<?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>1608-8921</journal-id>
<journal-title><![CDATA[Gaceta Médica Espirituana]]></journal-title>
<abbrev-journal-title><![CDATA[Gac Méd Espirit]]></abbrev-journal-title>
<issn>1608-8921</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas de Sancti Spíritus]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1608-89212019000200023</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Caracterización de niños menores de 5 años con sibilancias]]></article-title>
<article-title xml:lang="en"><![CDATA[Characterization of children under five years with wheezing]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Coronel Carvajal]]></surname>
<given-names><![CDATA[Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Quiñones Castellanos]]></surname>
<given-names><![CDATA[Lazara]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cardero Atensio]]></surname>
<given-names><![CDATA[Xiomara]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Afonso Sánchez]]></surname>
<given-names><![CDATA[Liliana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General Universitario Armando Cardoso  ]]></institution>
<addr-line><![CDATA[Camagüey ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2019</year>
</pub-date>
<volume>21</volume>
<numero>2</numero>
<fpage>23</fpage>
<lpage>31</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1608-89212019000200023&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1608-89212019000200023&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1608-89212019000200023&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Fundamento: La sibilancia se presenta con frecuencia en las edades pediátricas; algunas características presentes en los niños con sibilancia nos pueden ayudar a predecir su evolución en la mayoría de los pacientes.  Objetivo: Caracterizar a niños menores de 5 años con sibilancias.  Metodología: Se realizó un estudio observacional descriptivo en Guáimaro entre junio de 2015 y diciembre de 2016, en 329 niños menores de 5 años los cuales presentaron sibilancias. La información se obtuvo mediante un cuestionario aplicado a los padres de los niños.  Resultados:  En 62.3 % la sibilancia comenzó antes del año de vida, 55.1 % eran masculinos, 65.3 % fueron ocasionales y 38.9 % presentaron rasgo atópico. La causa en 41.9 % de los niños fue la bronquiolitis y en 36.8 % la alérgica. El 49.8 % de niños con sibilancias asociadas a infecciones respiratorias comenzaron antes del año y el 27.9 % de las no vinculadas a estas infecciones comenzaron después del año. El 80.5 % de los sibilantes ocasionales habían comenzado antes del año de vida y 71.9 % de los recurrentes después del año. El rasgo atópico estuvo presente en 79.8 % de los recurrentes y 17.2 % de los ocasionales.  Conclusiones:  Las características de los niños con sibilancia fueron: predominio de los niños menores de 1 año, masculinos, sibilantes ocasionales y no tuvieron rasgo atópico. Las sibilancias asociadas a infecciones respiratorias fueron más frecuentes. La mayoría de los sibilantes ocasionales tuvieron su primer episodio antes del año de vida y no presentaron rasgo atópico asociado, y los sibilantes recurrentes presentaron su primer episodio obstructivo después del año y tenían rasgo atópico asociado.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Background:  Wheezing occurs frequently in pediatric ages; some characteristics present in children with wheezing can help us to predict its evolution in most patients.  Objective:  To characterize children under five years with wheezing.  Methodology:  A descriptive observational study was conducted in Guáimaro from June 2015 to December 2016, in 329 children under 5 years who presented wheezing. The information was obtained through a questionnaire applied to the children´s parents.  Results:  In 62.3 %, wheezing began before the year of life, 55.1 % were male, 65.3 % were occasional and 38.9 % atopic. The cause in 41.9 % of the children was bronchiolitis and in 36.8 % allergic. 49.8 % of children with wheezing associated with respiratory infections started before the year and 27.9 % of those not related to these infections started after the year. 80.5 % of the occasional sibilants had begun before the year of life and 71.9 % of the recurrent ones after the year. The atopic trait was present in 79.8 % of the recurrent and 17.2 % of the occasional ones.  Conclusions:  The characteristics of children with wheezing were: predominance of children under 1 year old, male, occasional wheezing and had no atopic trait. Wheezing associated with respiratory infections was more frequent. Most occasional sibilants had their first episode before the year of life and did not present associated atopic trait, and recurrent sibilants presented their first obstructive episode after the year and had associated atopic trait.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Sibilancia]]></kwd>
<kwd lng="es"><![CDATA[ruidos respiratorios]]></kwd>
<kwd lng="es"><![CDATA[infecciones del sistema respiratorio]]></kwd>
<kwd lng="es"><![CDATA[preescolar]]></kwd>
<kwd lng="en"><![CDATA[Wheezing]]></kwd>
<kwd lng="en"><![CDATA[respiratory sounds]]></kwd>
<kwd lng="en"><![CDATA[respiratory tract infections]]></kwd>
<kwd lng="en"><![CDATA[child preschool]]></kwd>
</kwd-group>
</article-meta>
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