<?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>1812-9528</journal-id>
<journal-title><![CDATA[Memorias del Instituto de Investigaciones en Ciencias de la Salud]]></journal-title>
<abbrev-journal-title><![CDATA[Mem. Inst. Investig. Cienc. Salud]]></abbrev-journal-title>
<issn>1812-9528</issn>
<publisher>
<publisher-name><![CDATA[Instituto de Investigaciones en Ciencias de la Salud]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1812-95282018000300044</article-id>
<article-id pub-id-type="doi">10.18004/mem.iics/1812-9528/2018.016(03)44-050</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Infecciones urinarias en niños con vejiga neurogénica y los patrones de resistencia a los uropatógenos más frecuentes]]></article-title>
<article-title xml:lang="en"><![CDATA[Urinary tract infections in children with neurogenic bladder and resistance patterns of most frequent urological pathogens]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Molin]]></surname>
<given-names><![CDATA[Clotilde]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Del Valle]]></surname>
<given-names><![CDATA[Elvira]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González]]></surname>
<given-names><![CDATA[Lourdes]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Figueredo]]></surname>
<given-names><![CDATA[Liliana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,SENADIS Laboratorio de la Secretaria Nacional por los Derechos Humanos de las Personas con Discapacidad ]]></institution>
<addr-line><![CDATA[Fernando de la Mora ]]></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>16</volume>
<numero>3</numero>
<fpage>44</fpage>
<lpage>50</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S1812-95282018000300044&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S1812-95282018000300044&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S1812-95282018000300044&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN Las infecciones del tracto urinario (ITU) en niños con vejiga neurogénica, pueden producir alteraciones tanto morfológicas como funcionales, y desencadenan una respuesta inmune que no siempre es evidente. Las ITU son una de las principales causas de morbilidad y mortalidad. Resulta de suma importancia un correcto diagnóstico de las mismas, para un buen tratamiento y así evitar las complicaciones y secuelas que puedan ocasionar. El objeto del trabajo fue analizar la prevalencia y la etiología de las ITU en pacientes con vejiga neurogénica, y su patrón de resistencia. En un estudio descriptivo, retrospectivo se incluyeron 46 muestras de orina para cultivo de niños de 1 a 18 años, de ambos sexos, con vejiga neurogénica, que fueron procesadas en un laboratorio de microbiología. De 46 urocultivos, 19 correspondieron a varones (19/46) 41% y 27 a niñas (27/46) 59%, los niños tenían una edad promedio de 11(2. De estos 21 resultaron positivos (21/46) 46%, aislando en mayor proporción E. coli. La frecuencia de ITU en niños con vejiga neurogénica fue de 21/46, 46%, siendo el porcentaje en este tipo de pacientes mucho más elevado que en niños que no presentan dicha anomalía. Los uropatógenos aislados con mayor frecuencia fueron E coli y K pneumoniae. El uso de sondas y pañales, así como la mala higiene predisponen a estas infecciones. En este estudio se vio buena sensibilidad a la nitrofurantoina y cefixima.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Urinary tract infections (UTI) in children with neurogenic bladder can produce morphological and functional alterations, and trigger an immune response that is not always evident. The UTI are one of the main causes of morbidity and mortality. It is very important to diagnose them correctly for a good treatment and thus to avoid complications and consequences that they can cause. The objective of the study was to analyze the prevalence and etiology of the infections in patients with neurogenic bladder hospitalized in UTI, and the resistance pattern of the most frequent uropathogens. This was a descriptive, retrospective study that included 46 samples of urine culture of children from 1 to 18 years old, of both sexes, with a neurogenic bladder, which were processed in a microbiology laboratory. Of the 46 urine cultures, 19 corresponded to boys (19/46) 41% and 27 corresponded to girls (27/46) 59%, with an age average of 11(2. Of the total sample, 21 were positive (21/46) 46%, isolating Escherichia coli in a greater proportion. The frequency of UTI in children with neurogenic bladder was of 21/46, 46%, being the percentage in this type of patients much higher than children who do not have this anomaly. The most frequently isolated uropathogens were E. coli and Klebsiella pneumoniae. The use of catheters and diapers, as well as bad hygiene, predispose to these infections. Good sensitivity to nitrofurantoin and cefixime was observed in this study.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[infección urinaria]]></kwd>
<kwd lng="es"><![CDATA[vejiga neurogénica]]></kwd>
<kwd lng="es"><![CDATA[niños con discapacidad]]></kwd>
<kwd lng="en"><![CDATA[urinary infection]]></kwd>
<kwd lng="en"><![CDATA[neurogenic bladder]]></kwd>
<kwd lng="en"><![CDATA[children with disabilities]]></kwd>
</kwd-group>
</article-meta>
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