<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0034-7531</journal-id>
<journal-title><![CDATA[Revista Cubana de Pediatría]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Pediatr]]></abbrev-journal-title>
<issn>0034-7531</issn>
<publisher>
<publisher-name><![CDATA[Centro Nacional de Información de Ciencias MédicasEditorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0034-75312020000400015</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Apendicitis aguda en el niño: guía de práctica clínica]]></article-title>
<article-title xml:lang="en"><![CDATA[Acute appendicitis in children. Clinical Pratice Guide]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González López]]></surname>
<given-names><![CDATA[Sergio Luis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González Dalmau]]></surname>
<given-names><![CDATA[Luis Paulo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Quintero Delgado]]></surname>
<given-names><![CDATA[Zoe]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez Núñez]]></surname>
<given-names><![CDATA[Blanca Rosa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ponce Rodríguez]]></surname>
<given-names><![CDATA[Yordan]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fonseca Romero]]></surname>
<given-names><![CDATA[Berta Emelina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Pediátrico Provincial Docente &#8220;Paquito González Cueto&#8221;  ]]></institution>
<addr-line><![CDATA[Cienfuegos ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital General Docente &#8220;Antonio Luaces Iraola&#8221;  ]]></institution>
<addr-line><![CDATA[Ciego de Ávila ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<volume>92</volume>
<numero>4</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0034-75312020000400015&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0034-75312020000400015&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0034-75312020000400015&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN En las últimas décadas se ha prestado mayor atención a los resultados de la actividad quirúrgica debido al peso económico que esta actividad genera en los servicios de salud, el avance ocurrido en la mejora de los cuidados perioperatorios y la creciente ocupación institucional por la calidad de la asistencia y la satisfacción de la población. A este propósito han contribuido el desarrollo y aplicación de guías de práctica clínica. Estas guías reducen la variación en los cuidados del paciente quirúrgico y aumentan su eficiencia, lo que permite que los pacientes se beneficien de iniciativas institucionales encaminadas a mejorar la calidad de la asistencia sanitaria. La apendicitis aguda es sin dudas la enfermedad que tipifica la atención quirúrgica de urgencia en la mayoría de los centros dedicados a la atención sanitaria de niños y adolescentes. Su frecuencia, variación en las características clínicas en los diferentes grupos de edad y los crecientes reportes sobre la posibilidad de tratarse por métodos no quirúrgicos, hizo necesaria una revisión del tema. En el IV Simposio Nacional de Cirugía Pediátrica (Varadero, Matanzas, 1- 3 de julio de 2019), fue presentada, discutida y aprobada una &#8220;Guía de Práctica Clínica de Apendicitis Aguda en el niño&#8221;. Compartir la guía a través de su publicación, permitiría a servicios de cirugía pediátrica emplearla como referencia, aplicarla en sus propias instituciones y beneficiar a un gran número de pacientes.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT In the last decades, it has been paied attention to the results of the surgical activity due to the economic weight this activity yields in the health services, the advances in the improvement of perioperative cares and the growing institutional occupation due to the quality in the care and the population´s satisfaction. The development and implementation of clinical practice guides have contributed to that purpose. These guides reduce the variation in the cares of surgical patients and increase their efficiency, which allows patients to be benefited by institutional initiatives aimed to improve health care´s quality. Acute appendicitis is, with no doubts, the disease that characterizes emergencie´s surgical care in most of the facilities devoted to children and adolescents´health care. Its frequency, the variation of clinical characteristics in the different age groups and the increasing reports on the possibility of being treated by non-surgical approaches makes necessary a review on the topic. At the IV National Symposium on Pediatric Surgery (Varadero, Matanzas, 2019 July 1-3), a &#8220;Clinical Practice Guide for Acute Appendicitis&#8221; was presented, discussed and approved. Sharing the guideline through publication would allow similar services to use it as a reference for applying the model in their own institutions, benefiting a greater number of patients.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[guía de práctica clínica]]></kwd>
<kwd lng="es"><![CDATA[apendicitis aguda]]></kwd>
<kwd lng="es"><![CDATA[niños]]></kwd>
<kwd lng="es"><![CDATA[adolescentes]]></kwd>
<kwd lng="en"><![CDATA[clinical practice guide]]></kwd>
<kwd lng="en"><![CDATA[acute appendicitis]]></kwd>
<kwd lng="en"><![CDATA[children]]></kwd>
<kwd lng="en"><![CDATA[adolescents]]></kwd>
</kwd-group>
</article-meta>
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