<?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>S2312-38932025000100218</article-id>
<article-id pub-id-type="doi">10.18004/rvspmi/2312-3893/2025.e12122518</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Anemia nosocomial: prevalencia y características clínicas en pacientes adultos]]></article-title>
<article-title xml:lang="en"><![CDATA[Nosocomial anemia: prevalence and clinical characteristics in adult patients]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Traba Daviccino]]></surname>
<given-names><![CDATA[Angela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Benítez Fleitas]]></surname>
<given-names><![CDATA[Camila Guadalupe]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bogado Pedrozo]]></surname>
<given-names><![CDATA[Micaela Leonor]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bussolaro Lorenzetti]]></surname>
<given-names><![CDATA[Giovanna]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Custodio Narcizo]]></surname>
<given-names><![CDATA[Emily]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[De Souza Pereira]]></surname>
<given-names><![CDATA[Fabricio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Yassunaga Vitorino]]></surname>
<given-names><![CDATA[Rafael]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Zampaulo]]></surname>
<given-names><![CDATA[Giovana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Laranjeira Marinato Fagundes]]></surname>
<given-names><![CDATA[Raphael]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Da Silva Lima]]></surname>
<given-names><![CDATA[Raphael]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Dunjo Garbini]]></surname>
<given-names><![CDATA[Lisa María Celeste]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Privada del Este Facultad de Medicina ]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<volume>12</volume>
<numero>1</numero>
<fpage>218</fpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2312-38932025000100218&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2312-38932025000100218&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2312-38932025000100218&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: la anemia nosocomial es definida como toda disminución de la hemoglobina durante la internación considerando los valores normales del ingreso. Se asume que este fenómeno no está asociado a pérdidas objetivables de sangre.  Objetivo:  determinar la prevalencia de anemia nosocomial en pacientes adultos ingresados al Servicio de Clínica Médica en un hospital de referencia de Asunción, Paraguay, entre abril y octubre del 2023.  Metodología:  se aplicó un diseño observacional, transversal. La muestra se conformó con varones y mujeres, mayores de edad, Se midieron variables demográficas y clínicas. Las variables fueron sometidas a estadística descriptiva.  Resultados:  ingresaron al estudio 44 varones con mediana de edad 62 años y 45 mujeres con mediana de edad 58 años. Los diagnósticos más frecuentes fueron neumonía adquirida en la comunidad (26,9%), ictus (11,2%) e infección urinaria (10,1%). Considerando el sexo, se pudo determinar la aparición de anemia nosocomial a la semana de internación en 73% de los pacientes adultos que ingresaban con valores hematimétricos normales y en 46,2% de aquellos que ya ingresaban con anemia. La cantidad de flebotomías fue mayor en los sujetos que desarrollaron anemia.  Discusión:  la frecuencia de anemia nosocomial es elevada y parece asociarse al elevado número de flebotomías.  Conclusiones:  el descenso de hemoglobina de al menos 2 g/dL durante la primera semana de internación se observó en 73% de los sujetos que ingresaron con valores hematimétricos normales y en 46,2% de aquellos que ya ingresaron con anemia. Se recomienda evaluar la cantidad y necesidad del número de flebotomías durante la internación.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: Nosocomial anemia is defined as any decrease in hemoglobin during hospitalization, considering normal values upon admission. It is assumed that this phenomenon is not associated with objective blood loss.  Objective:  To determine the prevalence of nosocomial anemia in adult patients admitted to the Medical Clinic Service at a referral hospital in Asunción, Paraguay, between April and October 2023.  Methodology:  An observational, cross-sectional design was used. The sample consisted of adult men and women. Demographic and clinical variables were measured. The variables were subjected to descriptive statistics.  Results:  Forty-four men with a median age of 62 years and 45 women with a median age of 58 years were included in the study. The most frequent diagnoses were community-acquired pneumonia (26.9%), stroke (11.2%), and urinary infection (10.1%). Considering gender, the onset of nosocomial anemia was determined one week after admission in 73% of adult patients who were admitted with normal hematimetric values and in 46.2% of those who were already admitted with anemia. The number of phlebotomies was greater in subjects who developed anemia.  Discussion:  The frequency of nosocomial anemia is high and seems to be associated with a high number of phlebotomies.  Conclusions: A decrease in hemoglobin of at least 2 g/dL during the first week of hospitalization was observed in 73% of subjects who were admitted with normal hematimetric values and in 46.2% of those who were already admitted with anemia. It is recommended to evaluate the number and necessity of the number of phlebotomies during hospitalization.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[anemia]]></kwd>
<kwd lng="es"><![CDATA[flebotomía]]></kwd>
<kwd lng="es"><![CDATA[prevalencia]]></kwd>
<kwd lng="es"><![CDATA[atención a la salud]]></kwd>
<kwd lng="es"><![CDATA[técnicas de laboratorio clínico]]></kwd>
<kwd lng="en"><![CDATA[anemia]]></kwd>
<kwd lng="en"><![CDATA[phlebotomy]]></kwd>
<kwd lng="en"><![CDATA[prevalence]]></kwd>
<kwd lng="en"><![CDATA[health care]]></kwd>
<kwd lng="en"><![CDATA[clinical laboratory techniques]]></kwd>
</kwd-group>
</article-meta>
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