<?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>S1683-98032025000100050</article-id>
<article-id pub-id-type="doi">10.31698/ped.52012025008</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Características clínicas y factores de riesgo asociados a severidad de la Neumonía Adquirida de la Comunidad en &#8804; 17 años hospitalizados]]></article-title>
<article-title xml:lang="en"><![CDATA[Clinical characteristics and risk factors associated with the severity of community-acquired pneumonia in hospitalized patients aged &#8804;17 years]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Marecos]]></surname>
<given-names><![CDATA[Monserrat]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Jiménez]]></surname>
<given-names><![CDATA[Hassel Jimmy]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Duarte]]></surname>
<given-names><![CDATA[Laura]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez de Cuellar]]></surname>
<given-names><![CDATA[Celia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional de Asunción Facultad de Ciencias Médicas Cátedra y Servicio de Pediatría]]></institution>
<addr-line><![CDATA[San Lorenzo ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Ministerio de Salud y Bienestar Social Instituto de Medicina Tropical ]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2025</year>
</pub-date>
<volume>52</volume>
<numero>1</numero>
<fpage>50</fpage>
<lpage>59</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S1683-98032025000100050&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S1683-98032025000100050&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S1683-98032025000100050&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  En el mundo, la neumonía adquirida en la comunidad (NAC) constituye la causa principal de morbi-mortalidad en &lt;5 años. En Paraguay aproximadamente 1.000 niños &lt;5 años fallecen de NAC cada año.  Objetivo: Determinar las características epidemiológicas, clínicas y evolutivas de la NAC, en pacientes hospitalizados entre enero/2021 a mayo/2024.  Materiales y Métodos: Estudio observacional, retrospectivo, descriptivo y analítico. Se incluyeron pacientes &#8804;17 años con NAC. Los datos fueron obtenidos de historias clínicas, registrados en Excel 2010 y analizados utilizando estadística descriptiva e inferencial. La asociación de variables se estableció con la prueba de Chi cuadrado.  Resultados:  Se incluyeron 135 pacientes con diagnóstico de NAC, el 23% de 13 a 24 meses, el 20,7% 13 a 24 meses y el 17,8% (24/135) &#8804;12 meses. El 63% de sexo masculino, El 11.8% de nivel socioeconómico bajo¸24,4% con vacunación incompleta, 51% con patología de base, 12,6% vivía en condiciones de hacinamiento y 27% tenía contacto con quema de basura. La mayor estancia hospitalaria (&gt;7 días) estuvo asociada a saturación &lt;95% al ingreso, PCR&gt;100mg/L y requerimiento de UCIP.  Conclusiones: La NAC predomino en niños de 2-4 años y las manifestaciones clínicas más frecuentes fueron la fiebre, tos y dificultad respiratoria, siendo la neumonía lobar no complicada el diagnóstico más común. Los factores asociados a mayor tiempo de hospitalización incluyeron saturación de oxígeno &lt;95%, PCR &gt;100 mg/dL y necesidad de UCI La necesidad de ingreso a UCIP se relacionó con nivel socioeconómico bajo, y la saturación de O2 &lt;95% se asoció a casos de neumonía complicada.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Community-acquired pneumonia (CAP) is the leading cause of morbidity and mortality in children aged &lt;5 years worldwide. In Paraguay, approximately 1,000 children aged &lt;5 years die from CAP each year.  Objective: To determine the epidemiological, clinical, and evolutionary characteristics of CAP in patients hospitalized between January 2021 and May 2024.  Materials and Methods:  This was an observational, retrospective, descriptive, and analytical study. Patients aged &#8804;17 years with CAP were included. Data were obtained from medical records, recorded in Excel 2010, and analyzed using descriptive and inferential statistics. Variable associations were established using the Chi-square test.  Results: A total of 135 patients with CAP were included, 23% were aged 13-24 months, 20.7% were 13-24 months, and 17.8% (24/135) were &#8804;12 months old. 63% were male, 11.8% were of low socioeconomic status, 24.4% were incompletely vaccinated, 51% had underlying pathology, 12.6% lived in overcrowded conditions, and 27% had contact with garbage burning. Longer hospital stays (&gt;7 days) were associated with saturation &lt;95% on admission, CRP&gt;100mg/L, and requirement for ICU admission.  Conclusions:  CAP predominated in children aged 2-4 years, and the most frequent clinical manifestations were fever, cough, and respiratory distress, with uncomplicated lobar pneumonia being the most common diagnosis. Factors associated with longer hospitalization included oxygen saturation &lt;95%, CRP &gt;100 mg/dL, and the need for ICU admission. Need for ICU admission was associated with low socioeconomic status, and oxygen saturation &lt;95% was associated with cases of complicated pneumonia.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Neumonía Adquirida de la Comunidad]]></kwd>
<kwd lng="es"><![CDATA[factores de riesgo]]></kwd>
<kwd lng="es"><![CDATA[severidad]]></kwd>
<kwd lng="es"><![CDATA[niños]]></kwd>
<kwd lng="en"><![CDATA[Community-Acquired Pneumonia]]></kwd>
<kwd lng="en"><![CDATA[risk factors]]></kwd>
<kwd lng="en"><![CDATA[severity]]></kwd>
<kwd lng="en"><![CDATA[children]]></kwd>
</kwd-group>
</article-meta>
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<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[British Thoracic Society guidelines for the management of community acquired pneumonia in children update 2011]]></article-title>
<source><![CDATA[Thorax]]></source>
<year>2011</year>
<volume>66</volume>
<numero>^s2</numero>
<issue>^s2</issue>
<supplement>2</supplement>
<page-range>ii1-23</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
