<?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>2307-3349</journal-id>
<journal-title><![CDATA[Revista de salud publica del Paraguay]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. salud publica Parag.]]></abbrev-journal-title>
<issn>2307-3349</issn>
<publisher>
<publisher-name><![CDATA[INSTITUTO NACIONAL DE SALUD - MSP Y BS]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2307-33492017000100028</article-id>
<article-id pub-id-type="doi">10.18004/rspp.2017.junio.28-32</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Agresiones violentas contra los trabajadores de la salud pediátrica en el ámbito laboral: una realidad que no debe ser ignorada]]></article-title>
<article-title xml:lang="en"><![CDATA[Violence directed against pediatric health workers in the workplace: a reality that should not be ignored]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Samudio Domínguez]]></surname>
<given-names><![CDATA[GC]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Abe Abe]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ortiz Cuquejo]]></surname>
<given-names><![CDATA[LM]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Ministerio de Salud Pública y Bienestar Social Hospital Nacional de Itauguá Guazú ]]></institution>
<addr-line><![CDATA[Itagua ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2017</year>
</pub-date>
<volume>7</volume>
<numero>1</numero>
<fpage>28</fpage>
<lpage>32</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2307-33492017000100028&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2307-33492017000100028&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2307-33492017000100028&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  El maltrato contra el trabajador de la salud aparenta estar en aumento, presentándose en forma física, verbal o como acoso cibernético. Las consecuencias pueden ser devastadoras.  Objetivo:  Conocer la prevalencia del maltrato, tipo, perpetrador y factores asociados a la presencia del citado fenómeno de estudio. Población: Trabajadores de la salud de cualquier área del Servicio de Pediatría de un hospital público de segundo nivel que aceptaron voluntariamente participar de la encuesta.  Material y métodos:  Encuesta auto administrada conteniendo las variables del estudio, con opciones cerradas.  Resultados:  Ingresaron al estudio 50 trabajadores de la salud; 70% correspondió a personal de enfermería, 48% en la franja etaria de 31 a 40 años. En la Urgencia Pediátrica se encontraban 40%, en sala de internación 36%. Un 90% reportó haber recibido maltrato, principalmente de los familiares (86%), preferentemente del tipo verbal (90%). Un ínfimo porcentaje denunció el maltrato. No se conocen leyes que los protejan ni guías de manejo de crisis. No se encontraron factores asociados a la posibilidad de sufrir maltrato en relación a edad, sexo, profesión ni área de servicio.  Conclusión:  La prevalencia de maltrato es preocupantemente elevada, siendo la forma verbal más frecuente. El perpetrador más importante es el familiar del paciente. No se conocen leyes ni guías de manejo ante situaciones de violencia. Son necesarios estudios poblacionales más amplios para poder establecer factores que propicien el maltrato al TS.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Maltreatment against HCWs appears to be on the rise, occurring in physical, verbal or cyber bullying. The consequences can be devastating.  Objective:  To know the prevalence of abuse, type, perpetrator and factors associated with the presence of the cited study phenomenon. Population: HCWs of any area of the Pediatric Service of a second-level public hospital who voluntarily agreed to participate in the survey.  Material and methods:  Self-administered survey containing the variables of the study, with closed options.  Results:  50 HCWs were admitted to the study. 70% corresponded to nursing staff, 48% in the age group from 31 to 40 years old. From the Pediatric Emergency were 40%, and from the hospitalization area 36%. 90% had received mistreatment, mainly from relatives (86%), preferably verbal (90%). A small percentage denounced the abuse. There are no known laws protecting them or crisis management guides. There were no factors associated with the possibility of suffering abuse in relation to age, sex, profession or service area.  Conclusion:  The prevalence of abuse is worrisome high, being the most frequent verbal form. The most important perpetrator was the patient's relative. No laws or management guides are known in situations of violence. More extensive population studies are needed to establish factors that may lead to abuse against HCWs.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Agresión]]></kwd>
<kwd lng="es"><![CDATA[Trabajadores de salud]]></kwd>
<kwd lng="es"><![CDATA[Violencia verbal]]></kwd>
<kwd lng="es"><![CDATA[Perpetrador]]></kwd>
<kwd lng="en"><![CDATA[Aggression]]></kwd>
<kwd lng="en"><![CDATA[Health-care workers]]></kwd>
<kwd lng="en"><![CDATA[Verbal violence]]></kwd>
<kwd lng="en"><![CDATA[Perpetratorabajadores de salud]]></kwd>
<kwd lng="en"><![CDATA[Violencia verbal]]></kwd>
<kwd lng="en"><![CDATA[Perpetrador]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kowalenko]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Gates]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Gillespie]]></surname>
<given-names><![CDATA[GL]]></given-names>
</name>
<name>
<surname><![CDATA[Succop]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Mentzel]]></surname>
<given-names><![CDATA[TK]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Prospective study of violence against ED workers]]></article-title>
<source><![CDATA[Am J Emerg Med]]></source>
<year>2013</year>
<volume>31</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>197-205</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Delvalle]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<source><![CDATA[Enojado padre rompe ventana de hospital]]></source>
<year>2015</year>
<publisher-name><![CDATA[ABC Color]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="">
<collab>ABC Color</collab>
<source><![CDATA[Medico denuncia agresiones]]></source>
<year>2015</year>
</nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="">
<collab>ABC Color</collab>
<source><![CDATA[Barras bravas desatan terror en el Hospital]]></source>
<year>2016</year>
</nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Fernández-Castillo]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Vilchez-Lara]]></surname>
<given-names><![CDATA[MJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Alteración emocional en atención primaria y urgencias pediátricas ¿se enfadan los padres durante la atención pediátrica?. Rev Latinoamericana de]]></article-title>
<source><![CDATA[Psicología]]></source>
<year>2015</year>
<volume>47</volume>
<page-range>205-12</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Muñoz-Pascual]]></surname>
<given-names><![CDATA[JC]]></given-names>
</name>
<name>
<surname><![CDATA[Delgado de Mendoza]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Romero-Ruiz]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Bermúdez-Luque]]></surname>
<given-names><![CDATA[JC]]></given-names>
</name>
<name>
<surname><![CDATA[Cabrera-Cobos]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Agresiones al personal de los servicios de salud]]></article-title>
<source><![CDATA[Enfermería Docente]]></source>
<year>2008</year>
<volume>89</volume>
<page-range>15-7</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Zahid]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[al-Sahlawi]]></surname>
<given-names><![CDATA[KS]]></given-names>
</name>
<name>
<surname><![CDATA[Shahid]]></surname>
<given-names><![CDATA[AA]]></given-names>
</name>
<name>
<surname><![CDATA[al- Ajmi]]></surname>
<given-names><![CDATA[MT]]></given-names>
</name>
<name>
<surname><![CDATA[Awadh]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Violence toward doctors prevalence and effects]]></article-title>
<source><![CDATA[Hosp Med]]></source>
<year>1999</year>
<volume>60</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>414-8</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Phillips]]></surname>
<given-names><![CDATA[JP]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Workplace violence against health care workers in the United States]]></article-title>
<source><![CDATA[N Engl J Med]]></source>
<year>2016</year>
<volume>374</volume>
<numero>17</numero>
<issue>17</issue>
<page-range>1661-9</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="book">
<collab>Organización Internacional del Trabajo</collab>
<source><![CDATA[Consejo Internacional de Enfermeras.Organización Mundial de la Salud. Internacional de Servicios Públicos. Directrices marco para afrontar la violencia laboral en el sector de la salud]]></source>
<year>2002</year>
<publisher-loc><![CDATA[Ginebra ]]></publisher-loc>
<publisher-name><![CDATA[Organización Internacional del Trabajo]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hobbs]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Keane]]></surname>
<given-names><![CDATA[U]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Aggression against doctors a review]]></article-title>
<source><![CDATA[J R Soc Med]]></source>
<year>1996</year>
<volume>89</volume>
<page-range>69-72</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Silva]]></surname>
<given-names><![CDATA[IV]]></given-names>
</name>
<name>
<surname><![CDATA[Aquino]]></surname>
<given-names><![CDATA[EML]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Violencia en el trabajo en el ámbito de salud la experiencia de los empleados de salud del estado en Bahía, Brasil]]></article-title>
<collab>Cardoso de Matos Pinto I</collab>
<source><![CDATA[Cad Saúde Pública Rio de Janeiro]]></source>
<year>2014</year>
<volume>30</volume>
<numero>10</numero>
<issue>10</issue>
<page-range>2112-22</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ruiz-Hernández]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
<name>
<surname><![CDATA[López-García]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Llor-Esteban]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[GaliánMuñoz]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Benavente-Reche]]></surname>
<given-names><![CDATA[AP]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Evaluation of the users violence in primary health care adaptation of an instrument]]></article-title>
<source><![CDATA[Int J Clin Health Psychol]]></source>
<year>2016</year>
<volume>16</volume>
<page-range>295-305</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mejia]]></surname>
<given-names><![CDATA[RC]]></given-names>
</name>
<name>
<surname><![CDATA[Allpas-Gomez]]></surname>
<given-names><![CDATA[HL]]></given-names>
</name>
<name>
<surname><![CDATA[Cáceres]]></surname>
<given-names><![CDATA[OJ]]></given-names>
</name>
<name>
<surname><![CDATA[Peru]]></surname>
<given-names><![CDATA[RG]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Factores socio-laborales asociados al maltrato psicológico, físico y sexual en el personal de salud en dos hospitales de Lima, Perú]]></article-title>
<source><![CDATA[Archivos de Medicina]]></source>
<year>2016</year>
<volume>12</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>1-7</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Llor-Esteban]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Sánchez-Muñoz]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Ruiz-Hernández]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
<name>
<surname><![CDATA[Jiménez-Barbero]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[User violence towards nursing professionals in mental health services and emergency units]]></article-title>
<source><![CDATA[The European Journal of Psychology Applied to Legal Context]]></source>
<year>2017</year>
<volume>9</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>33-40</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kling]]></surname>
<given-names><![CDATA[RN]]></given-names>
</name>
<name>
<surname><![CDATA[Yassi]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Smailes]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Lovato]]></surname>
<given-names><![CDATA[CY]]></given-names>
</name>
<name>
<surname><![CDATA[Koehoorn]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Characterizing violence in health care in British Columbia]]></article-title>
<source><![CDATA[J Adv Nurs]]></source>
<year>2009</year>
<volume>65</volume>
<numero>8</numero>
<issue>8</issue>
<page-range>1655-63</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Paravic]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Valenzuela]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Burgos]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Violencia percibida por trabajadores de atención primaria de salud]]></article-title>
<source><![CDATA[Ciencia y Enfermería X]]></source>
<year>2004</year>
<numero>2</numero>
<issue>2</issue>
<page-range>53-65</page-range></nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="journal">
<collab>Muñoz del Carpio-Toia A.Valdivia-Fernández B.VelasquezLazo C.Valdivia-Rodríguez M.Arroyo-Tovar G.Toia-Larsen M.Selis-Fernandez AC</collab>
<article-title xml:lang=""><![CDATA[Violencia contra médicos en hospitales]]></article-title>
<source><![CDATA[Acta Med Perú]]></source>
<year>2016</year>
<volume>33</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>99-104</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
