<?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>1028-4818</journal-id>
<journal-title><![CDATA[Multimed]]></journal-title>
<abbrev-journal-title><![CDATA[Multimed]]></abbrev-journal-title>
<issn>1028-4818</issn>
<publisher>
<publisher-name><![CDATA[Centro Provincial de Información de Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1028-48182021000200001</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Papel de los estudios microbiológicos en la necrosis pancreática]]></article-title>
<article-title xml:lang="en"><![CDATA[Role of the microbiological studies in pancreatic necrosis]]></article-title>
<article-title xml:lang="pt"><![CDATA[Papel dos estudos microbiológicos na necrose pancreática]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Turruelles Ramírez]]></surname>
<given-names><![CDATA[Alberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ricardo Martínez]]></surname>
<given-names><![CDATA[Daimi]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez Suarez]]></surname>
<given-names><![CDATA[Manuel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Borges Sánchez]]></surname>
<given-names><![CDATA[Eduardo Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sánchez Vázquez]]></surname>
<given-names><![CDATA[Rafael]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de Granma Hospital General Docente Universitario Carlos Manuel de Céspedes ]]></institution>
<addr-line><![CDATA[Bayamo Granma]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2021</year>
</pub-date>
<volume>25</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1028-48182021000200001&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1028-48182021000200001&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1028-48182021000200001&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  la infección de la necrosis pancreática es la complicación local más grave de la pancreatitis aguda. Ocurre aproximadamente en un 35% de los pacientes y presenta una mortalidad cercana al 80%.  Objetivo:  identificar el espectro microbiológico de la necrosis pancreática infectada  Métodos: realizamos un estudio longitudinal, descriptivo, prospectivo en la Unidad de cuidados intensivos del Hospital Universitario Carlos Manuel de Céspedes de la ciudad de Bayamo, Cuba, en el periodo comprendido desde enero de 2012 hasta diciembre de 2018.Fueron incluidos 71 pacientes con el diagnostico o sospecha de pancreatitis aguda necrotizante infectada que requirieron necrosectomía con toma de cultivo intraoperatorio.  Resultados:  del total de pacientes de la serie la mayoría fueron masculinos representando el 56,3 % de la muestra. la etiología más frecuentemente encontrada fue la litiasica con 38 pacientes (53,5%). Mientras que 52 pacientes (73,2%) presentaban más del 50% de la glándula pancreática con necrosis. En 63 pacientes se confirmó la presencia de infección de la necrosis. Con predominio de la infección monomicrobiana en 48 casos (76,2%).El germen más frecuentemente encontrado fue E. coli (47,9%).La mortalidad post-operatoria fue de 15 pacientes (21, 1%).De ellos 14 pacientes (93,3%) con infección luego de la necrosectomía.  Conclusiones:  predominó la infección monomicrobiana por E. coli. Los pacientes con confirmación de crecimiento bacteriano post necrosectomía presentaron mayor mortalidad.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  infection of pancreatic necrosis is the most serious local complication of acute pancreatitis. It occurs in approximately 35% of patients and has a mortality rate close to 80%.  Objective:  to identify the microbiological spectrum of infected pancreatic necrosis  Methods:  we carried out a longitudinal, descriptive, prospective study in the intensive care unit of the Carlos Manuel de Céspedes University Hospital in the city of Bayamo, Cuba, in the period from January 2012 to December 2018. 71 patients with the diagnosis or suspicion of infected acute necrotizing pancreatitis that required necrosectomy with intraoperative culture taking.  Results:  of the total number of patients in the series, the majority were male, representing 56.3% of the sample. the most frequently found etiology was lithiasis with 38 patients (53.5%). While 52 patients (73.2%) had more than 50% of the pancreatic gland with necrosis. In 63 patients, the presence of necrosis infection was confirmed. With a predominance of monomicrobial infection in 48 cases (76.2%). The most frequent germ found was E. coli (47.9%). Post-operative mortality was 15 patients (21.1%). Of them 14 patients (93.3%) with infection after necrosectomy.  Conclusions:  monomicrobial infection by E. coli predominated. Patients with confirmed bacterial growth post necrosectomy had higher mortality.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO  Introdução:  a infecção da necrose pancreática é a complicação local mais grave da pancreatite aguda. Ocorre em aproximadamente 35% dos pacientes e tem mortalidade próxima a 80%.  Objetivo:  identificar o espectro microbiológico da necrose pancreática infectada  Métodos: foi realizado um estudo longitudinal, descritivo e prospectivo na unidade de terapia intensiva do Hospital Universitário Carlos Manuel de Céspedes, nacidade de Bayamo, Cuba, no período de janeiro de 2012 a dezembro de 2018. 71 pacientes portadores de diagnóstico ou suspeita de pancreatite necrosante aguda infectada que exigiu necrosectomia com coleta de cultura intraoperatória.  Resultados:  do total de pacientes da série, a maioria era do sexo masculino, representando 56,3% da amostra. a etiologia mais encontrada foi a litíase com 38 pacientes (53,5%). En quanto 52 pacientes (73,2%) apresentavam mais de 50% da glândula pancreática com necrose. Em 63 pacientes, foi confirmada a presença de infecção de necrose. Com predomínio de infecção monomicrobiana em 48 casos (76,2%). O germe mais encontrado foi E. coli (47,9%). A mortalidade pós-operatória foi de 15 pacientes (21,1%). Destes 14 pacientes (93,3%) com infecção após necrosectomia.  Conclusões:  a infecção monomicrobiana por E. coli predominou. Pacientes com crescimento bacteriano confirmado após necrosectomia apresentaram maior mortalidade.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Pancreatitis aguda]]></kwd>
<kwd lng="es"><![CDATA[Necrosis infectada]]></kwd>
<kwd lng="es"><![CDATA[Microbiología]]></kwd>
<kwd lng="en"><![CDATA[Acute pancreatitis]]></kwd>
<kwd lng="en"><![CDATA[Infected necrosis]]></kwd>
<kwd lng="en"><![CDATA[Microbiology]]></kwd>
<kwd lng="pt"><![CDATA[Pancreatite aguda]]></kwd>
<kwd lng="pt"><![CDATA[Necrose infectada]]></kwd>
<kwd lng="pt"><![CDATA[Microbiologia]]></kwd>
</kwd-group>
</article-meta>
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