<?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>S1561-31942023000300024</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Manejo del niño febril agudo en urgencias]]></article-title>
<article-title xml:lang="en"><![CDATA[Management of the acute febrile child in the ED]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Márquez-Batista]]></surname>
<given-names><![CDATA[Noslen]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Wong-Silva]]></surname>
<given-names><![CDATA[Jadier]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rivero-Giralt]]></surname>
<given-names><![CDATA[Nery]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Arias-Valdés]]></surname>
<given-names><![CDATA[Yusnay]]></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 &#8220;Pepe Portilla&#8221; ]]></institution>
<addr-line><![CDATA[Pinar del Río, ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2023</year>
</pub-date>
<volume>27</volume>
<numero>3</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1561-31942023000300024&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1561-31942023000300024&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1561-31942023000300024&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  la fiebre es una respuesta a la liberación de mediadores pirógenos endógenos denominados citocinas (en particular, interleucina-1 [IL-1]). Las citocinas estimulan la producción de prostaglandinas por el hipotálamo; las prostaglandinas reajustan y elevan el punto de regulación de la temperatura. El conocimiento sobre la fiebre es vital en la práctica pediátrica.  Objetivo:  describir los elementos esenciales en el manejo del niño febril agudo en urgencias.  Métodos:  para la realización de esta revisión bibliográfica se consultaron 38 investigaciones sobre el tema, obtenidos de revistas médicas nacionales y extranjeras indexadas en SciELO, IMBIOMED, PubMed, Latindex, Google Académico, DOAJ, Dialnet, Medline y Scopus y fueron utilizados 29 como bibliografías, predominaron los artículos publicados durante los últimos cinco años y otros por su relevancia.  Desarrollo:  la fiebre es uno de los motivos de consulta más frecuente en Pediatría, especialmente entre los tres-36 meses de vida, y hasta un 65 % de los menores de dos años consultarán por este motivo. Supone entre un 10-20 % de los procesos agudos en Atención Primaria y hasta un 30 % en Urgencias Hospitalarias, en especial en invierno, coincidiendo con las epidemias de virus respiratorios y gastrointestinales.  Conclusiones:  la posibilidad de una infección bacteriana grave hace imprescindible realizar una adecuada valoración de cada niño con fiebre al que atendemos. Es por ello que los médicos debemos tener una óptima preparación sobre el manejo y tratamiento adecuado del niño febril en cualquier nivel de atención.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: fever is a response to the release of endogenous pyrogenic mediators called cytokines (in particular, interleukin-1 [IL-1]). Cytokines stimulate the production of prostaglandins by the hypothalamus; prostaglandins reset and raise the temperature set point. Knowledge of fever is vital in pediatric practice.  Objective: to describe the essential elements in the management of the acute febrile child in the emergency department.  Methods: for this bibliographic review, 38 research studies on the subject were consulted, obtained from national and foreign medical journals indexed in SciELO, IMBIOMED, PubMed, Latindex, Google Scholar, DOAJ, Dialnet, Medline and Scopus and 29 were used as bibliographies, with a predominance of articles published during the last five years and others due to their relevance.  Development: fever is one of the most frequent reasons for consultation in Pediatrics, especially between three -36 months of life, and up to 65 % of children under two years of age will consult for this reason. It accounts for 10-20 % of acute processes in Primary Care and up to 30 % in Hospital Emergency Departments, especially in winter, coinciding with epidemics of respiratory and gastrointestinal viruses.  Conclusions: the possibility of a serious bacterial infection makes it essential to carry out an adequate assessment of each child with fever that we treat. For this reason, physicians should have an optimal preparation on the management and adequate treatment of the febrile child at any level of care.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[FIEBRE]]></kwd>
<kwd lng="es"><![CDATA[PEDIATRIA]]></kwd>
<kwd lng="es"><![CDATA[DESHIDRATACION]]></kwd>
<kwd lng="es"><![CDATA[TRATAMIENTO]]></kwd>
<kwd lng="en"><![CDATA[FEVER]]></kwd>
<kwd lng="en"><![CDATA[PEDIATRICS]]></kwd>
<kwd lng="en"><![CDATA[DEHYDRATION]]></kwd>
<kwd lng="en"><![CDATA[TREATMENT]]></kwd>
</kwd-group>
</article-meta>
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