<?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>1028-9933</journal-id>
<journal-title><![CDATA[Revista Información Científica]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. inf. cient.]]></abbrev-journal-title>
<issn>1028-9933</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas Guantánamo]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1028-99332019000300332</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Factores de riesgo de infección puerperal en el Hospital General Docente &#8220;Dr. Agostinho Neto&#8221;, Guantánamo 2016-2018]]></article-title>
<article-title xml:lang="en"><![CDATA[Risk factors of puerperal infection in the Teaching General Hospital "Agostinho Neto", Guantánamo 2016-2018]]></article-title>
<article-title xml:lang="pt"><![CDATA[Facores de risco de infecção puerperal no Hospital Geral Universitario " Agostinho Neto", Guantánamo 2016-2018]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ferreiro Hernández]]></surname>
<given-names><![CDATA[Leydis Bárbara]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Diaz Jimenez]]></surname>
<given-names><![CDATA[Mirna Maylén]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López Morales]]></surname>
<given-names><![CDATA[Ramón Eustimio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vient Rojas]]></surname>
<given-names><![CDATA[Julio César]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Favier Torres]]></surname>
<given-names><![CDATA[María Agustina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General Docente &#8220;Dr. Agostinho Neto&#8221;  ]]></institution>
<addr-line><![CDATA[ Guantánamo]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Ciencias Médicas  ]]></institution>
<addr-line><![CDATA[ Guantánamo]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<volume>98</volume>
<numero>3</numero>
<fpage>332</fpage>
<lpage>343</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1028-99332019000300332&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1028-99332019000300332&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1028-99332019000300332&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  la prevención de la infección puerperal es una exigencia social.  Objetivo:  precisar la asociación entre rotura de membranas ovulares, infección cervicovaginal y corioamnionitis, y presentación de infección puerperal en puérperas atendidas en el servicio de Obstetricia del Hospital General Docente &#8220;Dr. Agostinho Neto&#8221; durante los años 2016-2018.  Método:  se realizó un estudio de casos y controles. El universo se conformó por todas las puérperas con infección puerperal (n=622) y de estas últimas se seleccionó una muestra por conveniencia de 60 pacientes, las que constituyeron el grupo de casos y se eligió un grupo de pacientes sin infección puerperal (n=120) que conformaron el grupo control. Se estudiaron las siguientes variables: edad en años, tiempo de rotura de membranas ovulares, diagnóstico de infección cervicovaginal y corioamnionitis y vía del parto.  Resultados:  predominaron las edades entre 20 y 29 años en los casos (41,7 %) y controles (48,3 %). Existieron evidencias estadísticamente significativas, con una confiabilidad del 95 %, de que la rotura de membranas de más de 24 horas, la infección cervicovaginal y la corioamnionitis fueron factores de riesgo de infección puerperal. Predominó la vía vaginal en los casos (60 %) y controles (61,7 %), que no resultó estadísticamente significativa asociada a la infección puerperal.  Conclusiones:  las puérperas con rotura de membranas ovulares de más de 24 horas, infección cervicovaginal y corioamnionitis presentaron mayor riesgo de infección puerperal.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  the prevention of puerperal infection is a social requirement.  Objective:  to specify the association between rupture of ovular membranes, cervicovaginal infection and chorioamnionitis and the presentation of puerperal infection in puerperal women attended in the Obstetrics Service of the Hospital Dr. Agostinho Neto during the years 2016-2018.  Method:  a study was conducted of cases and controls. The universe was formed by all puerperal puerperal infections (n=622), and of the latter a sample was selected for convenience of 60 patients, which constituted the group of cases; a group of patients without puerperal infection (n=120) who formed the control group was chosen. The following variables were studied: age in years, time of rupture of ovular membranes, diagnosis of cervicovaginal infection and chorioamnionitis and birth pathway.  Results:  ages between 20 and 29 years predominated in cases (41.7%) and controls (48.3%). There was statistically significant evidence, with a reliability of 95%, that the rupture of membranes over 24 hours, cervicovaginal infection and chorioamnionitis were risk factors for puerperal infection. The vaginal route predominated in the cases (60%) and controls (61.7%), which was not statistically significant associated with puerperal infection.  Conclusions:  puerperal women with ruptured ovular membranes over 24 hours, cervicovaginal infection and chorioamnionitis presented a higher risk of puerperal infection.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO  Introdução:  a prevenção da infecção puerperal é uma exigência social.  Objetivo:  Para esclarecer a associação entre a ruptura de membranas, infecção cérvico-vaginal e corioamnionite e apresentação de infecção puerperal em puérperas atendidas no Departamento de Obstetrícia Dr. Agostinho Neto Hospital durante os anos de 2016-2018.  Método:  foi realizado um estudo de casos e controles. O universo foi formado por todas as infecções puerperais no puerpério (n=622) e, deste último, uma amostra foi selecionada por conveniência de 60 pacientes, constituindo o grupo de casos; um grupo de pacientes sem infecção puerperal (n=120) que formou o grupo controle foi escolhido. As seguintes variáveis foram estudadas: idade em anos, tempo de ruptura das membranas ovulares, diagnóstico de infecção cervicovaginal e corioamnionite e via de nascimento.  Resultados:  as idades entre 20 e 29 anos predominaram nos casos (41,7%) e controles (48,3%). Houve evidência estatisticamente significativa, com uma confiança de 95%, que a ruptura das membranas durante mais de 24 horas, a infecção genital do corioamniotite e eram factores de risco infecção puerperal. A via vaginal predominou nos casos (60%) e controles (61,7%), o que não foi estatisticamente significante associado à infecção puerperal.  Conclusões:  puérperas com ruptura de membranas ovulares por 24 horas, infecção cervicovaginal e corioamnionite apresentaram maior risco de infecção puerperal.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[infección puerperal]]></kwd>
<kwd lng="es"><![CDATA[rotura prematura de membranas]]></kwd>
<kwd lng="es"><![CDATA[infección cervicovaginal]]></kwd>
<kwd lng="en"><![CDATA[puerperal infection]]></kwd>
<kwd lng="en"><![CDATA[premature rupture of membranes]]></kwd>
<kwd lng="en"><![CDATA[cervicovaginal infection]]></kwd>
<kwd lng="pt"><![CDATA[infecção puerperal]]></kwd>
<kwd lng="pt"><![CDATA[ruptura prematura de membranas]]></kwd>
<kwd lng="pt"><![CDATA[infecção cervicovaginal]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Verdecia Charadán]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Fernández Charon]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Antuche Medina]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Rouseaux Lamothe]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Morbilidad materna grave en unidad de cuidados intensivos]]></article-title>
<source><![CDATA[Rev Inf Cient]]></source>
<year>2017</year>
<volume>96</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>435-44</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Moreno Mojica]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Rincón Villa Mil]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Arenas Cárdenas]]></surname>
<given-names><![CDATA[YM]]></given-names>
</name>
<name>
<surname><![CDATA[Sierra Medina]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Cano Quintero]]></surname>
<given-names><![CDATA[ÁP]]></given-names>
</name>
<name>
<surname><![CDATA[Cárdenas Pinzón]]></surname>
<given-names><![CDATA[DL]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[La mujer en posparto: un fenómeno de interés e intervención para la disciplina de enfermería]]></article-title>
<source><![CDATA[Rev CUIDARTE]]></source>
<year>2014</year>
<volume>5</volume>
<numero>2</numero>
<issue>2</issue>
</nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="confpro">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ramírez Salinas]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Zayas Illas]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Infante del Rey]]></surname>
<given-names><![CDATA[MC]]></given-names>
</name>
</person-group>
<source><![CDATA[Caracterización microbiológica y epidemiológica de la infección del sitio quirúrgico en puérperas cesareadas]]></source>
<year>2015</year>
<conf-name><![CDATA[ Convención Salud]]></conf-name>
<conf-date>2015</conf-date>
<conf-loc>La Habana </conf-loc>
<publisher-loc><![CDATA[La Habana ]]></publisher-loc>
</nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ramírez Salinas]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Zayas Illas]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Infante del Rey]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Ramírez Salinas]]></surname>
<given-names><![CDATA[YM]]></given-names>
</name>
<name>
<surname><![CDATA[Mesa Castellanos]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Montoto Mayor]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Infección del sitio quirúrgico en puérperas con cesárea]]></article-title>
<source><![CDATA[Rev Cubana Obst Gin]]></source>
<year>2016</year>
<volume>42</volume>
<numero>1</numero>
<issue>1</issue>
</nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Balestena Sánchez]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
<name>
<surname><![CDATA[Ortiz Aguiar]]></surname>
<given-names><![CDATA[LG]]></given-names>
</name>
<name>
<surname><![CDATA[Arman Alessandrini]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Influencia de algunos factores del parto y el periparto que influyen en la endometritis puerperal]]></article-title>
<source><![CDATA[Rev Cubana Obst Gin]]></source>
<year>2005</year>
<volume>31</volume>
<numero>1</numero>
<issue>1</issue>
</nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="book">
<source><![CDATA[Vigilancia epidemiológica de las infecciones asociadas a la atención de la salud en el puerperio]]></source>
<year>2014</year>
<publisher-loc><![CDATA[Washington ]]></publisher-loc>
<publisher-name><![CDATA[OPS]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Van Dillen]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Zwart]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Schutte]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Van Roosmalen]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Maternal sepsis: epidemiology. etiology and outcome]]></article-title>
<source><![CDATA[Curr Opin Infect Dis]]></source>
<year>2010</year>
<volume>23</volume>
<page-range>249-54</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Frias Chang]]></surname>
<given-names><![CDATA[NV]]></given-names>
</name>
<name>
<surname><![CDATA[Begué Dalmau]]></surname>
<given-names><![CDATA[NM]]></given-names>
</name>
<name>
<surname><![CDATA[Martí Rodríguez]]></surname>
<given-names><![CDATA[LA]]></given-names>
</name>
<name>
<surname><![CDATA[Leyva Frias]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Méndez Leyva]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Infección del sitio quirúrgico poscesárea]]></article-title>
<source><![CDATA[MEDISAN]]></source>
<year>2016</year>
<volume>20</volume>
<numero>5</numero>
<issue>5</issue>
</nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="book">
<collab>Ministerio de Salud Pública. Dirección Nacional de Estadísticas</collab>
<source><![CDATA[Anuario Estadístico de Salud. 2017]]></source>
<year>2018</year>
<publisher-loc><![CDATA[La Habana ]]></publisher-loc>
<publisher-name><![CDATA[Minsap]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="book">
<collab>Dirección Provincial de Salud</collab>
<source><![CDATA[Anuario Estadístico Provincial de Salud. 2016]]></source>
<year>2017</year>
<publisher-loc><![CDATA[Guantánamo ]]></publisher-loc>
<publisher-name><![CDATA[Ministerio de Salud Pública]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sarduy Rodríguez]]></surname>
<given-names><![CDATA[MC]]></given-names>
</name>
<name>
<surname><![CDATA[Sánchez Ramírez]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Rodríguez Martínez]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Sepsis en pacientes con rotura prematura de membranas pretérmino]]></article-title>
<source><![CDATA[Rev Cubana Obst Gin]]></source>
<year>2016</year>
<volume>42</volume>
<numero>3</numero>
<issue>3</issue>
</nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Vásquez Teevin]]></surname>
<given-names><![CDATA[VA]]></given-names>
</name>
<name>
<surname><![CDATA[Flores Noriega]]></surname>
<given-names><![CDATA[ML]]></given-names>
</name>
<name>
<surname><![CDATA[Lazo Porras]]></surname>
<given-names><![CDATA[MÁ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Endometritis posparto: experiencia en un hospital general]]></article-title>
<source><![CDATA[Rev Perú Gin Obst]]></source>
<year>2014</year>
<volume>60</volume>
<numero>1</numero>
<issue>1</issue>
</nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sánchez Ramírez]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Nodarse Rodríguez]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Sanabria Arias]]></surname>
<given-names><![CDATA[AM]]></given-names>
</name>
<name>
<surname><![CDATA[Octúzar Chirino]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Couret Cabrera]]></surname>
<given-names><![CDATA[MP]]></given-names>
</name>
<name>
<surname><![CDATA[Díaz Garrido]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Morbilidad y mortalidad neonatal en pacientes con rotura prematura de membranas pretérmino]]></article-title>
<source><![CDATA[Rev Cubana Obst Gin]]></source>
<year>2013</year>
<volume>39</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>343-53</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hernández Núñez]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Martínez]]></surname>
<given-names><![CDATA[FL]]></given-names>
</name>
<name>
<surname><![CDATA[Mojena Hernández]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Caracterización de cesáreas primitivas en Santa Cruz del Norte]]></article-title>
<source><![CDATA[Rev Cubana Obst Gin]]></source>
<year>2017</year>
<volume>43</volume>
<numero>3</numero>
<issue>3</issue>
</nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Torres]]></surname>
<given-names><![CDATA[LJ]]></given-names>
</name>
<name>
<surname><![CDATA[Rodríguez Ortiz]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Factores de riesgo para Endometritis Puerperal en pacientes que asisten para terminación del embarazo en el hospital Simón Bolivar entre Enero 2007 a Diciembre 2013]]></article-title>
<source><![CDATA[Rev Chil Obst Gin]]></source>
<year>2017</year>
<volume>82</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>19-29</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ferrer-Montoya]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Robles-Iglesias]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Pérez-Dajaruch]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Crespo-Bello]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[González-Vázquez]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Corioamnionitis clínica e histológica. Revisión bibliográfica]]></article-title>
<source><![CDATA[MULTIMED]]></source>
<year>2014</year>
<volume>18</volume>
<numero>1</numero>
<issue>1</issue>
</nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="book">
<collab>Ministerio de Salud Pública. Departamento Materno Infantil</collab>
<source><![CDATA[Guías de Actuación en las afecciones obstétricas frecuentes]]></source>
<year>2017</year>
<publisher-loc><![CDATA[La Habana ]]></publisher-loc>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</nlm-citation>
</ref>
</ref-list>
</back>
</article>
