<?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>0864-3466</journal-id>
<journal-title><![CDATA[Revista Cubana de Salud Pública]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Salud Pública]]></abbrev-journal-title>
<issn>0864-3466</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0864-34662018000200213</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Sepsis grave en la unidad de terapia intensiva del Instituto de Medicina Tropical &#8220;Pedro Kourí&#8221;]]></article-title>
<article-title xml:lang="en"><![CDATA[Severe sepsis in the intensive care unit of &#8220;Pedro Kourí&#8221; Tropical Medicine Institute]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ortega González]]></surname>
<given-names><![CDATA[Lilia María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Duque Vizcaíno]]></surname>
<given-names><![CDATA[Milena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Valdés Casanova]]></surname>
<given-names><![CDATA[Jesús]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Verdasquera Corcho]]></surname>
<given-names><![CDATA[Denis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto de Medicina Tropical &#8220;Pedro Kourí&#8221;  ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Escuela Nacional de Salud Pública (ENSAP)  ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2018</year>
</pub-date>
<volume>44</volume>
<numero>2</numero>
<fpage>213</fpage>
<lpage>223</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0864-34662018000200213&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0864-34662018000200213&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0864-34662018000200213&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: La última década muestra aumento de la prevalencia de sepsis grave por microorganismos multidrogorresistentes, lo que representa una alerta para los gobiernos y sistemas de salud en el manejo de la multirresistencia.  Objetivo: Identificar los microorganismos causantes de sepsis grave y sensibilidad a los antimicrobianos, así como relacionar los niveles de proteína C reactiva con la sepsis grave.  Métodos: Estudio descriptivo de corte transversal que incluyó a 30 pacientes con diagnóstico de sepsis grave ingresados en la Unidad de Cuidados Intensivos del hospital del Instituto de Medicina Tropical Pedro Kourí durante el 2016.  Resultados: Las neumonías fueron el foco primario dominante (43,3 %), y las infecciones por gérmenes gramnegativos las más frecuentes. Los aislamientos microbiológicos (pseudomonas y acinetobacter baumannii) mostraron multidrogorresistencia que incluye a carbapenémicos y colistina, lo que sugiere utilización de forma indiscriminada y no justificada de antibióticos en pacientes inmunodeprimidos VIH. Se demostró asociación entre la infección por gérmenes gramnegativos y títulos elevados de proteína C reactiva con el desarrollo de sepsis grave y evolución desfavorable. El aumento de las supervivencias de los pacientes VIH con las terapias antirretrovilales, demostraron la predisposición de estos enfermos a infecciones por gérmenes multidrogorresistentes.  Conclusiones: Los pacientes VIH tienen predisposición a infecciones por microorganismos multidrogorresistentes, la proteína C reactiva es útil como marcador de sepsis grave en estos enfermos. Estudios de este tipo demuestran a los sistemas de salud la necesidad trazar estrategias a corto plazo para el manejo de pacientes con VIH y sepsis grave por microorganismos multidrogorresistentes.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: The last decade shows an increase in the prevalence of severe sepsis by multidrug resistant microorganisms which represent an alert for governments and health systems in relation with multiresistance management.  Objective: To identify the microorganisms that cause severe sepsis and sensitivity to the antimicrobials, as well as to relate the levels of C-reactive protein with the severe sepsis.  Methods: A descriptive, cross-sectional study was carried out involving 30 patients diagnosed with severe sepsis and admitted in 2016 to the Intensive Care Unit of the Hospital in ´´ Pedro Kourí ´´ Tropical Medicine Institute.  Results: The prevalence of severe sepsis was 24.8% mainly in male patients (71.1%) and with ages from 41 to 50 years old (40.0%). Pneumonias were the predominant primary source (43.3%), and infections caused by negative Gram germs were the most frequent. Microbiological isolates (pseudomonas and acinetobacterbaumannii) showed multidrug resistance including carbapenems and colistin, which suggests an indiscriminate and non-justified use of antibiotics in HIV inmunodepressed patients. It was demonstrated a relation between infection by negative Gram germs and elevated levels of C-reactive protein with the development of severe sepsis and unfavorable evolution. The increasing survival rate in patients with HIV showed a predisposition of them to infections caused by multidrug resistant germs.  Conclusions: HIV positive patients have a predisposition to infections caused by multidrug resistant microorganisms. C-reactive protein is useful as a marker of severe sepsis in this kind of patients. Studies of this type show to health systems the need to develop strategies in short term for managing HIV patients and the severe sepsis caused by multidrug resistant microorganisms.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Sepsis grave]]></kwd>
<kwd lng="es"><![CDATA[VIH]]></kwd>
<kwd lng="es"><![CDATA[inmunodepresión]]></kwd>
<kwd lng="es"><![CDATA[microorganismo causal]]></kwd>
<kwd lng="en"><![CDATA[Severe sepsis]]></kwd>
<kwd lng="en"><![CDATA[HIV]]></kwd>
<kwd lng="en"><![CDATA[immunodepression]]></kwd>
<kwd lng="en"><![CDATA[causal microorganism]]></kwd>
</kwd-group>
</article-meta>
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