<?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>1683-9803</journal-id>
<journal-title><![CDATA[Pediatría (Asunción)]]></journal-title>
<abbrev-journal-title><![CDATA[Pediatr. (Asunción)]]></abbrev-journal-title>
<issn>1683-9803</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Paraguaya de Pediatría]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1683-98032020000300165</article-id>
<article-id pub-id-type="doi">10.31698/ped.47032020008</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Frecuencia de prescripciones de medicaciones sintomáticas y antibióticos en menores de 5 años, en dos centros de atención pública y privada]]></article-title>
<article-title xml:lang="en"><![CDATA[Symptomatic medication and antibiotic prescription frequency in children under 5 years of age, in two public and private care centers]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mancuello]]></surname>
<given-names><![CDATA[Delia Melissa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Godoy Sánchez]]></surname>
<given-names><![CDATA[Laura]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Regional de Pedro Juan Caballero  ]]></institution>
<addr-line><![CDATA[Pedro Juan Caballero ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Católica &#8220;Nuestra Señora de la Asunción&#8221;  ]]></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>47</volume>
<numero>3</numero>
<fpage>165</fpage>
<lpage>169</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S1683-98032020000300165&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S1683-98032020000300165&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S1683-98032020000300165&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  existen factores que conducen a los pediatras a prescribir medicaciones &#8220;sintomáticas&#8221; y antibióticos, orientados a reducir síntomas y la ansiedad de los padres, práctica que no es inocua, porque algunas pueden producir daño.  Objetivo:  Determinar frecuencia de prescripciones de medicaciones sintomáticas y antibióticos, en consultas pediátricas de menores de 5 años de dos centros de atención, público y privado.  Materiales y Métodos:  Estudio observacional, descriptivo con componente analítico, prospectivo, transversal. Se incluyeron menores de 5 años que acudieron a consultas del Hospital Regional de Pedro Juan Caballero y Clínica Privada del Niño de la misma ciudad, en septiembre-octubre de 2017. Los datos fueron analizados en SPSSv21. Variables principales: Edad, sexo, procedencia, centro de consulta motivo de consulta, medicamentos prescriptos.  Resultados:  Fueron incluidos 200 pacientes, 51.5% (103) fueron del centro privado y 48.5% (97) del público. Mediana de edad: 16 meses, no hubo diferencias en relación al sexo. Motivos de consultas más frecuentes: Infección de vías aéreas superiores en privado (32%) y público (26%). El uso de Medicaciones sintomáticas fue: privado 32,4%(53/179), público 29,6%(53/179), recibió una sola medicación sintomática el 29,7%(33/111) y 27,9%(31/111) respectivamente. La frecuencia de prescripción de antibióticos en el privado fue 2,5%(5/179) y público 1,7% (3/179). El 89.5%(179/200) recibió algún tipo de medicación.  Conclusión:  Poco menos de la mitad utilizaron medicación sintomática y una tercera parte antibióticos, sin diferencias entre el centro público y privado. Menos de un cuarto de los pacientes de ambos sectores utilizaron más de una medicación sintomática.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  there are factors that lead pediatricians to prescribe "symptomatic" medications and antibiotics, aimed at reducing symptoms and parental anxiety, a practice that is not harmless, because some can cause harm.  Objective:  To determine the frequency of prescriptions of symptomatic medications and antibiotics in pediatric consultations for children under 5 years of age in two care centers, public and private.  Materials and methods:  An observational, descriptive study with an analytical, prospective, cross-sectional component. Children under 5 years of age who attended consultations at the Pedro Juan Caballero Regional Hospital and the Private Children's Clinic of the same city, in September-October 2017, were included. The data were analyzed in SPSSv21. Main variables: Age, sex, origin, consultation center, reason for consultation, prescribed medications.  Results:  200 patients were included, 51.5% (103) were from the private center and 48.5% (97) from the public. Median age: 16 months, there were no differences in relation to sex. Reasons for the most frequent visits: Upper airway infection in private (32%) and public (26%). The use of symptomatic medications was: private 32.4% (53/179), public 29.6% (53/179), received a single symptomatic medication 29.7% (33/111) and 27.9% (31/111) respectively. The frequency of prescribing antibiotics in the private sector was 2.5% (5/179) and the public 1.7% (3/179). 89.5% (179/200) received some type of medication.  Conclusion:  Just under half used symptomatic medication and one third used antibiotics, with no differences between the public and private centers. Less than a quarter of the patients in both sectors used more than one symptomatic medication.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Terapéutica]]></kwd>
<kwd lng="es"><![CDATA[antibacteriano]]></kwd>
<kwd lng="es"><![CDATA[pediatría]]></kwd>
<kwd lng="es"><![CDATA[consulta pública]]></kwd>
<kwd lng="en"><![CDATA[Therapeutic]]></kwd>
<kwd lng="en"><![CDATA[antibacterial]]></kwd>
<kwd lng="en"><![CDATA[pediatrics]]></kwd>
<kwd lng="en"><![CDATA[public consultation]]></kwd>
</kwd-group>
</article-meta>
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