<?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>S1028-99332021000100007</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Neumonía adquirida en la comunidad en una Unidad de Cuidados Intensivos Pediátrica]]></article-title>
<article-title xml:lang="en"><![CDATA[Community-acquired pneumonia in the pediatric intensive care unit]]></article-title>
<article-title xml:lang="pt"><![CDATA[Pneumonia adquirida na comunidade em uma unidade de terapia intensiva pediátrica]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Tirado-Soler]]></surname>
<given-names><![CDATA[Maydolis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García-Bell]]></surname>
<given-names><![CDATA[Henyer]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Batista-Lucas]]></surname>
<given-names><![CDATA[Yindra]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Pediátrico Docente &#8220;General Pedro Agustín Pérez&#8221;  ]]></institution>
<addr-line><![CDATA[ Guantánamo]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>02</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>02</month>
<year>2021</year>
</pub-date>
<volume>100</volume>
<numero>1</numero>
<fpage>1</fpage>
<lpage>11</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1028-99332021000100007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1028-99332021000100007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1028-99332021000100007&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: En el Hospital Pediátrico Docente &#8220;Pedro Agustín Pérez&#8221; de Guantánamo no se ha caracterizado la neumonía grave adquirida en la comunidad.  Objetivo: Identificar el perfil de esta enfermedad en la Unidad de Cuidados Intensivos del citado hospital en el periodo 2016-2019.  Método:  Se realizó un estudio descriptivo, longitudinal y retrospectivo. El universo estuvo constituido por todos los ingresados en este periodo (N=153). Se estudió el sexo, edad, diagnóstico microbiológico, terapéutica antimicrobiana, aplicación de ventilación mecánica, procederes realizados, complicaciones, estadía, estado al egreso y causa directa de muerte. Los resultados se presentaron en tablas y se resumieron mediante frecuencias absolutas y acumuladas.  Resultados: La mayor proporción de los pacientes fueron varones con edad entre 1 y 4 años de edad (30,7 %). El Streptococcus pneumoniae fue el más común (38,5 %). Las cefalosporinas fueron los fármacos más prescritos (36,0 %). El 16,3 % requirió ventilación mecánica y el 22,9 % presentó alguna complicación, la más común fue el derrame pleural paraneumónico (21,5 %). El 96,4 % egresó vivo y la principal causa de muerte fue el choque séptico (57,2 %).  Conclusiones: La neumonía continúa siendo una patología frecuente en la edad pediátrica al igual que el predominio del sexo masculino. Después de la introducción de la vacunación, el Streptococcus pneumoniae ha emergido como el principal patógeno bacteriano a cualquier edad, con un predominio importante en los menores de 5 años.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Severe community-acquired pneumonia has not been characterized at the Pediatric Teaching Hospital ¨Pedro Agustín Pérez¨ in Guantanamo.  Objective:  To profile this affection at the Intensive Care Unit of the already cited institution in the period 2016-2019.  Method:  A descriptive, longitudinal and retrospective study was carried out. The study population was made out of all the patients in the intensive care unit in that period of time (N=153). The variables analyzed were: gender, age, microbiological diagnosis, antimicrobial therapy, mechanical ventilation application, medical procedures applied, complications, in-hospital stay, state at the time of discharge and cause of death. Results were presented in tables and were summed up in absolute and cumulative frequencies.  Results:  Most patients were male, ranging from 1 to 4 years of age (30.7%). Streptococcus pneumoniae was the most common infection (36.0%). 16.3% if the cases required mechanical ventilation and the 22.9% presented some complication, the most common being the parapneumonic pleural effusion (22.5%). 96.4% of the patients were discharged alive, and the main cause of death was septic shock (57.2%).  Conclusions:  Pneumonia remains a frequent pathology in patients in pediatric age; and prevails in male patients as well. After vaccination campaigns started, the Streptococcus pneumoniae emerged as the main bacterial pathogen to cause infections at any age, especially in patients below the 5 years of age.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO  Introdução: No Hospital Pediátrico Docente &#8220;Pedro Agustín Pérez&#8221; de Guantánamo, pneumonia grave adquirida na comunidade não foi caracterizada.  Objetivo: Identificar o perfil desta doença na Unidade de Terapia Intensiva do referido hospital no período 2016-2019.  Método: Foi realizado um estudo descritivo, longitudinal e retrospectivo. O universo era composto por todos os admitidos neste período (N=153). Foram estudadas sexo, idade, diagnóstico microbiológico, terapia antimicrobiana, aplicação de ventilação mecânica, procedimentos realizados, complicações, permanência, estado na alta e causa direta do óbito. Os resultados foram apresentados em tabelas e resumidos por meio de frequências absolutas e cumulativas.  Resultados: A maior proporção de pacientes eram homens entre 1 e 4 anos (30,7%). Streptococcus pneumoniae foi o mais comum (38,5%). As cefalosporinas foram os medicamentos mais prescritos (36,0%). 16,3% necessitaram de ventilação mecânica e 22,9% apresentaram alguma complicação, sendo a mais comum o derrame pleural parapneumônico (21,5%). 96,4% tiveram alta com vida e a principal causa de morte foi choque séptico (57,2%).  Conclusões: A pneumonia continua sendo uma patologia frequente na idade pediátrica, assim como a predominância do sexo masculino. Após a introdução da vacinação, Streptococcus pneumoniae surgiu como o principal patógeno bacteriano em qualquer idade, com predomínio significativo em crianças menores de 5 anos.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[neumonía adquirida en la comunidad]]></kwd>
<kwd lng="es"><![CDATA[pediatría]]></kwd>
<kwd lng="es"><![CDATA[unidad de cuidados intensivos pediátrica]]></kwd>
<kwd lng="en"><![CDATA[community-acquired pneumonia]]></kwd>
<kwd lng="en"><![CDATA[pediatry]]></kwd>
<kwd lng="en"><![CDATA[intensive care unit]]></kwd>
<kwd lng="pt"><![CDATA[pneumonia adquirida na comunidade]]></kwd>
<kwd lng="pt"><![CDATA[pediatria, unidade de terapia intensiva pediátrica]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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