<?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>S1729-519X2021000300009</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Comportamiento de las neumonías graves en el Hospital Pediátrico Borrás-Marfán. 2015-2019]]></article-title>
<article-title xml:lang="en"><![CDATA[Behavior of severe pneumonia at Borrás-Marfán pediatric hospital. 2015-2019]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Piedra Garcés]]></surname>
<given-names><![CDATA[Mileny]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alonso González]]></surname>
<given-names><![CDATA[Erick]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Machado Betarte]]></surname>
<given-names><![CDATA[Caridad]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Despaigne Cabrera]]></surname>
<given-names><![CDATA[Eldis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Álvarez Fernández]]></surname>
<given-names><![CDATA[Ana Ivis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Pediátrico Docente &#8220;Borrás-Marfán&#8221;  ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Ciencias Médicas de La Habana  ]]></institution>
<addr-line><![CDATA[La Habana ]]></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>20</volume>
<numero>3</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1729-519X2021000300009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1729-519X2021000300009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1729-519X2021000300009&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: Las neumonías constituyen un grave problema de salud al ser causa frecuente de morbilidad y mortalidad infantil en el mundo.  Objetivo:  Describir el comportamiento de las neumonías graves en un grupo de pacientes ingresados en la Unidad de Terapia Intensiva Pediátrica (UTIP) del Hospital Pediátrico Docente &#8220;Borrás-Marfán&#8221;.  Material y Métodos: Se realizó un estudio observacional, descriptivo, retrospectivo, en 223 pacientes que ingresaron en el servicio de terapia intensiva mencionado, entre agosto de 2015 y diciembre de 2019, con diagnóstico de neumonía grave. Se caracterizó la muestra según variables demográficas, complicaciones, procederes invasivos realizados, aislamiento microbiológico, antibióticos utilizados y estadía en el servicio. Para el análisis de los resultados se empleó la estadística descriptiva.  Resultados:  El grupo de edades más representativo fue el de 1-4 años, con un ligero predominio de varones. Las complicaciones más frecuentes fueron el derrame pleural, el neumatocele y el neumotórax. Requirieron toracocentesis el 40,81 % de los casos y pleurotomía el 33,18 %. El principal germen aislado fue el Streptococcus Pneumoniae y la mayoría de los pacientes necesitaron dos antibióticos para el tratamiento.  Conclusiones: En el período estudiado, la principal complicación de la neumonía fue el derrame pleural y se realizó toracocentesis y pleurotomía en aproximadamente la mitad de los casos con buenos resultados. El uso de dos antibióticos en la mayoría de los pacientes según los protocolos establecidos resultó efectivo.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: Pneumonia is a serious health problem because it is a frequent cause of infant morbidity and mortality worldwide.  Objective: To describe the behavior of severe pneumonia in a group of patients admitted to the Pediatric Intensive Care Unit (PICU) of Borrás-Marfán Pediatric Hospital.  Material and Methods: An observational, descriptive and retrospective study was conducted in 223 patients with the diagnosis of severe pneumonia admitted to the aforementioned intensive care service from August 2015 to December 2019. The sample was characterized according to demographic variables, complications, invasive procedures performed, microbiological isolation, type of antibiotics used, and the number of days spent in the hospital. Descriptive statistics was used for the analysis of results.  Results: The most representative age group was 1-4 years, with a slight predominance of males. The most frequent complications were pleural effusion, pneumatocele and pneumothorax. In this group, 40.81 % of the cases required thoracentesis and 33.18 % underwent pleurotomy. The main isolated germ was the Streptococcus Pneumoniae and most of the patients needed treatment with two antibiotics.  Conclusions: During the period studied, the principal complication of pneumonia was the pleural effusion. Approximately half of the cases underwent thoracentesis and pleurotomy and good results were achieved. The use of two antibiotics according to established protocols were effective, too.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[neumonía complicada]]></kwd>
<kwd lng="es"><![CDATA[derrame pleural]]></kwd>
<kwd lng="es"><![CDATA[niños]]></kwd>
<kwd lng="es"><![CDATA[Streptococcus pneumonia]]></kwd>
<kwd lng="es"><![CDATA[empiema]]></kwd>
<kwd lng="es"><![CDATA[unidades de cuidado intensivo pediátrico]]></kwd>
<kwd lng="en"><![CDATA[complicated pneumonia]]></kwd>
<kwd lng="en"><![CDATA[pleural effusion]]></kwd>
<kwd lng="en"><![CDATA[children]]></kwd>
<kwd lng="en"><![CDATA[Streptococcus Pneumoniae]]></kwd>
<kwd lng="en"><![CDATA[empyema]]></kwd>
<kwd lng="en"><![CDATA[pediatric intensive care units]]></kwd>
</kwd-group>
</article-meta>
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