<?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>S1029-30192020000300473</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Caracterización clínica y epidemiológica de pacientes confirmados con la COVID-19 en la provincia de Santiago de Cuba]]></article-title>
<article-title xml:lang="en"><![CDATA[Clinical and epidemiological characterization of patients confirmed with COVID-19 in Santiago de Cuba]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ferrer Castro]]></surname>
<given-names><![CDATA[Jacno Erik]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sánchez Hernández]]></surname>
<given-names><![CDATA[Ernesto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Poulout Mendoza]]></surname>
<given-names><![CDATA[Abel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[del Río Caballero]]></surname>
<given-names><![CDATA[Germán]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Figueredo Sánchez]]></surname>
<given-names><![CDATA[Daicy]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas Hospital Clinicoquirúrgico Docente Dr. Joaquín Castillo Duany ]]></institution>
<addr-line><![CDATA[Santiago de Cuba ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Ciencias Médicas Centro Provincial de Higiene, Epidemiología y Microbiología ]]></institution>
<addr-line><![CDATA[Santiago de Cuba ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2020</year>
</pub-date>
<volume>24</volume>
<numero>3</numero>
<fpage>473</fpage>
<lpage>485</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1029-30192020000300473&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1029-30192020000300473&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1029-30192020000300473&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  El incremento exponencial de casos confirmados con el nuevo coronavirus SARS-CoV-2 obligó a las autoridades de la Organización Mundial de la Salud a declarar como pandemia esta emergencia sanitaria.  Objetivo: Caracterizar a niños y adultos confirmados con la COVID-19 desde los puntos de vista clínico y epidemiológico.  Métodos:  Se realizó un estudio observacional, descriptivo y transversal de 74 pacientes confirmados con la COVID-19, quienes estuvieron ingresados en el Hospital Clinicoquirúrgico Docente Dr. Joaquín Castillo Duany de Santiago de Cuba, desde marzo hasta mayo de 2020. Los datos se obtuvieron de las historias clínicas de los afectados. Entre las variables analizadas figuraron: edad, sexo, letalidad, estado al egreso, lugar de procedencia de los casos e inicio de síntomas de la COVID-19 antes del ingreso hospitalario.  Resultados:  Se halló un predominio del sexo masculino (52,7 %). Hubo una tendencia al ingreso hospitalario de pacientes asintomáticos confirmados, de ellos 50,0 % del grupo de 1 a 17 años de edad; 94,5 % de los afectados egresaron vivos de la institución. Ningún niño fue notificado como grave o crítico. La tos (60,0 %), la fiebre (34,5 %) y la falta de aire (21,8 %) fueron las manifestaciones clínicas más referidas.  Conclusiones: Con un enfoque biosocial se informa una primera experiencia en la atención a pacientes confirmados con la COVID-19 en Santiago de Cuba. El diagnóstico clínico y epidemiológico favoreció a registrar la mayor incidencia de esta enfermedad en adultos jóvenes sintomáticos e identificar otros pacientes que transmitieron el virus sin manifestar síntomas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  The exponential increment of confirmed cases with the new coronavirus SARS-CoV-2 forced the authorities of the Health World Organization to declare as pandemic this health emergency.  Objective:  to characterize children and adults confirmed with the COVID-19 from the clinical and epidemiological points of view.  Methods: An observational, descriptive and cross-sectional study of 74 patients confirmed with the COVID-19 who were admitted to Dr. Joaquín Castillo Duany Teaching Clinical Surgical Hospital was carried out in Santiago de Cuba, from March to May, 2020. The data were obtained from the medical records of the affected patients. Among the analyzed variables we have: age, sex, lethality, discharge state, place of origin of the cases and beginning of COVID-19 symptoms before admission to hospital.  Results:  A prevalence of the male sex (52.7 %) was found. There was a tendency to the hospital admission of confirmed asymptomatic patients, of them 50.0 % of the 1 to 17 age group; 94.5 % of the affected patients were alive when discharged of the institution. No kids were notified in serious or critical condition. Cough (60.0 %), fever (34.5 %) and breathlessness (21.8 %) were the most referred clinical features.  Conclusions:  With a biosocial approach a first experience is informed in the care to confirmed patients with COVID-19 in Santiago de Cuba. The clinical and epidemiological diagnosis favored to register the highest incidence in this disease in symptomatic young adults and to identify other patients that transmitted the virus without manifesting symptoms.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[niño]]></kwd>
<kwd lng="es"><![CDATA[adulto]]></kwd>
<kwd lng="es"><![CDATA[coronavirus]]></kwd>
<kwd lng="es"><![CDATA[pandemia]]></kwd>
<kwd lng="es"><![CDATA[COVID-19]]></kwd>
<kwd lng="es"><![CDATA[casos asintomáticos]]></kwd>
<kwd lng="es"><![CDATA[atención secundaria de salud]]></kwd>
<kwd lng="en"><![CDATA[child]]></kwd>
<kwd lng="en"><![CDATA[adult]]></kwd>
<kwd lng="en"><![CDATA[coronavirus]]></kwd>
<kwd lng="en"><![CDATA[pandemic]]></kwd>
<kwd lng="en"><![CDATA[COVID-19]]></kwd>
<kwd lng="en"><![CDATA[asymptomatic cases]]></kwd>
<kwd lng="en"><![CDATA[secondary health care]]></kwd>
</kwd-group>
</article-meta>
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