<?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>1561-3194</journal-id>
<journal-title><![CDATA[Revista de Ciencias Médicas de Pinar del Río]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Ciencias Médicas]]></abbrev-journal-title>
<issn>1561-3194</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1561-31942022000500004</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Algoritmo de intervención con fibrinolíticos en el derrame pleural paraneumónico del paciente pediátrico]]></article-title>
<article-title xml:lang="en"><![CDATA[Algorithm of intervention with fibrinolytics in parapneumonic pleural effusion in pediatric patients]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Llamazares-Pérez]]></surname>
<given-names><![CDATA[Idairys]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez-Llabona]]></surname>
<given-names><![CDATA[Francisco Juan]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Porras-Suárez]]></surname>
<given-names><![CDATA[Talía Gabriela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González-Ungo]]></surname>
<given-names><![CDATA[Eddy Llobany]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Guillén-Cánovas]]></surname>
<given-names><![CDATA[Ana Mercedes]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez-León]]></surname>
<given-names><![CDATA[Galina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de Pinar del Río Hospital Pediátrico Provincial Docente Pepe Portilla ]]></institution>
<addr-line><![CDATA[Pinar del Río. ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>10</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>10</month>
<year>2022</year>
</pub-date>
<volume>26</volume>
<numero>5</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1561-31942022000500004&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1561-31942022000500004&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1561-31942022000500004&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  durante las últimas décadas ha aumentado la prevalencia del derrame pleural tabicado como complicación de las neumonías en la edad pediátrica, se utilizan cada vez con mayor frecuencia los agentes fibrinolíticos en su tratamiento.  Objetivo: evaluar la aplicación de un algoritmo para el manejo con fibrinolíticos del derrame pleural paraneumónico en las neumonías adquiridas en la comunidad durante el período comprendido entre septiembre 2019 a septiembre 2021  Métodos: se realizó un estudio no observacional, cuasi-experimental con un total de 36 casos con derrame pleural complicado en los que se aplicó un algoritmo terapéutico diseñado al efecto. La validez de su utilización se obtuvo de la historia clínica de los pacientes y las variables utilizadas fueron descritas estadísticamente mediante frecuencias absolutas y relativas. Como método estadístico se utilizó la prueba de chi cuadrado con nivel de significación &#945;=0,05, se consideraron significativos los valores menores de 0,05.  Resultados: el 16 % de los casos respondió a antibioticoterapia exclusiva y se demostró que el tratamiento fibrinolítico fue el más resolutivo de todos los empleados. El 63,9 % presentó tabiques intrapleurales y de ellos, el 30,6 % desaparecieron con fibrinolíticos. La mayor parte de los enfermos con características bioquímicas de empiema necesitaron toracotomía. La estadía fue menor cuando se utilizó la estreptoquinasa intraspleural, no se presentaron complicaciones significativas con ninguna de las opciones terapéuticas.  Conclusiones: el tratamiento fibrinolítico precoz evita tener que enfrentar desafíos quirúrgicos ante pacientes críticamente enfermos, se logró una baja incidencia de complicaciones.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  during the last decades there has been an increase in the prevalence of septic pleural effusion as a complication of pneumonias in the pediatric age, and fibrinolytic agents are increasingly used in its treatment.  Objective:  to evaluate the application of an algorithm for the management with fibrinolytics of parapneumonic pleural effusion in community-acquired pneumonias during the period from September 2019 to September 2021.  Methods:  a non-observational, quasi-experimental study was carried out with a total of 36 cases with complicated pleural effusion in which a therapeutic algorithm designed for this purpose was applied. The validity of its use was obtained from the clinical history of the patients and the variables used were described statistically by means of absolute and relative frequencies. The statistical method used was the chi-square test with a significance level of &#945;=0,05, with values of less than 0,05 being considered significant.  Results:  16 % of the cases responded to exclusive antibiotic therapy and it was shown that fibrinolytic treatment was the most effective of all the treatments used. Intrapleural septa were present in 63,9 % and 30,6 % of them disappeared with fibrinolytics. Most of the patients with biochemical characteristics of empyema required thoracotomy. The length of stay was shorter when intraspleural streptokinase was used, and there were no significant complications with any of the therapeutic options.  Conclusions:  early fibrinolytic treatment avoids having to face surgical challenges in critically ill patients, achieving a low incidence of complications.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[DERRAME PLEURAL]]></kwd>
<kwd lng="es"><![CDATA[FIBRINOLÍTICOS INTRAPLEURAL]]></kwd>
<kwd lng="es"><![CDATA[PEDIATRÍA]]></kwd>
<kwd lng="en"><![CDATA[PLEURAL EFFUSION]]></kwd>
<kwd lng="en"><![CDATA[FIBRINOLYTIC AGENTS]]></kwd>
<kwd lng="en"><![CDATA[PEDIATRICS]]></kwd>
</kwd-group>
</article-meta>
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