<?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>1025-0255</journal-id>
<journal-title><![CDATA[Revista Archivo Médico de Camagüey]]></journal-title>
<abbrev-journal-title><![CDATA[AMC]]></abbrev-journal-title>
<issn>1025-0255</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas de Camagüey]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1025-02552019000400435</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Caracterización de niños operados por apendicitis aguda complicada]]></article-title>
<article-title xml:lang="en"><![CDATA[Characterization of children operated on complicated acute appendicitis]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Loret-de-Mola-Pino]]></surname>
<given-names><![CDATA[Enrique Raúl]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Castelló-González]]></surname>
<given-names><![CDATA[Mauro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández-Moore]]></surname>
<given-names><![CDATA[Elizabeth]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Aguilar-Atanay]]></surname>
<given-names><![CDATA[Dayamnelis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Pediátrico Provincial Eduardo Agramonte Piña Servicio de Cirugía ]]></institution>
<addr-line><![CDATA[ Camagüey]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2019</year>
</pub-date>
<volume>23</volume>
<numero>4</numero>
<fpage>435</fpage>
<lpage>444</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1025-02552019000400435&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1025-02552019000400435&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1025-02552019000400435&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Fundamento: la apendicitis aguda complicada es la causa más frecuente de peritonitis secundaria en la edad pediátrica.  Objetivo: caracterizar los pacientes tratados por apendicitis aguda complicada.  Métodos: se realizó un estudio descriptivo transversal en pacientes tratados por apendicitis aguda complicada. El universo estuvo constituido por 166 pacientes y se trabajó con ellos en su totalidad. Las variables utilizadas fueron: edad, sexo, vía de acceso quirúrgico, hallazgos intraoperatorios donde se describe el estadio de la enfermedad, así como la posición del apéndice cecal, antimicrobianos utilizados, estadía hospitalaria y complicaciones.  Resultados: los pacientes más afectados estuvieron entre 10 y 14 años, y más de la mitad fue del sexo masculino. La mayor parte de las apendicectomías se realizaron por vía abierta. La posición más frecuente del apéndice cecal durante la intervención fue mesoceliaca posterior y en más de la mitad de los casos el órgano estaba perforado. La asociación de ceftriaxone, amikacina y metronidazol fue la más utilizada. La estadía hospitalaria se encontró entre cuatro y seis días. La complicación postoperatoria más frecuente fue la infección de la herida quirúrgica.  Conclusiones: los pacientes masculinos, entre 10 y 14 años fueron más frecuentes. Predominó el apéndice cecal en posición meso celiaca posterior y estadio perforado. Con el tratamiento quirúrgico y antimicrobiano utilizado, la estadía hospitalaria fue corta, con pocas complicaciones, entre las cuales la infección de la herida quirúrgica fue la más frecuente. Los resultados en los pocos pacientes tratados por cirugía de mínimo acceso sugieren que puede extenderse esta vía de abordaje en niños con apendicitis complicada.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Background: complicated acute appendicitis is the first cause of secondary peritonitis in the pediatric age.  Objective: to characterize patients treated for complicated acute appendicitis.  Methods: a descriptive, cross-sectional study was performed in patients treated for complicated acute appendicitis. The universe consisted of 166 patients and all were included in the study. The variables used were: age, sex, surgical access route (open or laparoscopic), intraoperative findings, including the stage of the disease and the position of the cecal appendix; used antimicrobial agents, hospital stay and complications.  Results: most of the patients were between 10 to 14 years old, and more than a half were male. Most of appendectomies were performed by an open technique. The most frequent position of the cecal appendix was posterior mesoceliac, and in more than a half of the patients the organ was perforated. The most used antimicrobial therapy included ceftriaxone, amikacin and metronidazole. The hospital stay rated from 4 to 6 days in most of the cases. The most frequent postoperative complication was surgical wound infection.  Conclusions: male patients, between 10 and 14 years old were more frequent. The cecal appendix was mainly found perforated and in posterior mesoceliac position. With the surgical and antimicrobial treatment used, the hospital stay was short, with few complications, among which the surgical wound infection was the most frequent. The results in the few patients treated by minimal access surgery suggest that this approach may be extended in children with complicated appendicitis.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[APENDICITIS/complicaciones]]></kwd>
<kwd lng="es"><![CDATA[APENDICITIS/cirugía]]></kwd>
<kwd lng="es"><![CDATA[PERITONITIS/etiología]]></kwd>
<kwd lng="es"><![CDATA[INFECCIÓN DE LA HERIDA QUIRÚRGICA]]></kwd>
<kwd lng="es"><![CDATA[NIÑO]]></kwd>
<kwd lng="en"><![CDATA[APPENDICITIS/complications]]></kwd>
<kwd lng="en"><![CDATA[APPENDICITIS/surgery]]></kwd>
<kwd lng="en"><![CDATA[PERITONITIS/etiology]]></kwd>
<kwd lng="en"><![CDATA[SURGICAL WOUND INFECTION]]></kwd>
<kwd lng="en"><![CDATA[CHILD]]></kwd>
</kwd-group>
</article-meta>
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