<?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>1727-897X</journal-id>
<journal-title><![CDATA[MediSur]]></journal-title>
<abbrev-journal-title><![CDATA[Medisur]]></abbrev-journal-title>
<issn>1727-897X</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas de Cienfuegos, Centro Provincial de Ciencias Médicas, Provincia de Cienfuegos.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1727-897X2020000300322</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Carga económica de la enfermedad neumocócica en niños de edad preescolar en el Policlínico Cecilio Ruiz de Zárate Castellón. 2016]]></article-title>
<article-title xml:lang="en"><![CDATA[Economic burden of pneumococcal disease in preschoolers in the Cecilio Ruiz de Zárate Castellón Polyclinic. 2016]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Marrero Araújo]]></surname>
<given-names><![CDATA[Martha]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García Fariñas]]></surname>
<given-names><![CDATA[Anai]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gálvez González]]></surname>
<given-names><![CDATA[Ana María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Escuela Nacional de Salud Pública  ]]></institution>
<addr-line><![CDATA[La Habana La Habana]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Finlay de Vacunas  ]]></institution>
<addr-line><![CDATA[La Habana La Habana]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2020</year>
</pub-date>
<volume>18</volume>
<numero>3</numero>
<fpage>322</fpage>
<lpage>332</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1727-897X2020000300322&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1727-897X2020000300322&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1727-897X2020000300322&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Fundamento:  el cálculo de la carga económica de la atención y tratamiento de las enfermedades neumocócicas en niños de edad preescolar en el nivel primario de salud en Cuba, contribuye a fundamentar la asignación de recursos y visualizar la necesidad de buscar vías de prevenir su padecimiento.  Objetivo:  estimar la carga económica de la enfermedad neumocócica en niños de edad preescolar en el Policlínico Docente Cecilio Ruiz de Zárate Castellón, de Cienfuegos.  Métodos:  se realizó un estudio de costo de la enfermedad modelado, desde la perspectiva institucional; el horizonte temporal se definió como el tiempo entre el diagnóstico y alta médica.  Resultados:  el costo médico directo de los pacientes menores de cinco años de edad, con neumonía, atendidos solamente en el primer nivel de salud, tiene un valor medio de 237 CUP; en los pacientes con otitis media aguda fue de 120 CUP. Los atendidos en el nivel primario después de un egreso hospitalario tuvieron un costo médico directo medio de 106,96 CUP; en los casos con otitis media aguda fue de 89,83 CUP y para aquellos egresados luego de una meningitis o sepsis fue de 152,63 CUP con el mayor valor de costo medio, mínimo y máximo debido a la prolongación de la atención posterior al egreso. Dentro de los procesos, las visitas al hogar ocasionan el mayor gasto y, de las partidas, el salario. La enfermedad neumocócica representó una carga económica de más de 15 400 00 CUP.  Conclusiones:  la atención de la enfermedad neumocócica para el Policlínico Cecilio Ruiz de Zárate Castellón es costosa. Estas estimaciones deberán tenerse en cuenta por quienes toman decisiones de introducir la vacunación antineumocócica en la población infantil cubana.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Foundation:  calculating the economic burden of pneumococcal disease care and treatment in preschoolers in the primary health level in Cuba, helps to base the allocation of resources and visualize the need to find ways to prevent the disease.  Objective:  to estimate the economic burden of pneumococcal disease in preschoolers in the Cecilio Ruiz de Zárate Castellón Teaching Polyclinic, in Cienfuegos.  Methods:  a study of the modeled disease cost was carried out, from the institutional perspective; time horizon was defined as the time between diagnosis and medical discharge.  Results:  direct medical cost of patients under five years old, with pneumonia, treated only at the first level of health, has an average value of 237 Cuban pesos; in patients with acute otitis media it was 120 CUP. Those attended at the primary level after a hospital discharge had an average direct medical cost of between 106.96 CUP; in cases with acute otitis media, it was 89.83 CUP and for those who discharged after meningitis or sepsis, it was 152.63 CUP with the highest average, minimum and maximum cost value due to the extension of post-discharge care. Within the processes, home visits cause the greatest expense and, of the items, salary. Pneumococcal disease represented an economic burden of more than 15 400 00 CUP.  Conclusions:  Pneumococcal disease care for the Cecilio Ruiz de Zárate Castellón Polyclinic is expensive. These estimates should be taken into account by those who make decisions to introduce pneumococcal vaccination in the Cuban child population.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[costo de enfermedad]]></kwd>
<kwd lng="es"><![CDATA[costos de la atención en salud]]></kwd>
<kwd lng="es"><![CDATA[infecciones neumocócicas]]></kwd>
<kwd lng="es"><![CDATA[atención primaria de salud]]></kwd>
<kwd lng="es"><![CDATA[Cuba]]></kwd>
<kwd lng="en"><![CDATA[cost of illness]]></kwd>
<kwd lng="en"><![CDATA[health care costs]]></kwd>
<kwd lng="en"><![CDATA[pneumococcal infections]]></kwd>
<kwd lng="en"><![CDATA[primary health care]]></kwd>
<kwd lng="en"><![CDATA[Cuba]]></kwd>
</kwd-group>
</article-meta>
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