<?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>0375-0760</journal-id>
<journal-title><![CDATA[Revista Cubana de Medicina Tropical]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Med Trop]]></abbrev-journal-title>
<issn>0375-0760</issn>
<publisher>
<publisher-name><![CDATA[Centro Nacional de Información de Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0375-07602022000300012</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Coinfecciones y sobreinfecciones en pacientes con diagnóstico de COVID-19 ingresados en terapia del Hospital Hermanos Ameijeiras]]></article-title>
<article-title xml:lang="en"><![CDATA[Behavior of coinfections and superinfections in COVID-19 patients admitted to the intensive care unit at Hermanos Ameijeiras Hospital]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez Venegas]]></surname>
<given-names><![CDATA[Elia de la Caridad]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández González]]></surname>
<given-names><![CDATA[Alberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Denis Piedra]]></surname>
<given-names><![CDATA[Daniel Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez Rodríguez]]></surname>
<given-names><![CDATA[Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gali Navarro]]></surname>
<given-names><![CDATA[Zuleika del Carmen]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Clínico Quirúrgico Hermanos Ameijeiras  ]]></institution>
<addr-line><![CDATA[ La Habana]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2022</year>
</pub-date>
<volume>74</volume>
<numero>3</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0375-07602022000300012&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0375-07602022000300012&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0375-07602022000300012&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: La enfermedad COVID-19 se ha asociado a un incremento de los ingresos en terapia intensiva. La probabilidad de muerte se eleva con las coinfecciones y sobreinfecciones.  Objetivo: Determinar la presencia de coinfecciones y aparición de sobreinfecciones en pacientes con COVID-19 ingresados en terapia, los factores asociados a esta y su relación con la mortalidad.  Métodos: Se realizó un estudio analítico transversal donde se estudió a 79 pacientes positivos al virus SARS-CoV-2 en 8 meses en el servicio de la terapia del Hospital Hermanos Ameijeiras. Se estudiaron variables demográficas, clínicas y de manejo en terapia. Las variables categóricas se expresaron en frecuencias absoluta y relativa. Las variables cuantitativas se describieron según la mediana y sus rangos intercuartílicos. Se empleó la prueba de rangos de Wilcoxon, ji al cuadrado de Pearson y el modelo de regresión logística multinomial para determinar las variables predictoras independientes de la sobreinfección.  Resultados: Presentaron sobreinfección 34 pacientes (43 %). Hubo una mortalidad del 43 % con 34 pacientes, de estos se sobreinfectaron 18 pacientes. Se obtuvo una asociación causal entre la sobreinfección y la estadía hospitalaria (OR: 1,56; IC: 95 %: 1,26-2,08; p &lt; 0,001), el uso de ventilación mecánica invasiva (OR: 3,28; IC: 95 %: 1,30-8,73; p = 0,014) y el tiempo de empleada esta (OR: 1,37; IC: 95 %: 1,15-1,71; p&lt; 0,001).  Conclusiones: No se encontró asociación estadística entre la mortalidad y la sobreinfección en los pacientes estudiados. Hubo poca representación de coinfecciones. La estadía en terapia, el uso de ventilación mecánica invasiva y el tiempo de empleada esta fueron variables predictoras en la aparición de sobreinfección.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  COVID-19 is associated with an increase in the number of admissions to the intensive care units. The likelihood of fatality cases increases with coinfections and superinfections.  Objective:  To determine the presence of coinfections and the occurrence of superinfections in COVID-19 patients admitted to the intensive care unit, its associated factors and its relationship with mortality.  Methods:  It was conducted a cross-sectional analytic study in 79 patients with positive SARS-CoV-2 tests during eight months in the intensive care units at Hermanos Ameijeiras Hospital. Demographic, clinical and management variable were studied. Categorical variables were expressed in terms of absolute and relative frequencies. Quantitative variables were described based on their median and their interquartile ranges. The Wilcoxon rank test, Pearson's chi-squared test and the multinomial logistic regression model were used to determine the independent predictor variables of superinfection.  Results:  Superinfection occurred in 34 patients (43%). The mortality rate was 43% with 34 patients, of which 18 had superinfections. A causal association was established between superinfection and hospital stay (OR: 1.56; CI: 95%: 1.26-2.08; p &lt; 0.001), the use of invasive mechanical ventilation (OR: 3.28; CI: 95%: 1.30-8.73; p = 0.014) and the time this procedure was used (OR: 1.37; CI: 95%: 1.15-1.71; p &lt; 0.001).  Conclusions: No statistical association was found between mortality and superinfection in the patients under study. There was low presence of coinfections. The stay in the intensive care unit, the use of invasive mechanical ventilation and the time this procedure was used were predictive variables for the occurrence of superinfection.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[COVID-19]]></kwd>
<kwd lng="es"><![CDATA[SARS-CoV-2]]></kwd>
<kwd lng="es"><![CDATA[unidad de cuidados intensivos]]></kwd>
<kwd lng="es"><![CDATA[sobreinfección]]></kwd>
<kwd lng="es"><![CDATA[coinfección]]></kwd>
<kwd lng="es"><![CDATA[mortalidad]]></kwd>
<kwd lng="en"><![CDATA[COVID-19]]></kwd>
<kwd lng="en"><![CDATA[SARS-CoV-2]]></kwd>
<kwd lng="en"><![CDATA[intensive care units]]></kwd>
<kwd lng="en"><![CDATA[superinfection]]></kwd>
<kwd lng="en"><![CDATA[coinfection]]></kwd>
<kwd lng="en"><![CDATA[mortality]]></kwd>
</kwd-group>
</article-meta>
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