<?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>S2312-38932020000100030</article-id>
<article-id pub-id-type="doi">10.18004/rvspmi/2312-3893/2020.07.01.30-041</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Rol de la semiología en la cistitis y la pielonefritis aguda: análisis en pacientes de Medicina Interna del Hospital de Clínicas, Paraguay]]></article-title>
<article-title xml:lang="en"><![CDATA[Role of semiology in cystitis and acute pyelonephritis: analysis in Internal Medicine patients of the Hospital de Clínicas, Paraguay]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Santa Cruz Segovia]]></surname>
<given-names><![CDATA[Francisco Vicente]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Avalos Bogado]]></surname>
<given-names><![CDATA[Hugo Fernando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Melgarejo Martínez]]></surname>
<given-names><![CDATA[Laura Elizabeth]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Walder Encina]]></surname>
<given-names><![CDATA[Alejandra Leticia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Velázquez Aguayo]]></surname>
<given-names><![CDATA[Gladys Raquel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Chírico Achinelli]]></surname>
<given-names><![CDATA[César Erasmo]]></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[San Lorenzo ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Nacional de Asunción Facultad de Ciencias Médicas Primera Cátedra de Clínica Médica]]></institution>
<addr-line><![CDATA[San Lorenzo ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Nacional de Asunción Facultad de Ciencias Médicas Laboratorio de Microbiología]]></institution>
<addr-line><![CDATA[San Lorenzo ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2020</year>
</pub-date>
<volume>7</volume>
<numero>1</numero>
<fpage>30</fpage>
<lpage>41</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2312-38932020000100030&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2312-38932020000100030&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2312-38932020000100030&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: las infecciones urinarias constituyen una de las más frecuentes en el ser humano.  Objetivos:  describir los hallazgos semiológicos, laboratoriales y microbiológicos de las infecciones urinarias, a través de la presentación de una serie de casos.  Material y métodos:  estudio retrospectivo, observacional, de corte transversal de las historias clínicas y los urocultivos y análisis del sedimento urinario de pacientes adultos, de ambos sexos, que acudieron a la consulta ambulatoria y/o que permanecieron internados en la Primera Catedra de Clínica Médica del Hospital de Clínicas (San Lorenzo, Paraguay) con el diagnóstico de infección urinaria, en el periodo comprendido entre febrero de 2015 y febrero de 2017.  Resultados:  en los casos de pielonefritis aguda los síntomas más frecuentes fueron la fiebre (80%) y el dolor lumbar (46%). En los pacientes con cistitis aguda predominó la disuria (93%). En ambos grupos hubo antecedente de antibioticoterapia previa la mayoría de las veces. La diabetes mellitus fue la comorbilidad más prevalente en la pielonefritis aguda (53%). El sedimento urinario presentaba leucocituria menor a 100/campo (66%) y menor a 50/campo en las cistitis agudas (66%), siendo el urocultivo positivo en el 67% de los casos con prevalencia de Escherichia coli (60%). En la cistitis aguda la mayoría tuvo urocultivo negativo (87%).  Conclusión: al momento del manejo diagnostico-terapéutico de ambas entidades se destaca el valor de la anamnesis y examen físico en el caso de las cistitis. En las pielonefritis aguda, a más de los datos de la anamnesis y la exploración semiológica, los estudios microbiológiocos y otros juegan un papel importante en el diagnóstico.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Urinary infections are highly frequent in humans.  Objectives:  To describe the semiological, laboratory and microbiological findings in urinary infections, through the presentation of a series of cases.  Material and methods:  Retrospective, observational, cross-sectional study of the medical histories, urine culture and analyses of the urinary sediment of male and female adult patients who attended the outpatient clinic and / or who were admitted to the First Service of Medical from the Hospital de Clínicas (San Lorenzo, Paraguay) with the diagnosis of urinary tract infection, in the period between February 2015 and February 2017.  Results:  In the cases of acute pyelonephritis, the most frequent symptoms were fever (80%) and low back pain (46%). In patients with acute cystitis, dysuria prevailed (93%). In both groups there was a history of previous antibiotic therapy most of the time. Diabetes mellitus was the most prevalent comorbidity in acute pyelonephritis (53%). The urinary sediment presented leukocyturia less than 100/field (66%) and less than 50/field in acute cystitis (66%), with positive urine culture in 67% of cases with prevalence of Escherichia coli (60%). In acute cystitis, the majority had negative urine culture (87%).  Conclusion:  At the time of the diagnostic-therapeutic management of both entities, the value of the anamnesis and physical examination in the case of cystitis is highlighted. In acute pyelonephritis, in addition to the history and semiological examination data, microbiological and other studies play an important role in the diagnosis.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[pielonefritis]]></kwd>
<kwd lng="es"><![CDATA[cistitis]]></kwd>
<kwd lng="es"><![CDATA[sedimento urinario]]></kwd>
<kwd lng="es"><![CDATA[examen físico]]></kwd>
<kwd lng="es"><![CDATA[signos y síntomas urinarios]]></kwd>
<kwd lng="en"><![CDATA[pyelonephritis]]></kwd>
<kwd lng="en"><![CDATA[cystitis]]></kwd>
<kwd lng="en"><![CDATA[urinary sediments]]></kwd>
<kwd lng="en"><![CDATA[medical records]]></kwd>
<kwd lng="en"><![CDATA[physical exam]]></kwd>
<kwd lng="en"><![CDATA[signs and symptoms]]></kwd>
<kwd lng="en"><![CDATA[urological diseases]]></kwd>
<kwd lng="en"><![CDATA[urinary infections]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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