<?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>S1727-897X2023000400833</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Atención médica en el enfrentamiento a la COVID-19. Hospital Pediátrico Universitario de Cienfuegos, 2021-2022]]></article-title>
<article-title xml:lang="en"><![CDATA[Medical care in the fight against COVID-19. Cienfuegos Pediatric University Hospital 2021-2022]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García Ríos]]></surname>
<given-names><![CDATA[Layrí]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Acosta Fonseca]]></surname>
<given-names><![CDATA[Milenys]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Yanes Macías]]></surname>
<given-names><![CDATA[Juan Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García Sosa]]></surname>
<given-names><![CDATA[Jesús Alberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Marrero Gil]]></surname>
<given-names><![CDATA[Aimé]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sánchez Cabrera]]></surname>
<given-names><![CDATA[Diana Rosa]]></given-names>
</name>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Pediátrico Universitario Paquito González Cueto  ]]></institution>
<addr-line><![CDATA[Cienfuegos ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2023</year>
</pub-date>
<volume>21</volume>
<numero>4</numero>
<fpage>833</fpage>
<lpage>841</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1727-897X2023000400833&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1727-897X2023000400833&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1727-897X2023000400833&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Fundamento:  la pandemia de COVID-19 tensó enormemente los servicios de salud en el mundo entero y Cuba no fue una excepción. Aunque la proporción de casos confirmados en niños fue menor, es necesaria la descripción de la atención médica a este sector de la población.  Objetivo:  describir la organización de los servicios médicos y morbilidad hospitalaria durante la COVID-19, de enero 2021 a febrero 2022, en el pediátrico de Cienfuegos.  Métodos:  estudio descriptivo realizado en el Hospital Pediátrico de Cienfuegos sobre la atención médica a niños, durante la pandemia de COVID-19. Se analizaron las variables número de casos, edad, sintomatología, casos ingresados en unidades de cuidados intensivos, egreso.  Resultados:  fueron ingresados 2758 pacientes confirmados de COVID-19; los meses de junio a septiembre aportaron el mayor número de casos, con agosto como más representativo con 46,4 %. Cienfuegos y Cumanayagua fueron los municipios con más casos; predominaron los menores de cinco años (88,3 %) fundamentalmente los menores de un año (49,2 %). La presentación clínica asintomática fue preponderante y sintomatología leve. Requirieron cuidados intensivos el 1,1 % del total y la letalidad fue de 0,04 %. El enfrentamiento a la enfermedad tuvo un carácter intersectorial; el cumplimiento de los protocolos y guías se dieron en un contexto donde primó la reorganización de los servicios y la gestión del conocimiento.  Conclusiones:  la atención médica oportuna y encaminada a alcanzar el mayor detalle científico asistencial, acompañado de una continua gestión del conocimiento para su adherencia permitió que la mayoría de los niños con COVID-19 egresaran de manera satisfactoria.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Foundation: the COVID-19 pandemic greatly strained health services throughout the world and Cuba was no exception. Although the proportion of confirmed cases in children was lower, it is necessary to describe the medical care provided to this sector of the population.  Objective: to describe the medical services organization and hospital morbidity during COVID-19, from January 2021 to February 2022, at the Cienfuegos pediatric hospital.  Methods:  descriptive study carried out at the Cienfuegos Pediatric Hospital on medical care for children, during the COVID-19 pandemic. The variables number of cases, age, symptomatology, cases admitted to intensive care units, and discharge were analyzed.  Results: 2758 confirmed COVID-19 patients were admitted; from June to September contributed to the greatest number of cases, with August as the most representative with 46.4%. Cienfuegos and Cumanayagua were the municipalities with the most cases; there was a predominance of children under five years of age (88.3%), mainly those under one year of age (49.2%). The asymptomatic clinical presentation was preponderant and mild symptoms. 1.1% of the total required intensive care and the lethality was 0.04%. The confrontation with the disease had an intersectoral character; compliance with the protocols and guidelines occurred in a context where the reorganization of services and knowledge management prevailed.  Conclusions: timely medical care aimed at achieving the greatest scientific care detail, accompanied by continuous knowledge management, allowed most children with COVID-19 to be discharged satisfactorily.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Covid-19]]></kwd>
<kwd lng="es"><![CDATA[atención médica]]></kwd>
<kwd lng="es"><![CDATA[morbilidad]]></kwd>
<kwd lng="en"><![CDATA[Covid-19]]></kwd>
<kwd lng="en"><![CDATA[medical care]]></kwd>
<kwd lng="en"><![CDATA[morbidity]]></kwd>
</kwd-group>
</article-meta>
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