<?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>2072-8174</journal-id>
<journal-title><![CDATA[Revista del Nacional (Itauguá)]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Nac. (Itauguá)]]></abbrev-journal-title>
<issn>2072-8174</issn>
<publisher>
<publisher-name><![CDATA[Hospital Nacional (Itauguá)]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2072-81742026000100202</article-id>
<article-id pub-id-type="doi">10.18004/rdn2026.e1800101</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Infecciones de piel y partes blandas características clínicas y microbiológicas en un hospital de cuarto nivel]]></article-title>
<article-title xml:lang="en"><![CDATA[Skin infections: clinical and microbiological characteristics in a fourth level hospital]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Amarilla Andino]]></surname>
<given-names><![CDATA[Cesar Facundo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Aquino Torales]]></surname>
<given-names><![CDATA[Nair Fiorella]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Peralta Giménez]]></surname>
<given-names><![CDATA[Ruth María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ortega Filártiga]]></surname>
<given-names><![CDATA[Edgar Augusto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad del Pacifico Facultad de Ciencias Médicas ]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Ministerio de Salud Pública y Bienestar Social Centro Médico Nacional-Hospital Nacional Departamento de Medicina Interna]]></institution>
<addr-line><![CDATA[Itauguá ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2026</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2026</year>
</pub-date>
<volume>18</volume>
<fpage>202</fpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2072-81742026000100202&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2072-81742026000100202&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2072-81742026000100202&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN Introducción: las infecciones de piel y partes blandas son una causa frecuente de consulta médica con un amplio espectro clínico. La creciente resistencia a Staphylococcus aureus representa un desafío terapéutico importante.  Objetivo: describir las características clínicas y microbiológicas en pacientes con infección de piel y partes blandas internados en el Departamento de Medicina Interna del Hospital Nacional de Itauguá durante el año 2024.  Metodología: se realizó un estudio observacional, analítico, retrospectivo y de corte trasversal, utilizando datos de fichas clínicas.  Resultados: fueron evaluadas 224 fichas clínicas, con diagnóstico de infección de piel y partes blandas. El sexo masculino predominó en 71 %. La edad media fue de 54±16 años. La comorbilidad más frecuente fue la Hipertensión Arterial (48 %). La celulitis fue la infección de piel y partes blandas más frecuente (63 %). Los aislamientos en foco cutáneo y hemocultivos fueron de 66 % y 47 % respectivamente. Los gérmenes aislados más frecuentes fueron Staphylococcus aureus (29 %), Staphylococcus coagulasa negativa (26,6 %) y Klebsiella pneumoniae (16,1 %). S. aureus mostró una resistencia del (58 %) a oxacilina y eritromicina (52 %). La sepsis se presentó en 7 % de los casos y se asoció con mayor edad, sexo femenino, diabetes mellitus tipo 2 y enfermedad renal crónica. La mortalidad fue del 9 % con fuerte asociación a la sepsis en el análisis multivariado.  Conclusiones:  las infecciones de piel y partes blandas se asociaron mayoritariamente a hombres; sin embargo, en esta serie, el sexo femenino se asoció a una mayor mortalidad. La elevada resistencia de S. aureus a la oxacilina en una muestra con validez nacional subraya la necesidad de actualizar los protocolos de tratamiento empírico en Paraguay.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: skin and soft tissue infections are a common cause of medical consultations with a wide range of clinical symptoms. The growing resistance to Staphylococcus aureus represents a significant therapeutic challenge.  Objective:  to describe the clinical and microbiological characteristics in patients with skin and soft tissue infections admitted to the Department of Internal Medicine of the Hospital Nacional of Itauguá during 2024.  Methodology: a descriptive, analytical, retrospective, cross-sectional observational study was conducted using data from clinical records.  Results:  224 medical records were evaluated, with a diagnosis of skin and soft tissue infection. Males predominated in 71 %. The mean age was 54±16 years. The most frequent comorbidity was high blood pressure (48 %). Cellulitis was the most frequent skin and soft tissue infection (63 %). Isolations from cutaneous sources and blood cultures were 66 % and 47 %, respectively. The most frequently isolated germs were Staphylococcus aureus (29 %), coagulase-negative Staphylococcus (26.6 %), and Klebsiella pneumoniae (16.1 %). S. aureus showed a resistance of (58 %) to oxacillin and erythromycin (52 %). Sepsis occurred in 7 % of cases and was associated with older age, female sex, type 2 diabetes mellitus, and chronic kidney disease. Mortality was 9 % with a strong association with sepsis in the multivariate analysis.  Conclusions: SSTIs mostly affect men; however, in this series, female gender was associated with higher mortality. The high resistance of S. aureus to oxacillin in a sample with national validity emphasizes the need to update empirical treatment protocols in Paraguay.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[resistencia a los antimicrobianos]]></kwd>
<kwd lng="es"><![CDATA[infecciones de los tejidos blandos]]></kwd>
<kwd lng="es"><![CDATA[sepsis]]></kwd>
<kwd lng="es"><![CDATA[mortalidad hospitalaria]]></kwd>
<kwd lng="es"><![CDATA[celulitis.]]></kwd>
<kwd lng="en"><![CDATA[antimicrobial resistance]]></kwd>
<kwd lng="en"><![CDATA[soft tissue infections]]></kwd>
<kwd lng="en"><![CDATA[sepsis]]></kwd>
<kwd lng="en"><![CDATA[hospital mortality]]></kwd>
<kwd lng="en"><![CDATA[cellulitis.]]></kwd>
</kwd-group>
</article-meta>
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