<?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>1727-897X</journal-id>
<journal-title><![CDATA[MediSur]]></journal-title>
<abbrev-journal-title><![CDATA[Medisur]]></abbrev-journal-title>
<issn>1727-897X</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas de Cienfuegos, Centro Provincial de Ciencias Médicas, Provincia de Cienfuegos.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1727-897X2019000400514</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Caracterización clínica y microbiológica de pacientes con neumonía asociada a la ventilación mecánica, Cienfuegos 2015-2017]]></article-title>
<article-title xml:lang="en"><![CDATA[Clinical and microbiological characterization of patients with pneumonia associated with mechanical ventilation, Cienfuegos 2015-2017]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Barletta Farías]]></surname>
<given-names><![CDATA[Roberto Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez Ponce]]></surname>
<given-names><![CDATA[Leonardo Javier]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Barletta del Castillo]]></surname>
<given-names><![CDATA[Jorge Emilio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González Guirola]]></surname>
<given-names><![CDATA[Marcos Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sánchez Castellanos]]></surname>
<given-names><![CDATA[Rolando Laín]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pujol Pérez]]></surname>
<given-names><![CDATA[Misael]]></given-names>
</name>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de Cienfuegos  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital General Universitario Dr. Gustavo Aldereguía Lima  ]]></institution>
<addr-line><![CDATA[Cienfuegos Cienfuegos]]></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>17</volume>
<numero>4</numero>
<fpage>514</fpage>
<lpage>524</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1727-897X2019000400514&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1727-897X2019000400514&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1727-897X2019000400514&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Fundamento:  La neumonía asociada a la ventilación mecánica se asocia a una elevada morbimortalidad, y su manejo integral es complejo.  Objetivo:  describir las características clínicas y microbiológicas en pacientes con neumonía asociada a la ventilación mecánica.  Métodos:  se realizó un estudio observacional, descriptivo, transversal. Fueron analizados 174 pacientes con diagnóstico de neumonía asociada a la ventilación mecánica, en el periodo comprendido entre el enero de 2015 y diciembre de 2017, en el Hospital Provincial de Cienfuegos. Se consideraron las variables: edad, sexo, servicio de procedencia, año, causa de ingreso, estado al egreso, resultado del cultivo bacteriológico, microorganismos aislados y resistencia in vitro.  Resultados:  el 26,4 % de los pacientes se halló entre los 70-79 años, con predominio del sexo masculino (52,3 %). El 71,3 % de las muestras tuvo resultados de cultivos monomicrobianos. El microorganismo más frecuente fue Acinetobacter baumannii, con un 50,5 %. La enfermedad cerebrovascular fue la causa de ingreso que más se presentó (28,7 %). El 47,7 % de los pacientes falleció. Existió una elevada resistencia in vitro en la mayoría de los microorganismos aislados.  Conclusión:  la enfermedad se presentó principalmente en pacientes de edades avanzadas, del sexo masculino. En correspondencia con estudios previos en la provincia, Acinetobacter baumannii se manifestó como el agente causal más frecuente, con una elevada resistencia in vitro. La enfermedad cerebrovascular fue la principal causa de ingreso.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Foundation:  Pneumonia associated with mechanical ventilation is associated with high morbidity and mortality, and its integral management is complex.  Objective:  to describe the clinical and microbiological characteristics in patients with pneumonia associated with mechanical ventilation.  Methods:  an observational, descriptive, cross-sectional study was conducted. A total of 174 patients diagnosed with pneumonia associated with mechanical ventilation were analyzed in the period between January 2015 and December 2017, at the Provincial Hospital of Cienfuegos. The variables were considered: age, sex, service of origin, year and cause of admission, state at discharge, result of bacteriological culture, isolated microorganisms and resistance in vitro.  Results:  26.4% of the patients were between 70-79 years old, with a predominance of males (52.3%). Monomicrobial cultures were present in 71.3% of the samples. The most frequent microorganism was Acinetobacter baumannii, with 50.5%. Cerebrovascular disease was the most frequent cause of admission (28.7%). 47.7% of patients died. There was a high resistance in vitro in most of the isolated microorganisms.  Conclusion:  the disease appeared mainly in elderly male patients. In correspondence with previous studies in the province, Acinetobacter baumannii was manifested as the most frequent causative agent, with high resistance in vitro. Cerebrovascular disease was the main cause of admission.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[neumonía asociada al ventilador]]></kwd>
<kwd lng="es"><![CDATA[acinetobacter baumannii]]></kwd>
<kwd lng="es"><![CDATA[infección hospitalaria]]></kwd>
<kwd lng="es"><![CDATA[unidades de cuidados intensivos]]></kwd>
<kwd lng="en"><![CDATA[Pneumonia]]></kwd>
<kwd lng="en"><![CDATA[ventilator-associated]]></kwd>
<kwd lng="en"><![CDATA[acinetobacter baumannii]]></kwd>
<kwd lng="en"><![CDATA[cross infection]]></kwd>
<kwd lng="en"><![CDATA[intensive care units]]></kwd>
</kwd-group>
</article-meta>
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