S ince the beginning of the COVID-19 pandemic, the emergence of resistant microorganisms causing healthcare-associated infections has been documented (1). Using antimicrobial drugs in patients with COVID-19 for the treatment of potential, but untested, bacterial pathogens has become a widely implemented empirical practice (2-6). However, the rapid rise in the number of COVID-19 cases has overwhelmed healthcare systems, producing a multifactorial problem. For example, the shortage of healthcare workers struggling to provide timely care to patients, complications in implementing infection control
Objective: to estimate energy, nutrient intake and diet adequacy in preschool-aged children based on data from the Mexican National Health and Nutrition Survey 2012.Material and methods: dietary data in children < 5 years (n = 1,212) collected through a Semi-quantitative Food Frequency Questionnaire (SFFQ) were analyzed. Energy and daily nutrient intakes and adequacies were calculated comparing by sociodemographic characteristics.Results: median daily energy intake was 1,252 kcal (adequacy 104%). Adequacies above 100% were observed for calcium, zinc, vitamin C, folate, vitamin B12, vitamin A and median of saturated fat. Low percent adequacies were observed for fiber, iron, polyunsaturated fat and vitamin D. Intakes were lower in the southern region compared to other regions. Most intakes and adequacies were higher in urban compared to rural areas, but fiber had the opposite trend. Indigenous children had low intakes and percent adequacies.Conclusions: risks of dietary deficiencies and excess are present in Mexican preschool-aged children, with marked differences across sociodemographicstrata.
Background:The health and nutritional conditions of older adults in Mexico are heterogeneous. Theprevalence of chronic noncommunicable diseases is elevated with disparities in functionality and socioeconomicinequities. Objectives:To obtain updated information of the health and nutritional profile of older adults inMexico in a national representative sample. Methods:Information was obtained from 6,687 60 years and olderadults from the 2012 National Health and Nutrition Survey (ENSANUT 2012). An index defining the status of"healthy adult" was constructed taking into account the variables of independence in performing activities ofdaily living (ADL), based on the development by Katz, instrumental ADL, no chronic diseases, nonsmoker andno active use of alcohol. Tables of frequencies and proportions were constructed and expanded to describe thegeneral characteristics and nutritional status of the adult Mexican population. A logistic regression model wasused to study changes in the probability of being classified as a healthy adult with respect to different variables ofinterest. Probabilities using the delta method were estimated to establish 95% confidence intervals. Results:Inthis study 12.2% of the older adults, were classified as healthy. The logistic regression model adjusted for thevariables included in the study shows that the interaction of age and gender is significant (P = 0.068), where theprobability of healthy adult status decreases in women with ageing and remains stable for men. Also, living in thesouthern region of the country significantly decreases the probability of healthy adult status (P = 0.001). Genderof the older adult was not significant. Conclusions:In Mexico, the health conditions of older adults are deficient.Public policies need to be generated that are directed at this population group and will translate into self-careactions in the early stages of life so as to guarantee a healthy future.
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