<?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>1729-519X</journal-id>
<journal-title><![CDATA[Revista Habanera de Ciencias Médicas]]></journal-title>
<abbrev-journal-title><![CDATA[Rev haban cienc méd]]></abbrev-journal-title>
<issn>1729-519X</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas de la Habana]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1729-519X2018000300408</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Riesgo de neumonía grave en niños menores de 5 años]]></article-title>
<article-title xml:lang="en"><![CDATA[Risk of severe pneumonia in children under 5 years of age]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Álvarez Andrade]]></surname>
<given-names><![CDATA[María Elena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández Oliva]]></surname>
<given-names><![CDATA[Mijaíl]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Brito Tavares]]></surname>
<given-names><![CDATA[Ysidoro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sánchez Pérez]]></surname>
<given-names><![CDATA[Laura Margarita]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cuevas Álvarez]]></surname>
<given-names><![CDATA[Dayrel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de La Habana Hospital Materno Infantil &#8220;Dr Ángel Arturo Aballí&#8221; ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital General Docente &#8220;Aleida Hernández Chadiet&#8221;  ]]></institution>
<addr-line><![CDATA[Artemisa ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Materno Infantil &#8220;Dr Ángel Arturo Aballí&#8221;  ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad de Ciencias Médicas de La Habana Hospital Clínico Quirúrgico &#8220;Dr. Miguel Enríquez&#8221; ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2018</year>
</pub-date>
<volume>17</volume>
<numero>3</numero>
<fpage>408</fpage>
<lpage>426</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1729-519X2018000300408&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1729-519X2018000300408&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1729-519X2018000300408&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: Las infecciones respiratorias agudas se encuentran entre las principales causas de muerte en la primera infancia; se destaca la neumonía adquirida en la comunidad como una de las más importantes.  Objetivo:  Determinar los factores asociados a la Neumonía Grave Adquirida en la Comunidad en niños menores de 5 años.  Material y Método:  Se realizó una investigación analítica, prospectiva, tipo caso-control no pareada, en niños con Neumonía Adquirida en la Comunidad ingresados en el Hospital Materno Infantil &#8220;&#8220;Dr Ángel Arturo Aballí&#8221;, en La Habana. Fueron evaluados 255 casos. Se realizó el análisis univariado y de regresión logística multivariado; se calculó el OR simple y ajustado para el resto de las variables.  Resultados:  Las variables con valores de OR simple que muestran asociación significativa con la Neumonía Grave Adquirida en la Comunidad fueron: edad, desnutrición, lactancia materna no efectiva, antecedentes de infecciones respiratorias a repetición, fumadores pasivos, quejido, tiraje, taquipnea, taquicardia, complicaciones, empleo de antibiótico previo y localización izquierda de la neumonía. De igual forma ocurrió con el conteo de leucocitos, la velocidad de sedimentación globular, la hemoglobina, la albúmina sérica, la proteína C reactiva y la mayor estadía hospitalaria.  Conclusiones: La edad, la lactancia materna no efectiva, el fumador pasivo, las complicaciones y la estadía fue el conjunto de factores que integró la función de variables asociadas con riesgo independiente a la Neumonía Grave Adquirida en la Comunidad.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Acute respiratory infections are among the main leading causes of death in early childhood, highlighting community-acquired pneumonia as one of the most important.  Objective:  To determine the factors associated with Severe Community-Acquired Pneumonia in children under five years of age.  Material and Method:  An analytical prospective non-paired case-control study was conducted in children with Severe Community-Acquired Pneumonia admitted to &#8220;Dr Ángel Arturo Aballí&#8221; Maternal and Child Health Hospital in Havana. A total of 255 cases were evaluated. Univariate and multivariate logistic regression analyses were carried out, calculating the simple OR and adjusted for the rest of the variables.  Results:  The variables with simple OR values that show significant association with the Severe Community-Acquired Pneumonia were: age, malnutrition, non-effective breastfeeding, history of repeated respiratory infections, passive smoking, moan, retraction, tachypnea, tachycardia, complications, use of prior antibiotic, and left location of pneumonia. Likewise, it occurred with white blood cell count, erythrocyte sedimentation rate, hemoglobin, serum albumin, C-reactive protein, and the highest hospital stay.  Conclusions:  Age, ineffective breastfeeding, passive smoking, complications, and stay were the group of factors that integrated the function of variables associated with independent risk of Severe Community-Acquired Pneumonia.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Infecciones respiratorias agudas]]></kwd>
<kwd lng="es"><![CDATA[pediatría]]></kwd>
<kwd lng="es"><![CDATA[neumonía]]></kwd>
<kwd lng="es"><![CDATA[factores de riesgo]]></kwd>
<kwd lng="en"><![CDATA[Acute respiratory infections]]></kwd>
<kwd lng="en"><![CDATA[pediatrics]]></kwd>
<kwd lng="en"><![CDATA[pneumonia]]></kwd>
<kwd lng="en"><![CDATA[risk factors]]></kwd>
</kwd-group>
</article-meta>
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