<?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>1683-9803</journal-id>
<journal-title><![CDATA[Pediatría (Asunción)]]></journal-title>
<abbrev-journal-title><![CDATA[Pediatr. (Asunción)]]></abbrev-journal-title>
<issn>1683-9803</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Paraguaya de Pediatría]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1683-98032018000300201</article-id>
<article-id pub-id-type="doi">10.31698/ped.45032018002</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Bacteriemias por Staphylococcus aureus adquirida en la comunidad: comportamiento clínico y severidad en niños]]></article-title>
<article-title xml:lang="en"><![CDATA[Community-acquired Staphylococcus aureus bacteriology: clinical behavior and severity in children]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Araya]]></surname>
<given-names><![CDATA[Soraya]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Troche]]></surname>
<given-names><![CDATA[Avelina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Benitez]]></surname>
<given-names><![CDATA[Rocio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Amarilla]]></surname>
<given-names><![CDATA[Sara]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sanabria]]></surname>
<given-names><![CDATA[Gabrieña]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ojeda]]></surname>
<given-names><![CDATA[Limpia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cubas]]></surname>
<given-names><![CDATA[Sandra]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Zarate]]></surname>
<given-names><![CDATA[Claudia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Irala]]></surname>
<given-names><![CDATA[Juan]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Apocada]]></surname>
<given-names><![CDATA[Silvio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Arbo]]></surname>
<given-names><![CDATA[Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Católica de Asunción  ]]></institution>
<addr-line><![CDATA[Lambaré ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto de Medicina Tropical  ]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Nacional de Asunción  ]]></institution>
<addr-line><![CDATA[San Lorenzo ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2018</year>
</pub-date>
<volume>45</volume>
<numero>3</numero>
<fpage>201</fpage>
<lpage>205</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S1683-98032018000300201&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S1683-98032018000300201&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S1683-98032018000300201&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  La bacteriemia por Staphylococcus aureus (SA) constituye una de las más graves infecciones de la edad pediátrica.  Objetivos:  Evaluar las características epidemiológicas, clínicas y laboratoriales de niños con bacteriemias por SA adquiridas en la comunidad (SAAC), identificar factores de riesgos asociados a mortalidad.  Materiales y métodos:  Estudio retrospectivo en el que se incluyeron pacientes (pts) de &#8804;16 años, hospitalizados entre 2010-2018, con dx de bacteriemias por SAAC. Los datos clínicos y laboratoriales fueron introducidos en una base de datos de Excel y formateados para análisis.  Resultados:  Se identificaron 117 pts con una edad media de 56+53 meses, de los cuales 81 fueron&#8804; 5 años. La bacteriemia se asoció principalmente a neumonía (47% de los casos), presentando choque el 38% e ingreso a UCI el 40% de los pts. En el 27% (32/117) la bacteriemia fue por SAMR. La edad &lt;5 años (p=0.0001), presencia de choque (p=0001), hospitalización en UCI (p=0.002, OR 3.58, IC95% 1.5-8.3) y la mortalidad (p=0.03, OR 2.65, IC95% 1.05-6.7) se asociaron a infección por SAMR. La mortalidad de esta serie fue del 21 % (25/117). La presencia de comorbilidad (p=0.006, OR3.66, IC95% 1.4-92), choque (p=0.0001, OR 87.6, IC 95% 11.5-687.7), focos múltiples infecciosos (p=0.007,OR3.46, IC 95% 1.3-8.9), aislamiento de SAMR (p=0.03, OR 2.65,IC 95% 1.1-6.7), y trombocitopenia &lt;100 000/mm3 (p= 0.0001, OR 25.3, IC 95% 5-128) se asociaron a mortalidad.  Conclusiones:  El presente estudio muestra la severidad de la bacteriemia por SA. La resistencia a meticilina, la comorbilidad, la presencia de focos múltiples y choque se identificaron como factores asociados a mortalidad.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Bacteremia due to Staphylococcus aureus (SA) is one of the most serious infections in the pediatric population. Objectives: To evaluate the epidemiological, clinical and laboratory characteristics of children with bacteremia due to SA acquired in the community (SAAC) and to identify risk factors associated with mortality.  Materials and methods:  This was a retrospective study in which patients (pts) &#8804;16 years, hospitalized between 2010-2018, with dx of bacteremia by SAAC were included. Clinical and laboratory data were entered into an Excel database and formatted for analysis.  Results:  We identified 117 pts with an average age of 56 + 53 months, of which 81 were &#8804;5 years. Bacteremia was associated mainly with pneumonia (47% of the cases), presenting with shock in 38% and admission to the ICU in 40% of the pts. In 27% (32/117) the bacteremia was caused by MRSA. Age &lt;5 years (p = 0.0001), presence of shock (p = 0001), hospitalization in the ICU (p = 0.002, OR 3.58, 95% CI 1.5-8.3) and mortality (p = 0.03, OR 2.65, 95% CI 1.05-6.7) were associated with MRSA infection. The mortality in this series was 21% (25/117). The presence of comorbidities (p = 0.006, OR3.66, 95% CI 1.4-92), shock (p = 0.0001, OR 87.6, 95% CI 11.5-687.7), multiple infectious foci (p = 0.007, OR3.46, 95% CI 1.3-8.9), MRSA isolation (p = 0.03, OR 2.65, 95% CI 1.1-6.7), and thrombocytopenia &lt;100 000 / mm3 (p = 0.0001, OR 25.3, 95% CI 5-128) were associated with mortality.  Conclusions:  This study shows the severity of SA bacteremia. Methicillin resistance, comorbidities, the presence of multiple infectious foci and shock were identified as factors associated with mortality.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Bacteriemia]]></kwd>
<kwd lng="es"><![CDATA[Staphylococcus aureus]]></kwd>
<kwd lng="es"><![CDATA[niños.]]></kwd>
<kwd lng="en"><![CDATA[Bacteremia]]></kwd>
<kwd lng="en"><![CDATA[Staphylococcus aureus]]></kwd>
<kwd lng="en"><![CDATA[children.]]></kwd>
</kwd-group>
</article-meta>
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