<?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>1028-9933</journal-id>
<journal-title><![CDATA[Revista Información Científica]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. inf. cient.]]></abbrev-journal-title>
<issn>1028-9933</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas Guantánamo]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1028-99332019000600734</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Microorganismos causales de neumonía asociada a la ventilación mecánica]]></article-title>
<article-title xml:lang="en"><![CDATA[Causal microorganisms of pneumonia associated with mechanical ventilation, Guantanamo 2014-2018]]></article-title>
<article-title xml:lang="pt"><![CDATA[Microrganismos causais de pneumonia associados à ventilação mecânica, Guantanamo 2014-2018]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[León Vidal]]></surname>
<given-names><![CDATA[Maricela de]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Claro Frómeta]]></surname>
<given-names><![CDATA[Diorlis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cruz Velázquez]]></surname>
<given-names><![CDATA[Lisandra]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vázquez Nasiff]]></surname>
<given-names><![CDATA[Juan José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Turro García]]></surname>
<given-names><![CDATA[Ramón]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General Docente &#8220;Dr. Agostinho Neto&#8221;  ]]></institution>
<addr-line><![CDATA[ Guantánamo]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<volume>98</volume>
<numero>6</numero>
<fpage>734</fpage>
<lpage>743</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1028-99332019000600734&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1028-99332019000600734&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1028-99332019000600734&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  En la Unidad de Cuidados Intensivos del Hospital &#8220;Dr. Agostinho Neto&#8221; no se ha precisado cuáles gérmenes causan la neumonía asociada a la ventilación mecánica.  Objetivo:  Precisar los gérmenes causales de este tipo de neumonía en la citada unidad durante los años 2014-2018.  Método:  Se realizó un estudio observacional, retrospectivo y longitudinal. El universo fueron todos los pacientes con diagnóstico de este tipo de neumonía (N=561), de estos se seleccionó una muestra aleatoria de 200 pacientes. Se estudiaron las siguientes variables: total de pacientes ingresados en la UCI y los que se trataron con ventilación mecánica y tiempo de aplicación de ésta, características de los pacientes (edad, sexo, tipo de paciente y diagnóstico al ingreso), caracterización de esta neumonía (tipo, nivel de gravedad y etiología).  Resultados:  El 46,8 % de los pacientes que se trató con ventilación mecánica presentó este tipo de neumonía, y de estos el 94,0 % presentó una neumonía de tipo tardía. Su edad fue de 56,1 ± 12,4 años y la mayoría fueron varones (n=59). El 65,5 % presentó una enfermedad clínica, y la más común fue la enfermedad cerebrovascular (24,5 %). El 73,5 % se ventiló por más de cinco días. El principal germen causal fue la Klepsiella (24,5 %).  Conclusiones:  La Klepsiella y el Streptococcusp neumoniae son los gérmenes causales más comunes de esta neumonía y esta fue más común en los pacientes con formas clínicas de enfermedad cerebrovascular.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  In the intensive care unit of the &#8220;Dr. Agostinho Neto&#8221; Hospital it has not been specified which germs cause pneumonia associated with mechanical ventilation.  Objective:  To specify the causal germs of this type of pneumonia in the aforementioned unit during the years 2014-2018.  Method:  An observational, retrospective and longitudinal study was carried out. The universe was all patients diagnosed with this type of pneumonia (N=561), from these a random sample of 200 patients was selected. The following variables were studied: total of patients admitted to the ICU and those treated with mechanical ventilation and its application time, characteristics of the patients (age, sex, type of patient and diagnosis at admission), characterization of this pneumonia (type, severity level and etiology).  Results:  46.8% of the patients who were treated with mechanical ventilation presented this type of pneumonia, and of these 94.0% presented late pneumonia. Their age was 56.1 ± 12.4 years and the majority were male (n=59). 65.5% presented a clinical disease, and the most common was cerebrovascular disease (24.5%). 73.5% was ventilated for more than five days. The main causal germ was Klepsiella (24.5%).  Conclusion:  Klepsiella and Streptococcusp pneumoneae are the most common causative germs of this pneumonia and this was more common in patients with clinical forms of cerebrovascular disease.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO  Introdução:  Na unidade de terapia intensiva do Hospital &#8220;Dr. Agostinho Neto&#8221; no foi especificado quais germes causam pneumonia associada à ventilação mecânica.  Objetivo:  Especificar os germes causais desse tipo de pneumonia na unidade citada nos anos de 2014 a 2018.  Método:  Estudo observacional, retrospectivo e longitudinal. O universo foi constituído por todos os pacientes diagnosticados com esse tipo de pneumonia (N=561), dos quais foi selecionada uma amostra aleatória de 200 pacientes. Foram estudadas as seguintes variáveis: total de pacientes admitidos na UTI e tratados com ventilação mecânica e seu tempo de aplicação, características dos pacientes (idade, sexo, tipo de paciente e diagnóstico na admissão), caracterização dessa pneumonia (tipo, nível de gravidade e etiologia).  Resultados:  46,8% dos pacientes tratados com ventilação mecânica apresentaram esse tipo de pneumonia e desses 94,0% apresentaram pneumonia tardia. A idade era de 56,1 ± 12,4 anos e a maioria era do sexo masculino (n=59). 65,5% apresentaram doença clínica e a mais comum foi doença cerebrovascular (24,5%). 73,5% foram ventilados por mais de cinco dias. O principal germe causal foi Klepsiella (24,5%).  Conclusão:  Klepsiella e streptococcusp pneumoneae são os germes causadores mais comuns dessa pneumonia, sendo mais comum em pacientes com formas clínicas de doença cerebrovascular.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[unidad de cuidados intensivos]]></kwd>
<kwd lng="es"><![CDATA[neumonía asociada a la ventilación mecánica]]></kwd>
<kwd lng="es"><![CDATA[ventilación a mecánica]]></kwd>
<kwd lng="en"><![CDATA[intensive care unit]]></kwd>
<kwd lng="en"><![CDATA[pneumonia associated with mechanical ventilation]]></kwd>
<kwd lng="en"><![CDATA[mechanical ventilation]]></kwd>
<kwd lng="pt"><![CDATA[unidade de terapia intensiva]]></kwd>
<kwd lng="pt"><![CDATA[pneumonia associada à ventilação mecânica]]></kwd>
<kwd lng="pt"><![CDATA[ventilação mecânica]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Li]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Peterson]]></surname>
<given-names><![CDATA[ME]]></given-names>
</name>
<name>
<surname><![CDATA[Campbell]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Li]]></surname>
<given-names><![CDATA[HN]]></given-names>
</name>
<name>
<surname><![CDATA[Peterson]]></surname>
<given-names><![CDATA[ME]]></given-names>
</name>
<name>
<surname><![CDATA[Campbell]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Association of seasonal viral acute respiratory infection with pneumococcal disease: a systematic review of population based studies]]></article-title>
<source><![CDATA[BMJ Open]]></source>
<year>2018</year>
<volume>8</volume>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Zhang]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Zhou]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Fang]]></surname>
<given-names><![CDATA[Q]]></given-names>
</name>
<name>
<surname><![CDATA[Zhang]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Zhang]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The impact of temperature extremes on mortality: a time-series study in Jinan, China]]></article-title>
<source><![CDATA[BMJ Open]]></source>
<year>2017</year>
<volume>7</volume>
</nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gar?eld]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Ridley]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Kong]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Burns]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Blunt]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Gunning]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Seasonal variation in admission rates to intensive care units]]></article-title>
<source><![CDATA[Anaesthesia]]></source>
<year>2016</year>
<volume>56</volume>
<page-range>1136-40</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Roig]]></surname>
<given-names><![CDATA[CA]]></given-names>
</name>
<name>
<surname><![CDATA[Iglesias]]></surname>
<given-names><![CDATA[ANR]]></given-names>
</name>
<name>
<surname><![CDATA[Moyano]]></surname>
<given-names><![CDATA[AI]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Algoritmo para el diagnóstico y tratamiento de la neumonía asociada a la ventilación mecánica artificial]]></article-title>
<source><![CDATA[MEDICIEGO]]></source>
<year>2018</year>
<volume>23</volume>
<numero>3</numero>
<issue>3</issue>
</nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Fein]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Evidence based assessment of diagnostic tests for ventilator pneumonia]]></article-title>
<source><![CDATA[Chest]]></source>
<year>2016</year>
<volume>17</volume>
<page-range>177S-81S</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ganfong]]></surname>
<given-names><![CDATA[LA]]></given-names>
</name>
<name>
<surname><![CDATA[Elías Sierra]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Díaz Trujillo]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Poymiró]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Elías Armas]]></surname>
<given-names><![CDATA[KS]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Ventilación mecánica en pacientes con hemorragia cerebral]]></article-title>
<source><![CDATA[Rev Inf Cient]]></source>
<year>2015</year>
<volume>90</volume>
<numero>2</numero>
<issue>2</issue>
</nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Matos Rico]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Elias Sierra]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Mendoza Fonseca]]></surname>
<given-names><![CDATA[NL]]></given-names>
</name>
<name>
<surname><![CDATA[Elias Armas]]></surname>
<given-names><![CDATA[KS]]></given-names>
</name>
<name>
<surname><![CDATA[Fernández Llompar]]></surname>
<given-names><![CDATA[JO]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Factores determinantes del éxito de la ventilación mecánica no invasiva en unidades de cuidados intensivos]]></article-title>
<source><![CDATA[Rev Inf Cient]]></source>
<year>2017</year>
<volume>96</volume>
<numero>3</numero>
<issue>3</issue>
</nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Elias Sierra]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Elias Armas]]></surname>
<given-names><![CDATA[KS]]></given-names>
</name>
<name>
<surname><![CDATA[Pérez Capdevila]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Vargas Alonso]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Factores relacionados con la mortalidad por neumonía asociada a la ventilación mecánica]]></article-title>
<source><![CDATA[Rev Electr Dr. Zoilo Marinello Vidaurreta]]></source>
<year>2018</year>
<volume>23</volume>
<numero>3</numero>
<issue>3</issue>
</nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Elías Sierra]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Elías Armas]]></surname>
<given-names><![CDATA[KS]]></given-names>
</name>
<name>
<surname><![CDATA[Lecourtois Mendoza]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Fong Berguelich]]></surname>
<given-names><![CDATA[YP]]></given-names>
</name>
<name>
<surname><![CDATA[Columbié Martínez]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Influencia de las estaciones del año en el perfil de morbilidad y la mortalidad en una unidad de cuidados intensivos]]></article-title>
<source><![CDATA[Rev Inf Cient]]></source>
<year>2019</year>
<volume>98</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>344-54</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ganfong]]></surname>
<given-names><![CDATA[LA]]></given-names>
</name>
<name>
<surname><![CDATA[Elías Sierra]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[García Mariño]]></surname>
<given-names><![CDATA[KC]]></given-names>
</name>
<name>
<surname><![CDATA[Bordelois Abdo]]></surname>
<given-names><![CDATA[MS]]></given-names>
</name>
<name>
<surname><![CDATA[Isalgué Rodríguez]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Elías Armas]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Neumonía asociada a ventilación mecánica en la unidad de cuidados intensivosen el Hospital General Docente "Dr. Agostinho Neto" de Guantánamo]]></article-title>
<source><![CDATA[Rev Inf Cient]]></source>
<year>2015</year>
<volume>89</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>101-10</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<collab>Americam Association of Thorax</collab>
<article-title xml:lang=""><![CDATA[Guidelines for the management of adult with pneumonia associated to ventilator]]></article-title>
<source><![CDATA[Am J Resp Crit Care Med]]></source>
<year>2015</year>
<volume>117</volume>
</nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="">
<collab>CNETS. Secretaría de Salud</collab>
<article-title xml:lang=""><![CDATA[Guía de práctica clínica prevención, diagnóstico y tratamiento de la neumonía asociada a la ventilación mecánica]]></article-title>
<source><![CDATA[]]></source>
<year>2015</year>
</nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bauer]]></surname>
<given-names><![CDATA[TT]]></given-names>
</name>
<name>
<surname><![CDATA[Ewig]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Marre]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Suttorp]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Welte]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[CRB-65 predicts death from community-acquired pneumonia]]></article-title>
<source><![CDATA[J Int Med]]></source>
<year>2006</year>
<volume>260</volume>
<page-range>93-101</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Fine]]></surname>
<given-names><![CDATA[MJ]]></given-names>
</name>
<name>
<surname><![CDATA[Auble]]></surname>
<given-names><![CDATA[TE]]></given-names>
</name>
<name>
<surname><![CDATA[Yealy]]></surname>
<given-names><![CDATA[DM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Aprediction rule to identify low-risk patients with community acquired pneumonia]]></article-title>
<source><![CDATA[N Engl J Med]]></source>
<year>1997</year>
<volume>336</volume>
<page-range>243-50</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[González Morales]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Espinosa Brito]]></surname>
<given-names><![CDATA[AD]]></given-names>
</name>
<name>
<surname><![CDATA[Alvarez Amador]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Fragoso Marchante]]></surname>
<given-names><![CDATA[MC]]></given-names>
</name>
<name>
<surname><![CDATA[Mosquera Fernández]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Evaluación del cumplimiento de la guía de práctica clínica para el tratamiento de la neumonía adquirida en la comunidad]]></article-title>
<source><![CDATA[MEDISUR]]></source>
<year>2018</year>
<volume>7</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>18-31</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gromtarello]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Causas de la falta de adherencia a las guías terapéuticas para la neumonía grave]]></article-title>
<source><![CDATA[Rev Bras Ter Int]]></source>
<year>2015</year>
<volume>27</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>44-50</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
