<?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>S2312-38932022000200055</article-id>
<article-id pub-id-type="doi">10.18004/rvspmi/2312-3893/2022.09.02.55</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Evolución clínica del tratamiento empírico versus dirigido de la infección relacionada a catéter de hemodiálisis]]></article-title>
<article-title xml:lang="en"><![CDATA[Clinical course of empirical versus targeted treatment of hemodialysis catheter-related infection]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Brítez Nuñez]]></surname>
<given-names><![CDATA[Delcy Verónica]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Riveros Duré]]></surname>
<given-names><![CDATA[César Damián]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Quintana Rotela]]></surname>
<given-names><![CDATA[Auda Alice]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez Ruiz Díaz]]></surname>
<given-names><![CDATA[Mónica]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Miskinich Lugo]]></surname>
<given-names><![CDATA[María Elvira]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cabañas Cristaldo]]></surname>
<given-names><![CDATA[José David]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Medina Mereles]]></surname>
<given-names><![CDATA[Kathia Gisselle]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Montiel]]></surname>
<given-names><![CDATA[Dora Elizabeth]]></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 de Medicina Interna]]></institution>
<addr-line><![CDATA[Encarnación ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2022</year>
</pub-date>
<volume>9</volume>
<numero>2</numero>
<fpage>55</fpage>
<lpage>65</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2312-38932022000200055&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2312-38932022000200055&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2312-38932022000200055&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  las infecciones relacionadas a catéteres utilizados en hemodiálisis constituyen una de las causas de morbimortalidad más frecuentes. No se dispone de estudios previos en el Paraguay que demuestren la diferencia entre tratamiento empírico y dirigido de infección relacionada a catéter de hemodiálisis  Objetivo:  determinar la evolución clínica del tratamiento empírico de la infección relacionada a catéter versus el tratamiento dirigido en pacientes adultos.  Material y métodos:  se aplicó un diseño observacional, retrospectivo, de corte transversal que incluyó 128 pacientes internados en el Hospital Nacional, Itauguá, Paraguay, durante los años 2020 y 2021. Fueron divididos en grupos de tratamiento dirigido (64 pacientes) y empírico (64 pacientes).  Resultados:  la edad media fue 52 ± 14 años. El acceso vascular yugular fue el más utilizado (78,91%). Se observó que el transcurso de días entre la colocación de catéter de hemodiálisis hasta su infección fue 16 ± 7,6 días. El crecimiento microbiano predominante en ambos grupos fue de cocos gram positivos (84,37%). S. aureus se aisló en 84,31% del grupo tratamiento dirigido y en 15,68% del grupo con tratamiento empírico. El grupo antibiótico más utilizado en ambos grupos fueron los glucopéptidos (77,34%) y la combinación más utilizada fue ciprofloxacina con vancomicina tanto en el grupo dirigido (37,5%) como en el empírico (31,25%). El desenlace curación de infección se observó en 90,62% en el grupo de tratamiento empírico y en 82,81% en el grupo dirigido. La frecuencia de sepsis fue 17,18% en el grupo empírico y 32,8% en grupo dirigido. La mortalidad fue 9,37% en grupo empírico y 14,06% en grupo dirigido.  Conclusión:  el germen más prevalente fue S. aureus. La curación de infección relacionada a catéter fue más frecuente en el grupo empírico, la mortalidad y sepsis predominaron en el grupo dirigido.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Infections related to catheters used in hemodialysis are one of the most frequent causes of morbidity and mortality. There are no previous studies in Paraguay that demonstrate the difference between empirical and directed treatment of hemodialysis catheter-related infection.  Objective:  To determine the clinical course of empirical treatment versus targeted treatment of catheter-related infection in adult patients.  Material and methods:  An observational, retrospective, cross-sectional design was applied including 128 patients admitted to the Hospítal Nacional of Itauguá, Paraguay, during the years 2020 and 2021. They were divided into directed (64 patients) and empirical (64 patients) treatment groups.  Results:  The mean age was 52 ± 14 years. The jugular vascular access was the most used (78.91%). It was observed that the time between hemodialysis catheter placement and infection was 16±7.6 days. The predominant microbial growth in both groups was gram-positive cocci (84.37%). S. aureus was isolated in 84.31% of the directed treatment group and in 15.68% of the empirical treatment group. The most used antibiotic group in both groups were glycopeptides (77.34%) and the most used combination was ciprofloxacin with vancomycin, both in the targeted group (37.5%) and in the empirical group (31.25%). The outcome of infection cure was observed in 90.62% in the empirical treatment group and in 82.81% in the directed group. The frequency of sepsis was 17.18% in the empirical group and 32.8% in the directed group. Mortality was 9.37% in the empirical group and 14.06% in the directed group.  Conclusion:  The most prevalent germ was S. aureus. Cure of catheter-related infection was more frequent in the empiric group, while mortality and sepsis predominated in the directed group.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[infecciones relacionadas con catéteres]]></kwd>
<kwd lng="es"><![CDATA[diálisis renal]]></kwd>
<kwd lng="es"><![CDATA[dispositivos de acceso vascular]]></kwd>
<kwd lng="es"><![CDATA[insuficiencia renal crónica]]></kwd>
<kwd lng="es"><![CDATA[Staphylococcus aureus]]></kwd>
<kwd lng="en"><![CDATA[catheter-related infections]]></kwd>
<kwd lng="en"><![CDATA[renal dialysis]]></kwd>
<kwd lng="en"><![CDATA[vascular access devices]]></kwd>
<kwd lng="en"><![CDATA[chronic renal insufficiency]]></kwd>
<kwd lng="en"><![CDATA[Staphylococcus aureus]]></kwd>
</kwd-group>
</article-meta>
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