<?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>2307-3349</journal-id>
<journal-title><![CDATA[Revista de salud publica del Paraguay]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. salud publica Parag.]]></abbrev-journal-title>
<issn>2307-3349</issn>
<publisher>
<publisher-name><![CDATA[INSTITUTO NACIONAL DE SALUD - MSP Y BS]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2307-33492018000200045</article-id>
<article-id pub-id-type="doi">10.18004/rspp.2018.diciembre.45-51</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Infecciones en niños quemados internados en el Centro Nacional de Quemados y Cirugías Reconstructivas (CENQUER) Paraguay de Enero 2017 a Enero 2018]]></article-title>
<article-title xml:lang="en"><![CDATA[Infections in burned children admitted to the National Center for Burns and Reconstructive Surgery (CENQUER) Paraguay from January 2017 to January 2018]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bruno]]></surname>
<given-names><![CDATA[Balmelli]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[José]]></surname>
<given-names><![CDATA[Sandoval]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gabriela]]></surname>
<given-names><![CDATA[Canata]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Ministerio de Salud Pública y Bienestar Social Centro Nacional de Quemaduras y Cirugías Reconstructivas ]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Nacional de Asunción Hospital de Clínicas Unidad de Cirugía Plástica]]></institution>
<addr-line><![CDATA[San Lorenzo ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Nacional de Asunción Hospital de Clínicas Primera Cátedra de Clínica Médica]]></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>8</volume>
<numero>2</numero>
<fpage>45</fpage>
<lpage>51</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2307-33492018000200045&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2307-33492018000200045&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2307-33492018000200045&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: Las infecciones juegan un rol importante en la morbilidad y mortalidad asociada a quemaduras. La experiencia en pacientes pediátricos es escasa.  Objetivo: Evaluar aspectos clínicos y microbiológicos de infección intrahospitalaria en niños quemados en el Centro Nacional de Quemados y Cirugías Reconstructivas.  Material y Métodos:  Estudio descriptivo, observacional, retrospectivo y de corte transversal. Se incluyeron todos los niños quemados admitidos en el Servicio de Pediatría del Centro Nacional de Quemados y Cirugías Reconstructivas (CENQUER) desde enero del 2017 hasta enero del 2018.  Resultados: El total de pacientes fue de 220, de los cuales fueron 161 (73%) lactantes, 24 (11%) pre escolares, 17 (8%) escolares, 13 (6%) adolescentes y 5 (2%) recién nacidos. El porcentaje de superficie corporal quemada tuvo un rango de 1 a 95% (mediana 27%). El tipo de quemadura fue A (superficial) en 78 (36%) pacientes, AB (intermedia) en 38 (17%) y B (profunda) en 104 (47%). Ciento ochenta niños (82%) tuvieron catéter venoso, 166 (75,5%) catéter arterial y 172 (78%), sonda vesical. En 150 pacientes (68%) se requirió asistencia respiratoria mecánica. Se documentaron 128 (58%) infecciones. El foco más frecuente fue la sepsis relacionada con la quemadura. Las bacterias Gram (-) Pseudomonas aeruginosa y Acinetobacter spp multirresistentes, fueron los gérmenes más frecuentemente aislados. Se fueron de alta 186(85%) pacientes y 34 (15%) fallecieron. En 28 (82%) de ellos, la causa del fallecimiento estuvo relacionada con la infección. La duración de la internación tuvo una mediana de 37 días.  Conclusiones:  Las infecciones en niños quemados son una importante causa de morbimortalidad y las bacterias Gram (-) multirresistentes juegan un importante rol en las mismas. La mortalidad estuvo relacionada a la infección.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Infections play an important role in the morbidity and mortality associated with burns. Experience in pediatric patients is scarce.  Objective:  To evaluate clinical and microbiological aspects of nosocomial infection in children burned in the National Center for Burns and Reconstructive Surgeries.  Material and Methods:  A descriptive, observational, retrospective and cross-sectional study. All burned children admitted to the Pediatric Service of the National Center for Burns and Reconstructive Surgery (CENQUER) from January 2017 to January 2018 were included.  Results:  The total number of patients was 220, of which 161 (73%) were breastfeeding, 24 (11%) pre-school, 17 (8%) schoolchildren, 13 (6%) adolescents and 5 (2%) newborns. The percentage of burned body surface area ranged from 1 to 95% (median 27%). The type of burn was A (superficial) in 78 (36%), patients, AB (intermediate) in 38 (17%) and B (deep) in 104 (47%). One hundred and eighty children (82%) had venous catheter, 166 (75.5%) arterial catheter and 172 (78%); bladder catheter in 150 patients (68%) mechanical ventilation was required. In 128(58%) patients infections were documented. The most frequent focus was sepsis related to the burn. Gram-negative bacteria Pseudomonas aeruginosa and multiresistant Acinetobacter spp were the most frequently isolated germs. 186(85%) patients were discharged and 34 (15%) died. In 28 (82%) of them, the cause of death was related to the infection. The duration of the hospitalization had a median of 37 days.  Conclusions:  Infections in burned children are an important cause of morbidity and mortality and multidrug resistant gram negative bacteria play an important role in them. Mortality was related to infection.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Niños]]></kwd>
<kwd lng="es"><![CDATA[quemaduras]]></kwd>
<kwd lng="es"><![CDATA[infecciones bacterianas]]></kwd>
<kwd lng="es"><![CDATA[micosis]]></kwd>
<kwd lng="es"><![CDATA[Paraguay]]></kwd>
<kwd lng="en"><![CDATA[Childs]]></kwd>
<kwd lng="en"><![CDATA[burns]]></kwd>
<kwd lng="en"><![CDATA[bacterial infections]]></kwd>
<kwd lng="en"><![CDATA[mycoses]]></kwd>
<kwd lng="en"><![CDATA[Paraguay]]></kwd>
</kwd-group>
</article-meta>
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