<?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>2307-0420</journal-id>
<journal-title><![CDATA[Cirugía paraguaya]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. parag.]]></abbrev-journal-title>
<issn>2307-0420</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Paraguaya de Cirugía]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2307-04202022000200025</article-id>
<article-id pub-id-type="doi">10.18004/sopaci.2022.agosto.25</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Antibioticoterapia como primer paso del step up approach. Reporte de un caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Antibiotic therapy as first step in the step-up approach. Case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Seballos]]></surname>
<given-names><![CDATA[Valentina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Salvatierra]]></surname>
<given-names><![CDATA[Martín]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Regional Salto  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Uruguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2022</year>
</pub-date>
<volume>46</volume>
<numero>2</numero>
<fpage>25</fpage>
<lpage>26</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2307-04202022000200025&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2307-04202022000200025&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2307-04202022000200025&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN El objetivo del presente trabajo es describir un caso clínico de un paciente que presentó necrosis pancreática infectada y se trato de manera conservadora. Resultados: Si bien el primer paso del Step up Approach lo constituye el drenaje percútanlo, en casos seleccionados podrían manejarse con tratamiento médico. Conclusión: La antibioticoterapia está indicada siempre que se demuestre infección, en pacientes seleccionados podría ser el único tratamiento, se necesitan más estudios que lo avalen.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Introduction: The objective of this study is to describe the case report of a patient with infectious pancreatic necrosis who was treated conservatively. Results: Although the first step of the step-up approach is percutaneous drainage, in selected cases, patients could be managed with medical treatment. Conclusion: antibiotic therapy is indicated if the presence of an infection is confirmed. In selected patients, it could be the only treatment. Still, further validation studies are needed.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Necrosis Pancreática Infectada]]></kwd>
<kwd lng="es"><![CDATA[tratamiento antibiótico]]></kwd>
<kwd lng="en"><![CDATA[Infected pancreatic necrosis]]></kwd>
<kwd lng="en"><![CDATA[antibiotic treatment]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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