<?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>S2664-28912020000200043</article-id>
<article-id pub-id-type="doi">10.53732/rccsalud/02.02.2020.43</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Características clínicas de la sepsis en niños internados en el Departamento de Pediatría del Hospital Nacional de Itauguá en el período 2017 al 2018]]></article-title>
<article-title xml:lang="en"><![CDATA[Clinical characteristics of sepsis in children hospitalized in the pediatric department of the Hospital Nacional de Itauguá in the period 2017-2018]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Irala-Acosta]]></surname>
<given-names><![CDATA[Guadalupe]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez-Vera]]></surname>
<given-names><![CDATA[Rocío]]></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 de Itauguá Departamento de Urgencias Adultos ]]></institution>
<addr-line><![CDATA[Itauguá ]]></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>43</fpage>
<lpage>50</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2664-28912020000200043&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2664-28912020000200043&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2664-28912020000200043&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN Introducción: La sepsis en el paciente pediátrico es una de las principales causas de morbilidad y mortalidad a nivel mundial y constituye un problema de salud pública en el país. El diagnóstico precoz y el consiguiente tratamiento oportuno disminuyen las complicaciones, la estancia hospitalaria, el consumo de recursos y mejora el pronóstico final del paciente. Objetivo: Determinar las características clínicas y epidemiológicas de la sepsis en niños internados en el Departamento de Pediatría del Hospital Nacional de Itauguá en el período 2017-2018. Métodos: Estudio retrospectivo, observacional y descriptivo de corte transverso con componente analítico. Resultados: Fueron incluidas 101 pacientes, con predominio del sexo masculino en 63,37% y el grupo lactante en 62,38%. El 88,12% obtuvo puntuación q-SOFA &#8805;2. La manifestación clínica que predominó en lactantes fue la hipotensión, Tas &lt;100mmgh 88,89%, mientras que a edades mayores prevaleció la leucocitosis, en preescolares 90,00% y en escolares 94,44%. El 90,48% de los lactantes sufrieron de shock séptico y el 72,22 % SDOM. El 100 % de los preescolares cursó con shock séptico y el 40% con SDOM. En escolares, el 83,33% presentaron shock séptico y 39,68% SDOM. El 95,65% de los pacientes con SDOM presentaron falla respiratoria, el 91,30% presentaron falla cardiovascular, y el 34,78% déficit neurológico. El promedio de internación fue de 14 días. La localización del foco infeccioso fue respiratoria, en el 40,59% de los casos. El mayor porcentaje de óbitos se registró en lactantes en 30,16%. Conclusiones: Se encontró que la población más susceptible son lactantes con foco primario pulmonar. La manifestación clínica encontrada en la mayor parte de los casos fue la leucocitosis y la hipotensión. Se demostró asociación entre puntuación q-SOFA y el shock séptico. La mortalidad fue alta, probablemente debido a las elevadas cifras de shock séptico y SDOM.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Introduction: Sepsis in the pediatric patient is one of the main causes of morbidity and mortality worldwide and constitutes a public health problem in the country. Early diagnosis and subsequent timely treatment reduce complications, decreased length of inpatient stay, reductions in resource consumption and improve prognosis. Objective: Identify the clinical and epidemiological characteristics of sepsis in children interned in Department of Pediatrics at Itauguá National Hospital in the period 2017-2018. Methods: A retrospective, observational and descriptive cross-sectional study with analytical component. Results: 101 files were included. Of the patients studied, male sex prevailed in 63.37% and the nursing group in 62.38%. 88.12% scored q-SOFA &#8805;2. The clinical manifestation that prevailed in infants was hypotension, TAS &lt;100mmgh 88.89%, while at older ages leukocytosis prevailed, in preschool children 90.00% and in schoolchildren 94.44%. 90.48% of infants suffered from septic shock and 72.22% SDOM. 100% of preschoolers attended with septic shock and 40% with SDOM. In schoolchildren, 83.33% presented septic shock and 39.68% SDOM. 95.65% of patients with SDOM had respiratory failure, 91.30% had cardiovascular failure, and 34.78% neurological deficit. The average hospitalization was 14 days. The location of the infectious focus was respiratory, in 40.59% of the cases. The highest percentage of deaths was recorded in infants at 30.16%. Conclusion: It was found that the most susceptible population is infants with primary pulmonary focus. The clinical manifestation found in most cases is hypotension and leukocytosis. An association between q-SOFA score and septic shock was demonstrated. Mortality was significant, probably due to the high numbers of septic shock and SDOM]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[sepsis]]></kwd>
<kwd lng="es"><![CDATA[pediatría]]></kwd>
<kwd lng="es"><![CDATA[epidemiología]]></kwd>
<kwd lng="en"><![CDATA[sepsis]]></kwd>
<kwd lng="en"><![CDATA[pediatrics]]></kwd>
<kwd lng="en"><![CDATA[epidemiology]]></kwd>
</kwd-group>
</article-meta>
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