<?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>S2664-28912020000200011</article-id>
<article-id pub-id-type="doi">10.53732/rccsalud/02.02.2020.11</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Manejo inicial de la bronquiolitis aguda grave en el Hospital Central del Instituto de Previsión Social entre enero a junio 2019]]></article-title>
<article-title xml:lang="en"><![CDATA[Initial management of severe acute bronchiolitis in the Central Hospital of the Social Security Institute in the period January to June 2019]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mareco Herrero]]></surname>
<given-names><![CDATA[Carlos Miguel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Insaurralde Báez]]></surname>
<given-names><![CDATA[Ramona Emilia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lezcano Peralta]]></surname>
<given-names><![CDATA[Carolina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto de Previsión Social Servicio de Pediatría ]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<volume>2</volume>
<numero>2</numero>
<fpage>11</fpage>
<lpage>18</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2664-28912020000200011&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2664-28912020000200011&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2664-28912020000200011&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN Introducción: La bronquiolitis aguda se define como el primer cuadro de tos y sibilancia en un lactante menor de 24 meses de edad. Es una infección viral de la vía respiratoria inferior que produce aumento de la producción de mucus cuyo diagnóstico se basa principalmente en la anamnesis y examen físico. Actualmente, no existen elementos complementarios que confirmen la entidad ni tratamiento específico. Objetivo: conocer los recursos diagnósticos y terapéuticos utilizados en el abordaje inicial de la bronquiolitis aguda grave en el servicio de urgencias del Hospital Central de IPS en el periodo de enero a junio 2019. Metodología: Estudio observacional, descriptivo, de corte trasversal. Resultados: Se estudiaron 33 pacientes,22 (66,7%)eran de 1 a 2 meses de edad yel 72,2% era del sexo masculino. El 81,8% presentóalgún factor de riesgo de gravedad, siendo los más frecuentes;prematuridad (92,5%), edad &lt;3meses (81,4%) y apnea (70,3%). El criterio para clasificar la severidad fue el Score Tal en el 93,9% de los casos. Con respecto al tratamiento inicial, todos recibieron esquemas de nebulización, entre los más utilizados se citan la combinación de adrenalina con suero hipertónico (33,4%) y salbutamol con suero hipertónico (24,4%). Conclusión: Se encontró predominancia delsexo masculino y con algún factor de gravedad. El score Tal fue el método más utilizado para catalogar la gravedad. El manejo inicial se caracterizó por incluir nebulizaciones, corticoesteroides y antibióticos. La nebulización sigue siendo un tema de debate a escala interinstitucional.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Introduction: Acute bronchiolitis is defined as the first picture of cough and wheezing in an infant under 24 months of age. It is a viral infection of the lower respiratory tract that produces increased mucus production, the diagnosis of which is based mainly on anamnesis and physical examination. Currently there are no complementary elements that confirm the entity or specific treatment Objective: to know the diagnostic and therapeutic resources used in the initial approach to severe acute bronchiolitis in the emergency department of the IPS Central Hospital during the months of January 2019 to June 2019. Methodology: Observational, descriptive, cross-sectional study. Results: Male sex is the predominant gender, representing 72.2%. 81.8% presented serious risk factors, the most frequent: prematurity (92.5%), age &lt;3 months (81.4%) and apnea (70.3%). The criterion for classifying severity was the Tal Score (93.9%). Regarding the initial treatment, all received nebulization schemes, the most used being the combination of Adrenaline with Hypertonic Serum (33.4%) and Salbutamol with SHT (24.4%). Conclusion: Acute bronchiolitis is one of the most frequent respiratory diseases in infants. Male sex was the predominant gender. The Tal score was the most widely used method to classify severity. 81.4% had severity factors. Initial management has been characterized by including nebulizations, corticosteroids, and antibiotics. Fogging continues to be a topic of debate at inter-institutional levels.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[bronquiolitis]]></kwd>
<kwd lng="es"><![CDATA[antibióticos]]></kwd>
<kwd lng="es"><![CDATA[corticoesteroides]]></kwd>
<kwd lng="en"><![CDATA[bronchiolitis]]></kwd>
<kwd lng="en"><![CDATA[antibiotics]]></kwd>
<kwd lng="en"><![CDATA[corticosteroids]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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