;line-height:150%;font-family:"Verdana",sans-serif; mso-fareast-font-family:Calibri;mso-bidi-font-family:Calibri;mso-bidi-theme-font: minor-latin;color:black;mso-themecolor:text1'><span style='mso-element:field-begin'></span></span><span lang=ES style='font-size:10.0pt;line-height:150%;font-family:"Verdana",sans-serif; mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'>BIBLIOGRAPHY</span><span lang=ES style='font-size:10.0pt;line-height:150%;font-family:"Verdana",sans-serif; mso-fareast-font-family:Calibri;mso-bidi-font-family:Calibri;mso-bidi-theme-font: minor-latin;color:black;mso-themecolor:text1'><span style='mso-element:field-separator'></span></span><![endif]--><span lang=ES style='font-size:10.0pt;line-height:150%;font-family:"Verdana",sans-serif; mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin;mso-no-proof: yes'>Comit de Vigilancia Epidemiolgica (COVE). (2003). <i>MANUAL DE NORMAS Y PROCEDIMIENTOS DE BIOSEGURIDAD</i>.<o:p></o:p></span><span lang=ES style='font-size:10.0pt;line-height:150%;font-family:"Verdana",sans-serif; mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-bidi-language:EN-US'><w:sdtPr></w:sdtPr></span></p> <p class=MsoBibliography style='margin-left:36.0pt;text-align:justify; text-indent:-36.0pt;line-height:150%'><span lang=ES style='font-size:10.0pt; line-height:150%;font-family:"Verdana",sans-serif;mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-no-proof:yes'>Congreso Nacional. (26 de 9 de 2012). Obtenido de Codigo de Trabajo: http://www.trabajo.gob.ec/wp-content/uploads/downloads/2012/11/C%C3%B3digo-de-Tabajo-PDF.pdf<o:p></o:p></span></p> <p class=MsoBibliography style='margin-left:36.0pt;text-indent:-36.0pt; line-height:150%'><span lang=ES style='font-size:10.0pt;line-height:150%; font-family:"Verdana",sans-serif;mso-bidi-font-family:Calibri;mso-bidi-theme-font: minor-latin;mso-no-proof:yes'>Constans, A., &amp; Alonso, R. (2010). <i>Centro Nacional de Condiciones de Trabajo. Barcelona</i>. Obtenido de RIESGOS Y PREVENCIN DE LESIONES POR AGUJAS Y OTROS INSTRUMENTOS CORTOPUNZANTES : http://www.insht.es/InshtWeb/Contenidos/Documentacion/TextosOnline/postersTecnicos/ficheros/Lesiones%20por%20agujas%20y%20otros%20objetos%20cortopunzantes.pdf<o:p></o:p></span></p> <p class=MsoBibliography style='margin-left:36.0pt;text-align:justify; text-indent:-36.0pt;line-height:150%'><span lang=ES style='font-size:10.0pt; line-height:150%;font-family:"Verdana",sans-serif;mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-no-proof:yes'>D`Angelo, S. B. (4 de 6 de 2008). Obtenido de Poblacin y Muestra: http://med.unne.edu.ar/sitio/multimedia/imagenes/ckfinder/files/files/aps/POBLACI%C3%93N%20Y%20MUESTRA%20%28Lic%20DAngelo%29.pdf<o:p></o:p></span></p> <p class=MsoBibliography style='margin-left:36.0pt;text-align:justify; text-indent:-36.0pt;line-height:150%'><span lang=ES style='font-size:10.0pt; line-height:150%;font-family:"Verdana",sans-serif;mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-no-proof:yes'>Raquel de los Angeles Junco Daz, 1. L. (s.f.). <i>Scielo.</i> Recuperado el 9 de Julio de 2017, de http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1561-30032003000100005<o:p></o:p></span></p> <p class=MsoBibliography style='margin-left:36.0pt;text-align:justify; text-indent:-36.0pt;line-height:150%'><span lang=ES style='font-size:10.0pt; line-height:150%;font-family:"Verdana",sans-serif;mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-no-proof:yes'>El Congreso Nacional. (2006). Obtenido de Ley Orgnica DeSalud: http://www.ambiente.gob.ec/wp-content/uploads/downloads/2012/09/salud.pdf<o:p></o:p></span></p> <p class=MsoBibliography style='margin-left:36.0pt;text-align:justify; text-indent:-36.0pt;line-height:150%'><span lang=ES style='font-size:10.0pt; line-height:150%;font-family:"Verdana",sans-serif;mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-no-proof:yes'>Hechavarra, S. (30 de 5 de 2012). Obtenido de Diferencias entre Cuestionario y Encuesta.: http://uvsfajardo.sld.cu/diferencia-entre-cuestionario-y-encuesta<o:p></o:p></span></p> <p class=MsoBibliography style='margin-left:36.0pt;text-indent:-36.0pt; line-height:150%'><span lang=ES style='font-size:10.0pt;line-height:150%; font-family:"Verdana",sans-serif;mso-bidi-font-family:Calibri;mso-bidi-theme-font: minor-latin;mso-no-proof:yes'>Junco, R., Perez, S., Barroso, I., &amp; Guanche, H. (29 de julio de 2003). Obtenido de Riesgo ocupacional por exposicin a objetos cortopunzantes en trabajadores de la salud: http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1561-30032003000100005<o:p></o:p></span></p> <p class=MsoBibliography style='margin-left:36.0pt;text-align:justify; text-indent:-36.0pt;line-height:150%'><span lang=ES style='font-size:10.0pt; line-height:150%;font-family:"Verdana",sans-serif;mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-no-proof:yes'>La comision de codificacion y Codificacion. (26 de 9 de 2012). Obtenido de Codigo Del Trabajo: http://cnel.gob.ec/lotaip/links_a2/codigo_trabajo.pdf<o:p></o:p></span></p> <p class=MsoBibliography style='margin-left:36.0pt;text-align:justify; text-indent:-36.0pt;line-height:150%'><span lang=ES style='font-size:10.0pt; line-height:150%;font-family:"Verdana",sans-serif;mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-no-proof:yes'>Lobos, A., &amp; Ferrada, L. (ABRIL de 2008). Obtenido de ACCIDENTES CORTOPUNZANTES CON EXPOSICIN A SANGRE Y/O FLUIODS CORPORALES: http://rrhh.hospitalcastro.gov.cl/attachments/article/159/Norma%20acccortopunzantes.pdf<o:p></o:p></span></p> <p class=MsoBibliography style='margin-left:36.0pt;text-align:justify; text-indent:-36.0pt;line-height:150%'><span lang=ES style='font-size:10.0pt; line-height:150%;font-family:"Verdana",sans-serif;mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-no-proof:yes'>Marradi, A. (s.f.). Obtenido de MERODOLOGIA D ELAS CIENCIAS SOCIALES .<o:p></o:p></span></p> <p class=MsoBibliography style='margin-left:36.0pt;text-align:justify; text-indent:-36.0pt;line-height:150%'><span lang=ES style='font-size:10.0pt; line-height:150%;font-family:"Verdana",sans-serif;mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-no-proof:yes'>Ministerio de Salud Publica del Gobierno de Chile. 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(2004). </span><span lang=ES style='font-size:10.0pt;line-height:150%; font-family:"Verdana",sans-serif;mso-bidi-font-family:Calibri;mso-bidi-theme-font: minor-latin;mso-no-proof:yes'>Obtenido de La prevencin de pinchazos con agujas en el personal de salud: http://www.who.int/occupational_health/activities/oehcdrom5.pdf?ua=1<o:p></o:p></span></p> <p class=MsoBibliography style='margin-left:36.0pt;text-indent:-36.0pt; line-height:150%'><span lang=ES style='font-size:10.0pt;line-height:150%; font-family:"Verdana",sans-serif;mso-bidi-font-family:Calibri;mso-bidi-theme-font: minor-latin;mso-no-proof:yes'>Universidad Industrial de Santander. (21 de abril de 2012). Obtenido de MANUAL DE BIOSEGURIDAD: https://www.uis.edu.co/intranet/calidad/documentos/talento%20humano/SALUD%20OCUPACIONAL/MANUALES/MTH.02.pdf<o:p></o:p></span></p> <p class=MsoBibliography style='margin-left:36.0pt;text-indent:-36.0pt; line-height:150%'><span lang=ES style='font-size:10.0pt;line-height:150%; font-family:"Verdana",sans-serif;mso-bidi-font-family:Calibri;mso-bidi-theme-font: minor-latin;mso-no-proof:yes'>Valenzuela, M. (s.f.). <i>Instituto de Salud Pblica de Chile</i>. Obtenido de GUA PREVENTIVA DE RECOMENDACIONES PARA TRABAJADORES SANITARIOS en el manejo de cortopunzantes: http://www.ispch.cl/sites/default/files/u5/Guia_Preventiva_Cortopunzantes.pdf<o:p></o:p></span></p> <p class=MsoBibliography style='margin-left:36.0pt;text-align:justify; text-indent:-36.0pt;line-height:150%'><span lang=ES style='font-size:10.0pt; line-height:150%;font-family:"Verdana",sans-serif;mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-no-proof:yes'>Vsconez, N., &amp; Molina, S. (s.f.). Obtenido de manual de normas de bioseguridad: file:///E:/bioseguridad%20ecuador.pdf<o:p></o:p></span></p> <p class=MsoBibliography style='margin-left:36.0pt;text-indent:-36.0pt; line-height:150%'><span lang=ES style='font-size:10.0pt;line-height:150%; font-family:"Verdana",sans-serif;mso-bidi-font-family:Calibri;mso-bidi-theme-font: minor-latin;mso-no-proof:yes'>Villegas, L. (2007). <i>UNIVERSIDAD TECNOLGICA DE PEREIRA</i>. 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Obtenido de Manual para el Manejo de Desechos en Establecimientos de Salud: http://bvsper.paho.org/bvsair/e/repindex/repi62/guiamane/manuma.html<o:p></o:p></span></p> <p class=MsoNormal><!--[if supportFields]><b><span lang=ES style='font-size: 10.0pt;line-height:106%;font-family:"Verdana",sans-serif;mso-bidi-font-family: Calibri;mso-bidi-theme-font:minor-latin'><span style='mso-element:field-end'></span></span></b><![endif]--><span lang=ES style='font-size:10.0pt;line-height:106%;font-family:"Verdana",sans-serif; mso-bidi-font-family:Calibri;mso-bidi-theme-font:minor-latin'><o:p>&nbsp;</o:p></span></p> </w:Sdt> <p class=MsoNormal><span lang=ES style='font-size:10.0pt;line-height:106%; font-family:"Verdana",sans-serif;mso-bidi-font-family:Calibri;mso-bidi-theme-font: minor-latin'><o:p>&nbsp;</o:p></span></p> <p class=MsoNormal><span lang=ES style='font-size:10.0pt;line-height:106%; font-family:"Verdana",sans-serif;mso-bidi-font-family:Calibri;mso-bidi-theme-font: minor-latin'><o:p>&nbsp;</o:p></span></p> <p class=MsoNormal><span lang=ES style='font-size:10.0pt;line-height:106%; font-family:"Verdana",sans-serif;mso-bidi-font-family:Calibri;mso-bidi-theme-font: minor-latin'><o:p>&nbsp;</o:p></span></p> <p class=MsoNormal style='line-height:150%'><span lang=ES style='font-size: 10.0pt;line-height:150%;font-family:"Verdana",sans-serif;mso-bidi-font-family: Calibri;mso-bidi-theme-font:minor-latin'><o:p>&nbsp;</o:p></span></p> <p class=MsoBibliography style='margin-left:36.0pt;text-indent:-36.0pt'><span lang=ES style='mso-no-proof:yes'><o:p>&nbsp;</o:p></span></p> </div> <div style='mso-element:footnote-list'><![if !supportFootnotes]><br clear=all> <hr align=left size=1 width="33%"> <![endif]> <div style='mso-element:footnote' id=ftn1> <p class=ANGLES style='margin:0cm;margin-bottom:.0001pt;line-height:normal'><a style='mso-footnote-id:ftn1' href="#_ftnref1" name="_ftn1" title=""><span lang=X-NONE style='font-size:9.0pt'><span style='mso-special-character:footnote'><![if !supportFootnotes]><span lang=X-NONE style='font-size:9.0pt;line-height:106%;font-family:"Arial",sans-serif; mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:"Times New Roman"; mso-ansi-language:X-NONE;mso-fareast-language:X-NONE;mso-bidi-language:AR-SA'>[1]</span><![endif]></span></span></a><span lang=X-NONE style='font-size:9.0pt'> Artculo derivado de proyecto de investigacin <span class=SpellE>titutlado</span>  Eventos adversos en reas de salud<span class=GramE> ,</span> Universidad <span class=SpellE>Catolica</span> Santiago de Guayaquil, octubre 2018- marzo 2019 <o:p></o:p></span></p> </div> <div style='mso-element:footnote' id=ftn2> <p class=ANGLES style='margin:0cm;margin-bottom:.0001pt;line-height:normal'><a style='mso-footnote-id:ftn2' href="#_ftnref2" name="_ftn2" title=""><span lang=X-NONE style='font-size:9.0pt'><span style='mso-special-character:footnote'><![if !supportFootnotes]><span lang=X-NONE style='font-size:9.0pt;line-height:106%;font-family:"Arial",sans-serif; mso-fareast-font-family:"Times New Roman";mso-bidi-font-family:"Times New Roman"; mso-ansi-language:X-NONE;mso-fareast-language:X-NONE;mso-bidi-language:AR-SA'>[2]</span><![endif]></span></span></a><span lang=X-NONE style='font-size:9.0pt'> Especialista de Enfermera en cuidados Crticos, Universidad Catlica Santiago de Guayaquil <a href="mailto:olgaargentina@gmail.com"><span style='color:windowtext;text-decoration: none;text-underline:none'>olgaargentina@gmail.com</span></a>, <a href="https://orcid.org/0000-0002-8739-7068"><span style='color:windowtext; text-decoration:none;text-underline:none'>https://orcid.org/0000-0002-8739-7068</span></a><o:p></o:p></span></p> <p class=ANGLES style='margin:0cm;margin-bottom:.0001pt;line-height:normal'><span lang=X-NONE style='font-size:9.0pt'>3 Magister<span style='mso-spacerun:yes'> </span>en Gerencia en Salud para el desarrollo local, Universidad Catlica Santiago de Guayaquil,normalsilvial@gmail.com, <a href="https://orcid.org/0000-0002-6258-6612"><span style='color:windowtext; text-decoration:none;text-underline:none'>https://orcid.org/0000-0002-6258-6612</span></a><o:p></o:p></span></p> </div> <div style='mso-element:footnote' id=ftn3> <p class=ANGLES style='margin:0cm;margin-bottom:.0001pt;line-height:normal'><a style='mso-footnote-id:ftn3' href="#_ftnref3" name="_ftn3" title=""></a><span lang=X-NONE style='font-size:9.0pt'>4 Magister<span style='mso-spacerun:yes'> </span>en Gerencia en Salud para el desarrollo local, Universidad Catlica Santiago de Guayaquil,</span><span lang=ES style='font-size:9.0pt;mso-ansi-language: ES'> <span class=SpellE>cristinagonzalez</span></span><span lang=X-NONE style='font-size:9.0pt'>@gmail.com, <a href="https://orcid.org/0000-0001-6061-4221"><span style='color:windowtext; text-decoration:none;text-underline:none'>https://orcid.org/0000-0001-6061-4221</span></a></span><span lang=ES style='font-family:"Verdana",sans-serif;mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-ansi-language:ES'><o:p></o:p></span></p> </div> <div style='mso-element:footnote' id=ftn4> <p class=ANGLES style='margin:0cm;margin-bottom:.0001pt;line-height:normal'><a style='mso-footnote-id:ftn4' href="#_ftnref4" name="_ftn4" title=""></a><span lang=ES style='font-size:9.0pt;mso-ansi-language:ES'>5 </span><span class=GramE><span lang=X-NONE style='font-size:9.0pt'>Magister<span style='mso-spacerun:yes'> </span>en</span></span><span lang=X-NONE style='font-size:9.0pt'> Gerencia en Salud para el desarrollo local, Universidad Catlica Santiago de Guayaquil,</span><span lang=X-NONE style='font-size:9.0pt;mso-ansi-language:ES'> </span><span class=SpellE><span lang=ES style='font-size:9.0pt;mso-ansi-language:ES'>fronruillom</span></span><span lang=X-NONE style='font-size:9.0pt'>@gmail.com, <a href="https://orcid.org/0000-0001-6061-4254">https://orcid.org/0000-0001-6061-42<span lang=ES style='mso-ansi-language:ES'>54</span></a></span><span lang=ES style='font-family:"Verdana",sans-serif;mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-ansi-language:ES'><o:p></o:p></span></p> <p class=ANGLES style='margin:0cm;margin-bottom:.0001pt;line-height:normal'><span lang=ES style='font-family:"Verdana",sans-serif;mso-bidi-font-family:Calibri; mso-bidi-theme-font:minor-latin;mso-ansi-language:ES'><o:p>&nbsp;</o:p></span></p> <p class=MsoFootnoteText><span lang=ES style='mso-ansi-language:ES'><o:p>&nbsp;</o:p></span></p> </div> <div style='mso-element:footnote' id=ftn5> <p class=MsoFootnoteText><a style='mso-footnote-id:ftn5' href="#_ftnref5" name="_ftn5" title=""></a><span lang=ES style='mso-ansi-language:ES'><o:p>&nbsp;</o:p></span></p> </div> </div> </body> </html>

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