<?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>S1727-897X2021000300421</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Comportamiento clínico-epidemiológico de pacientes con dengue. Estudio comparativo de dos series de casos]]></article-title>
<article-title xml:lang="en"><![CDATA[Patients with dengue clinical-epidemiological behavior. Comparative study of two case series]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García Gómez]]></surname>
<given-names><![CDATA[Carlos A.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sánchez Sánchez]]></surname>
<given-names><![CDATA[Samuel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pantoja Fonseca]]></surname>
<given-names><![CDATA[Dagmara]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez Morales]]></surname>
<given-names><![CDATA[Osvaldo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Navarro Baldellot]]></surname>
<given-names><![CDATA[Ana Laura]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García Mantecón]]></surname>
<given-names><![CDATA[Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General Universitario Dr. Gustavo Aldereguía Lima  ]]></institution>
<addr-line><![CDATA[Cienfuegos ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Ciencias Médicas de Cienfuegos  ]]></institution>
<addr-line><![CDATA[Cienfuegos ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2021</year>
</pub-date>
<volume>19</volume>
<numero>3</numero>
<fpage>421</fpage>
<lpage>428</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1727-897X2021000300421&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1727-897X2021000300421&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1727-897X2021000300421&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Fundamento  La enfermedad causada por el virus del dengue constituye un serio problema de salud para los países tropicales. En la última década se ha asistido a la reemergencia de esta entidad en Cuba, con evidentes cambios en su comportamiento clínico.  Objetivo  comparar el comportamiento clínico-epidemiológico entre dos series de casos de pacientes con diagnóstico confirmado de dengue, en períodos de tiempo diferentes. Métodos: estudio descriptivo, comparativo, que incluyó a dos series de casos de pacientes hospitalizados con diagnóstico confirmado de dengue: la serie A, con una muestra de 83 pacientes atendidos en 2017; y la serie B, con muestra de 327 atendidos en 2018. Se analizaron variables como: edad, signos y síntomas, hallazgos clínicos, signos de alarma, formas graves e indicadores de calidad de atención en pacientes con dengue.  Resultados  en general, predominó el síndrome febril agudo, aunque otros signos y síntomas como la astenia, anorexia, rash y dolor retro-ocular, manifestaron mayor incidencia en la serie B. En ambos grupos el hallazgo paraclínico más frecuente fue la linfocitosis. En la serie B los estándares de calidad para la atención a pacientes con dengue se vieron más afectados; así como también presentó mayor tasa de signos de alarma, formas graves y complicaciones.  Conclusión  Aunque el estudio analizó series de pacientes en dos períodos consecutivos, fue evidente el comportamiento más complejo en la segunda, dado por la mayor incidencia de síntomas, y por cifras menos favorables de los estándares de calidad establecidos para la enfermedad.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Background  The disease caused by the dengue virus constitutes a serious health problem for tropical countries. The last decade has seen the re-emergence of this entity in Cuba, with evident changes in its clinical behavior.  Objective  to compare the clinical-epidemiological behavior between two series of cases of patients with dengue confirmed diagnosis, in different periods of time.  Methods a descriptive, comparative study that included two series of cases of hospitalized patients with dengue confirmed diagnosis: series A, sample of 83 patients seen in 2017; and series B, sample of 327 seen in 2018. Variables such as: age, signs and symptoms, clinical findings, alarm signs, severe forms, and indicators of quality of care in dengue patients were analyzed.  Results  in general, the acute febrile syndrome predominated, although other signs and symptoms such as asthenia, anorexia, rash and retro-ocular pain, manifested a higher incidence in series B. In both groups the most frequent paraclinical finding was lymphocytosis. In series B, the quality standards for the care of patients with dengue were more affected; as well as it also presented a higher rate of alarm signs, serious forms and complications.  Conclusions  Although the study analyzed series of patients in two consecutive periods, the more complex behavior was evident in the second, due to the higher incidence of symptoms and less favorable figures for the quality standards established for the disease.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Dengue]]></kwd>
<kwd lng="es"><![CDATA[virus del dengue]]></kwd>
<kwd lng="es"><![CDATA[evolución clínica]]></kwd>
<kwd lng="es"><![CDATA[estudio comparativo]]></kwd>
<kwd lng="en"><![CDATA[Dengue]]></kwd>
<kwd lng="en"><![CDATA[dengue virus]]></kwd>
<kwd lng="en"><![CDATA[clinical evolution]]></kwd>
<kwd lng="en"><![CDATA[comparative study]]></kwd>
</kwd-group>
</article-meta>
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<surname><![CDATA[Vuong]]></surname>
<given-names><![CDATA[NL]]></given-names>
</name>
<name>
<surname><![CDATA[Quyen]]></surname>
<given-names><![CDATA[NTH]]></given-names>
</name>
<name>
<surname><![CDATA[Tien]]></surname>
<given-names><![CDATA[NTH]]></given-names>
</name>
<name>
<surname><![CDATA[Tuan]]></surname>
<given-names><![CDATA[NM]]></given-names>
</name>
<name>
<surname><![CDATA[Kien]]></surname>
<given-names><![CDATA[DTH]]></given-names>
</name>
<name>
<surname><![CDATA[Lam]]></surname>
<given-names><![CDATA[PK]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Higher plasma viremia in the febrile phase is associated with adverse dengue outcomes irrespective of infecting serotype or host immune status: an analysis of 5642 Vietnamese cases]]></article-title>
<source><![CDATA[Clin Infect Dis]]></source>
<year>2020</year>
<numero>2020</numero>
<issue>2020</issue>
</nlm-citation>
</ref>
</ref-list>
</back>
</article>
