<?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>1561-3194</journal-id>
<journal-title><![CDATA[Revista de Ciencias Médicas de Pinar del Río]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Ciencias Médicas]]></abbrev-journal-title>
<issn>1561-3194</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1561-31942021000100006</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Factores pronósticos de mortalidad en pacientes con bacteriemia ingresados en la Unidad de Cuidados Intensivos]]></article-title>
<article-title xml:lang="en"><![CDATA[Prognostic factors of mortality in patients with bacteremia admitted to the Intensive Care Unit]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández García]]></surname>
<given-names><![CDATA[Omar Luis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez Venegas]]></surname>
<given-names><![CDATA[Elia De la Caridad]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ávila Cabreras]]></surname>
<given-names><![CDATA[José Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vitón Castillo]]></surname>
<given-names><![CDATA[Adrián Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Blanco Rojas]]></surname>
<given-names><![CDATA[Angel Luis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de La Habana Facultad de Ciencias Médicas Finlay Albarrán ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Ciencias Médicas de Pinar del Río Facultad de Ciencias Médicas "Dr. Ernesto Che Guevara de la Serna" ]]></institution>
<addr-line><![CDATA[Pinar del Río ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>02</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>02</month>
<year>2021</year>
</pub-date>
<volume>25</volume>
<numero>1</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1561-31942021000100006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1561-31942021000100006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1561-31942021000100006&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  el término bacteriemia se emplea para denominar la infección caracterizada por la presencia de bacterias en la sangre, fenómeno en aumento en las unidades de cuidados intensivos.  Objetivo:  determinar factores pronósticos de mortalidad en pacientes con bacteriemia atendidos en una Unidad de Cuidados Intensivos.  Métodos:  se realizó un estudio observacional, analítico y transversal en el Hospital Militar &#8220;Dr. Carlos Juan Finlay&#8221; en el periodo 2017-2019. Se estudiaron variables demográficas, clínicas y epidemiológicas en 130 pacientes. Se empleó estadística descriptiva e inferencial.  Resultados:  la edad media fue de 61± 16,5 años, con predominio del sexo masculino (53,8 %), nutrición parenteral (58,5 %), bacteriemia monomicrobiana (68,5 %), de tipo secundario (59,2 %). La principal fuente fue el catéter venoso central (57,14 %) y el acinetobacter se aisló en el 34,62 %. El 58,5 % presentó choque séptico y el 52,3 % falleció. El análisis multivariado mostró como factores predictores de mortalidad la edad mayor de &#8805; 67 años (OR= 4,82; IC: 1,32-17,63; p=0,018) y el choque séptico (OR= 28,2; IC: 7,72-102,96; p &#706; 0,001).  Conclusiones:  la bacteriemia se presentó en mayor frecuencia en el sexo masculino, principalmente en las personas de la tercera edad. El principal factor de riesgo fue la nutrición parenteral, y su principal causa la constituyen los gram negativos. Se presentan con mayor frecuencia las bacteriemias monomicrobianas. Se determinó que la edad mayor a los 65 años y el desarrollo de choque séptico constituyeron factores predictivos de mortalidad.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: the term bacteremia is used to describe an infection characterized by the presence of bacteria in the blood, a phenomenon that is on the rise in intensive care units.  Objective:  to determine the prognostic factors of mortality rate in patients admitted with bacteremia in an Intensive Care Unit.  Methods:  an observational, analytical, and cross-sectional study was conducted at Dr. Carlos Juan Finlay Military Hospital in the period 2017-2019. Demographic, clinical, and epidemiological variables were studied in 130 patients. Descriptive and inferential statistics were used.  Results:  mean age was 61± 16,5 years, with predominance of male sex (53,8 %), parenteral nutrition (58,5 %), mono-microbial bacteremia (68,5 %), and secondary type (59,2 %). The main source was the central venous catheter (57,14 %) and Acinetobacter was isolated in 34,62 % of these patients; 58,5 % presented septic shock and 52,3 % died. In the multivariate analysis, age over &#8805; 67 years old (OR= 4,82; CI: 1,32-17,63; p=0,018) and septic shock (OR= 28,2; CI: 7,72-102,96; p &#706; 0.001) were shown as predictors of mortality.  Conclusions:  bacteremia was more frequent in men, mainly in the elderly. The main risk factor was parenteral nutrition, and its main cause is gram-negative. Mono-microbial bacteremias are more frequent. It was determined that age over 65 years and the development of septic shock was predictive factors of mortality.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[BACTERIEMIA]]></kwd>
<kwd lng="es"><![CDATA[UNIDAD DE CUIDADOS INTENSIVOS]]></kwd>
<kwd lng="es"><![CDATA[MORTALIDAD]]></kwd>
<kwd lng="es"><![CDATA[PRONÓSTICOS]]></kwd>
<kwd lng="en"><![CDATA[BACTEREMIA]]></kwd>
<kwd lng="en"><![CDATA[INTENSIVE CARE UNITS]]></kwd>
<kwd lng="en"><![CDATA[MORTALITY]]></kwd>
<kwd lng="en"><![CDATA[PROGNOSIS]]></kwd>
</kwd-group>
</article-meta>
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<article-title xml:lang=""><![CDATA[Factores pronósticos de mortalidad en adultos con bacteriemias adquiridas en la comunidad (BAC) hospitalizados en un centro de referencia del Paraguay]]></article-title>
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<year>2018</year>
<volume>45</volume>
<numero>1</numero>
<issue>1</issue>
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