<?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>1029-3019</journal-id>
<journal-title><![CDATA[MEDISAN]]></journal-title>
<abbrev-journal-title><![CDATA[MEDISAN]]></abbrev-journal-title>
<issn>1029-3019</issn>
<publisher>
<publisher-name><![CDATA[Centro Provincial de Información de Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1029-30192018000800695</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Enfermedad neumocócica en pacientes menores de 5 años]]></article-title>
<article-title xml:lang="en"><![CDATA[Pneumoccocal disease in a patient under 5 years]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Tamayo Reus]]></surname>
<given-names><![CDATA[Caridad María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Calderón Mendivelso]]></surname>
<given-names><![CDATA[Sonia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cunill Romero]]></surname>
<given-names><![CDATA[Susana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Díaz Teran]]></surname>
<given-names><![CDATA[Daisy]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Maren Gonzalez]]></surname>
<given-names><![CDATA[Maria]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Infantil Docente Sur &#8220;Dr. Antonio María Béguez César&#8221;  ]]></institution>
<addr-line><![CDATA[Santiago de Cuba ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>10</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>10</month>
<year>2018</year>
</pub-date>
<volume>22</volume>
<numero>8</numero>
<fpage>695</fpage>
<lpage>706</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1029-30192018000800695&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1029-30192018000800695&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1029-30192018000800695&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: La enfermedad neumocócica afecta prioritariamente a las personas en las edades extremas de la vida. En este sentido, el Hospital Docente Infantil Sur &#8220;Dr. Antonio María Béguez César&#8221; constituye un sitio de vigilancia centinela del Proyecto Nacional Neumococo, lo cual sirvió de motivación para desarrollar la presente investigación sobre esta enfermedad.  Objetivo:  Describir las características epidemiológicas, clínicas, microbiológicas e imagenológicas en pacientes menores de 5 años ingresados por presentar enfermedad neumocócica.  Métodos:  Se realizó un estudio observacional, descriptivo y prospectivo de 170 pacientes menores de 5 años de edad, ingresados en el mencionado centro hospitalario en el período 2014-2016 por presentar enfermedad neumocócica.  Resultados:  En la serie predominaron la supresión precoz de la lactancia materna (52,3 %) y la existencia de fumadores convivientes (44,7 %) como principales factores de riesgo, además de la fiebre (100,0 %), la tos (96,0 %), el tiraje (74,1%) y la polipnea (70,0 %) como síntomas más frecuentes; mientras que la neumonía se presentó en 82,3 % y hubo 10,0 % de positividad al neumococo, por serotipos 19A, 19F, 14 y 6A, con 66,6 % de colonización en lactantes. Por su parte, la letalidad y la mortalidad proporcional por neumonía fueron de 2,85 y 8,0 %, respectivamente, sin decesos por neumococo.  Conclusiones: El aislamiento de neumococo resultó bajo, con predominio en lactantes colonizados y con indicadores de mortalidad por neumonía no neumocócica, lo cual sugiere que la corta edad es un riesgo de deceso por dicha causa.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: Pneumococcal disease affects mainly people in the extreme ages of life. In this sense, "Dr. Antonio María Béguez Caesar" Southern Teaching Pediatric Hospital constitutes a place of centinel surveillance of the Pneumococcus National Project, which served as motivation to develop the present investigation on this disease.  Objective: To describe the epidemiological, clinical, microbiological and imaging characteristics in patients younger than 5 years admitted due to a pneumoccocical disease.  Methods: An observational, descriptive and prospective study of 170 patients younger than 5 years admitted to the above mentioned hospital in the period 2014-2016 was carried out, for presenting pneumoccocal disease.  Results: The early suppression of the maternal feeding (52.3 %) and the presence of coexisting smokers (44.7 %) as main risk factors, besides fever (100.0 %), cough (96.0 %), chest indrawing (74.1 %) and polypnea (70.0 %) as the most frequent symptoms prevailed in the series; while the pneumonia was presented in 82.3 % and there was 10.0 % positiveness to pneumoccocus, by serotypes 19A, 19F, 14 and 6A, with 66.6 % colonization in infants. On the other hand, lethality and proportional mortality for pneumonia were of 2.85 and 8.0 %, respectively, without deaths due to pneumoccocus.  Conclusions: Pneumoccocus isolation was low, with prevalence in colonized infants and with mortality indicators due to non pneumoccocal pneumonia, which suggests that the short age is a death risk due to this cause.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[niño]]></kwd>
<kwd lng="es"><![CDATA[enfermedad neumocócica]]></kwd>
<kwd lng="es"><![CDATA[neumococo]]></kwd>
<kwd lng="es"><![CDATA[meningitis]]></kwd>
<kwd lng="es"><![CDATA[neumonía]]></kwd>
<kwd lng="es"><![CDATA[otitis media aguda]]></kwd>
<kwd lng="es"><![CDATA[atención secundaria de salud]]></kwd>
<kwd lng="en"><![CDATA[child]]></kwd>
<kwd lng="en"><![CDATA[pneumoccocal disease]]></kwd>
<kwd lng="en"><![CDATA[pneumoccocus]]></kwd>
<kwd lng="en"><![CDATA[meningitis]]></kwd>
<kwd lng="en"><![CDATA[pneumonia]]></kwd>
<kwd lng="en"><![CDATA[mild acute otitis]]></kwd>
<kwd lng="en"><![CDATA[secondary health care]]></kwd>
</kwd-group>
</article-meta>
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