<?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>2664-2891</journal-id>
<journal-title><![CDATA[Revista científica ciencias de la salud]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. cient. cienc. salud]]></abbrev-journal-title>
<issn>2664-2891</issn>
<publisher>
<publisher-name><![CDATA[Universidad del Pacífico]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2664-28912020000100027</article-id>
<article-id pub-id-type="doi">10.53732/rccsalud/02.01.2020.27</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Frecuencia y características clínicas de las neumonías adquiridas en la comunidad que requieren hospitalización]]></article-title>
<article-title xml:lang="en"><![CDATA[Frequency and clinical characteristics of pneumonia acquired in the community that require hospitalization]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gómez-Venialgo]]></surname>
<given-names><![CDATA[Pablo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Torales-Montiel]]></surname>
<given-names><![CDATA[Johana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ferreira-Mendieta]]></surname>
<given-names><![CDATA[Fernando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Jara-Rossi]]></surname>
<given-names><![CDATA[Sebastián]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ortega-Filartiga]]></surname>
<given-names><![CDATA[Edgar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad del Pacífico Facultad de Ciencias Médicas ]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Nacional Centro Médico Nacional Departamento de Urgencia Adultos]]></institution>
<addr-line><![CDATA[Itauguá ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2020</year>
</pub-date>
<volume>2</volume>
<numero>1</numero>
<fpage>27</fpage>
<lpage>34</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2664-28912020000100027&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2664-28912020000100027&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2664-28912020000100027&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN Introducción: La neumonía adquirida en la comunidad (NAC) tiene una alta tasa de incidencia y mortalidad en los ancianos, debido a la presencia de comorbilidades y la mayoría de ellos requiere hospitalización. Objetivos: Determinar la frecuencia de neumonías adquiridas en la comunidad que requieren hospitalizaciones y sus características clínicas en pacientes mayores de 18 años que acudieron al Hospital Nacional de Itaugua en el 2018.Material y métodos: Estudio observacional descriptivo retrospectivo de corte transversal, que incluyó a pacientes mayores a 18 años con NAC que acudieron al Hospital Nacional de Itauguá en el 2018. Resultados: Se estudiaron 170 pacientes (edad media de65±19 años),el 50,6% era del sexo masculino. El 70,6% requirió internación, de estos, un 50%eran mayores de 65 años y las comorbilidades más comunes fueron la hipertensión arterial (51,7%) y la diabetes mellitus (25,3%). De los 120 pacientes internados, el 40,83% presentó complicaciones, insuficiencia respiratoria (31,7%) y derrame pleural (25,8%). El 23,33% requirió ingreso a UCI y la mortalidad fue del 20%.Se obtuvieron muestras para cultivo de 20 pacientes de los 28 que requirieron UCI, aislándose Streptococcus pneumoniae en 25%. Conclusiones: En esta serie, la internación por neumonía adquirida en la comunidad es elevada. Se encontró alta frecuencia de comorbilidades, las complicaciones más frecuentes fueron la insuficiencia respiratoria y el derrame pleural. La mortalidad estuvo dentro del rango esperado y asociada a una edad mayor a 50 años, y cuadros más graves como sepsis, derrame pleural, insuficiencia cardiaca congestiva, entre otros.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Introduction: Community acquired pneumonia (CAP) has a high incidence and mortality rate in the elderly due to the presence of concomitant comorbiditiesand most of them require hospital admission. Objectives: To determine the frequency of pneumonia acquired in the community that require hospitalizations and their clinical characteristics in patients over 18 years of age who consulted at the Hospital Nacional de Itaugua in 2018. Material and methods: Observational retrospective descriptive cross-sectional study, which included patients aged over 18 years with community-acquired pneumonia who consulted at the Itaugua National Hospital in 2018.Results:One hundred and seventy patients were studied (mean age: 65 ± 19 years), 50.6% was male. Hospitalization requirement was 70.6%, of them 50% were adults older than 65 years and the most common comorbidities were high blood pressure (51.7%) and diabetes mellitus 25.8%. Of the 120 hospitalized patients, 40.8% presented complications, respiratory failure in 31.7% and pleural effusion 25.8%. Admission to the ICU was required by 23.33% of the patients, of them samples for culture from 20 patients were obtained, yielding Streptococcus pneumoniae in 25% and Haemophilus spp.20%. Mortality among hospitalized patients was 20%. Conclusions: In this series, hospitalization due to community acquired pneumonia is high. A high frequency of comorbidities was observed. Mortality rate was between expected range and associated to age over 50 years, and severe conditions such as sepsis, pleural effusion and congestive heart failure.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[neumonía]]></kwd>
<kwd lng="es"><![CDATA[comorbilidad]]></kwd>
<kwd lng="es"><![CDATA[unidades de cuidados intensivos]]></kwd>
<kwd lng="es"><![CDATA[hospitalización.]]></kwd>
<kwd lng="en"><![CDATA[pneumonia]]></kwd>
<kwd lng="en"><![CDATA[comorbidities]]></kwd>
<kwd lng="en"><![CDATA[intensity care unit]]></kwd>
<kwd lng="en"><![CDATA[hospitalization.]]></kwd>
</kwd-group>
</article-meta>
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