<?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>1996-3696</journal-id>
<journal-title><![CDATA[Revista del Instituto de Medicina Tropical]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Inst. Med. Trop.]]></abbrev-journal-title>
<issn>1996-3696</issn>
<publisher>
<publisher-name><![CDATA[Instituto de Medicina Tropical]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1996-36962019000100003</article-id>
<article-id pub-id-type="doi">10.18004/imt/20191413-13</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Factores de Riesgo asociados a la severidad en Neumonía adquirida en la comunidad]]></article-title>
<article-title xml:lang="en"><![CDATA[Risk factors associated with the severity of pneumonia acquired in the community]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cuellar]]></surname>
<given-names><![CDATA[Gustavo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez-de Cuellar]]></surname>
<given-names><![CDATA[Celia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional de Asunción Facultad de Ciencias Médicas ]]></institution>
<addr-line><![CDATA[ ]]></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>
<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>14</volume>
<numero>1</numero>
<fpage>3</fpage>
<lpage>13</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S1996-36962019000100003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S1996-36962019000100003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S1996-36962019000100003&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: La neumonía constituye la principal causa infecciosa de hospitalización y muerte entre los adultos. Varios factores han sido asociados con la ocurrencia de la NAC, como ser la edad, el tabaquismo, la exposición ambiental, la malnutrición, NAC previa, asma, higiene bucal inadecuada, terapia inmunosupresora y esteroides orales. El objetivo general del estudio fue determinar las características clínicas y evolución de la neumonía adquirida en la comunidad en pacientes hospitalizados en la III Cátedra de Clínica, durante el periodo comprendido entre enero de 2013 a diciembre 2015.  Metodología:  Se realizó un estudio observacional, descriptivo, retrospectivo, de corte transversal en pacientes con NAC hospitalizados en la III Cátedra del Hospital de Clínicas, durante el periodo enero de 2013 a diciembre de 2015, en pacientes &gt;15 con Neumonía Adquirida de la Comunidad con síntomas, signos y radiografía compatibles, hospitalizados en la III Cátedra del Hospital de Clínicas.  Resultados: Durante el periodo de estudio, 70 pacientes con NAC fueron hospitalizados en la III Cátedra de Clínica Médica, La edad media de los pacientes fue de 59 ± 18,1 años, con predominio del sexo femenino 52,8% (37/70). El 81,8% fueron NAC de base derecha, siendo el 63% (44/70) unilateral y el 16% (11/70) con derrame pleural. El 98.5% (69/70) de los pacientes presentaron 1 o más factores de riesgo; la Hipertensión arterial fue la patología más frecuente 64.3% (45/70), seguido de la Insuficiencia Cardíaca Congestiva Global (ICCG) 44% (31/10) y la diabetes 37% (26/70). Las neumonías severas (bilateral con o sin derrame y unilateral con derrame), fueron más frecuentes en los pacientes con diabetes, enfermedad renal, obesidad y asma, siendo esta frecuencia significativamente superior en los pacientes con diabetes.  Conclusiones:  El estudio demostró que los pacientes con diabetes presentaron un riesgo significativamente superior comparados con aquellos que no presentaron esta patología, para el desarrollo de NAC grave.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Community Acquired Pneumonia (CAP) is the leading infectious cause of hospitalization and death among adults. Several factors have been associated with the occurrence of NAC, such as age, smoking, environmental exposure, malnutrition, previous CAP, asthma, inadequate oral hygiene and immunosuppressive therapy. The general objective of the study was to determine the clinical characteristics and evolution of CAP in patients hospitalized in the III Cátedra de Clínica Médica - Hospital de Clínicas, during the period January 2013 to December 2015.  Methodology:  An observational, descriptive, retrospective, cross-sectional study was conducted in patients with CAP hospitalized in the III Cátedra de Clínica Médica - Hospital de Clínicas, during the period January 2013 to December 2015, in patients&gt; 15 with CAP with compatible symptoms, signs and radiography.  Results:  During the study period, 70 patients with CAP were hospitalized in the III Chair of Medical Clinic, the average age of the patients was 59 ± 18.1 years, with a predominance of the female sex 52.8% (37/70), 81.8% were right-sided CAP, 63% (44/70) unilateral and 16% (11/70) with pleural effusion. The 98.5% (69/70) of the patients presented one or more risk factors; hypertension was the most frequent pathology 64.3% (45/70), followed by Global Congestive Heart Failure (GCHF) 44% (31/10) and diabetes 37% (26/70). Severe pneumonias (bilateral with or without effusion and unilateral with effusion) were more frequent in patients with diabetes, kidney disease, obesity and asthma, this frequency was significantly higher in patients with diabetes.  Conclusions:  The study showed that patients with diabetes presented a significantly higher risk compared to those who did not present this pathology, for the development of severe CAP.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Diabetes]]></kwd>
<kwd lng="es"><![CDATA[NAC]]></kwd>
<kwd lng="es"><![CDATA[Comorbilidad]]></kwd>
<kwd lng="en"><![CDATA[Diabetes]]></kwd>
<kwd lng="en"><![CDATA[NAC]]></kwd>
<kwd lng="en"><![CDATA[Comorbidity]]></kwd>
</kwd-group>
</article-meta>
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