<?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>2312-3893</journal-id>
<journal-title><![CDATA[Revista Virtual de la Sociedad Paraguaya de Medicina Interna]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. virtual Soc. Parag. Med. Int.]]></abbrev-journal-title>
<issn>2312-3893</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Paraguaya de Medicina Interna]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2312-38932017000200019</article-id>
<article-id pub-id-type="doi">10.18004/rvspmi/2312-3893/2017.04(02)19-026</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Infecciones de piel y partes blandas]]></article-title>
<article-title xml:lang="en"><![CDATA[Skin and soft tissues infections]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Peralta]]></surname>
<given-names><![CDATA[Ruth]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Torres de Taboada]]></surname>
<given-names><![CDATA[Estela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional de Itapúa Facultad de Medicina Postgrado en Medicina Interna]]></institution>
<addr-line><![CDATA[Encarnación ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Nacional Dpto. de Medicina Interna ]]></institution>
<addr-line><![CDATA[Itauguá ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2017</year>
</pub-date>
<volume>4</volume>
<numero>2</numero>
<fpage>19</fpage>
<lpage>26</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2312-38932017000200019&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2312-38932017000200019&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2312-38932017000200019&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 (IPPB) son motivo de consulta frecuente y el espectro clínico va desde procesos banales hasta letales. En los últimos años, el Staphylococcus aureus meticilino resistente ha sido el principal agente causal.  Objetivos:  determinar las características clínicas y microbiológicas de IPPB provenientes de la comunidad, aplicar regla de Shapiro para calcular la rentabilidad de los cultivos.  Metodología:  diseño observacional, descriptivo, prospectivo, que incluyó a 181 pacientes adultos internados en el Servicio de Clínica Médica del Hospital Nacional (Itauguá, Paraguay) durante 2015 y 2016.  Resultados:  la edad media fue 56 años, hubo predominio de sexo masculino (57%). La IPPB más frecuentemente diagnosticada fue la celulitis: 106 pacientes (59%), seguido por fascitis necrotizante 61 (34%). La comorbilidad más frecuente fue la diabetes mellitus tipo 2. El Staphylococcus aureus fue el germen más frecuentemente aislado. Relacionando a los pacientes según el resultado de hemocultivo y la regla de Shapiro, los pacientes que tuvieron puntajes mayores a 5 tuvieron mayor reporte de hemocultivos positivos. Presentaron sepsis 85 pacientes, requirieron intervención quirúrgica 44% y fallecieron 5 sujetos.  Conclusiones:  la celulitis fue la IPPB más frecuente, la mayoría causada por Staphylococcus aureus. La diabetes mellitus fue la comorbilidad más frecuente. La aplicación de la regla de Shapiro para la selección de pacientes a quienes realizar hemocultivos mejoraría su rentabilidad.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Skin and soft tissues infections (SSTI) are common reasons for consulting and the clinical spectrum ranges from trivial to lethal processes. In the last years, methicillin resistant Staphylococcus aureus has been the main causative agent.  Objectives:  To determine the clinical and microbiological characteristics of SSTI from the community and apply Shapiro rule to calculate the profitability of cultures.  Methodology:  Observational descriptive and prospective design that included 181 adult patients admitted in the Clinical Service of the National Hospital (Itauguá, Paraguay) during 2015 and 2016.  Results:  Mean age was 56 years and there was a predominance of male sex (57%). The most frequently diagnosed SSTI was cellulitis: 106 (59%) patients followed by 61 (34%) patients with necrotizing fasciitis. The most frequent comorbidity was type 2 diabetes mellitus. Staphylococcus aureus was the most frequently isolated bacteria. Relating patients according to the blood culture results and Shapiro rule, the patients who scored higher than 5 had more reports of positive blood cultures. Eighty five patients presented sepsis, 44% required surgical intervention and 5 died.  Conclusions:  Cellulitis was the most frequent SSTI and most infections were caused by Staphylococcus aureus. Diabetes mellitus was the most frquent comorbidity. The application of Shapiro rule for the selection of patients who should have blood cultures will improve their profitability.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[celulitis]]></kwd>
<kwd lng="es"><![CDATA[erisipela]]></kwd>
<kwd lng="es"><![CDATA[fascitis necrotizante]]></kwd>
<kwd lng="es"><![CDATA[Staphylococcus aureus resistente a meticilina]]></kwd>
<kwd lng="en"><![CDATA[cellulitis]]></kwd>
<kwd lng="en"><![CDATA[erysipelas]]></kwd>
<kwd lng="en"><![CDATA[necrotizing fasciitis]]></kwd>
<kwd lng="en"><![CDATA[methicillin resistant Staphylococcus aureus]]></kwd>
</kwd-group>
</article-meta>
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