<?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>2312-3893</journal-id>
<journal-title><![CDATA[Revista Virtual de la Sociedad Paraguaya de Medicina Interna]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. virtual Soc. Parag. Med. Int.]]></abbrev-journal-title>
<issn>2312-3893</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Paraguaya de Medicina Interna]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2312-38932025000100211</article-id>
<article-id pub-id-type="doi">10.18004/rvspmi/2312-3893/2025.e12122511</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Prevalencia de neumonía asociada a ventilación mecánica en un servicio de terapia intensiva de adultos]]></article-title>
<article-title xml:lang="en"><![CDATA[Prevalence of ventilator-associated pneumonia in an adult intensive care unit]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Altemburger Leguizamón]]></surname>
<given-names><![CDATA[Jorge Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vera Núñez]]></surname>
<given-names><![CDATA[María Liz]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cañete Amarilla]]></surname>
<given-names><![CDATA[Carlos Iván]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ríos Orué]]></surname>
<given-names><![CDATA[Francisco Raúl]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Central de Policía Rigoberto Caballero  ]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<volume>12</volume>
<numero>1</numero>
<fpage>211</fpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2312-38932025000100211&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2312-38932025000100211&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2312-38932025000100211&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  la neumonía asociada a la ventilación mecánica (NAVM) se encuentra incluida dentro de las infecciones asociadas a la atención sanitaria o también llamadas infecciones nosocomiales u hospitalarias. Es común en pacientes críticos y puede ocurrir en el 20 a 25% de aquellos con ventilación mecánica invasiva por más de 48 horas y representa entre el 15-20% de las infecciones intrahospitalarias.  Objetivo general:  determinar la prevalencia de NAVM en pacientes adultos internados en terapia intensiva del Hospital de Policía Rigoberto Caballero, Asunción, durante el año 2024. Los específicos fueron: detallar las características clínicas de los pacientes y describir los gérmenes implicados.  Metodología:  se aplicó un diseño observacional, descriptivo, transversal, retrospectivo, con muestreo no probabilístico de casos consecutivos. Se incluyó a pacientes mayores de 18 años internados con ventilación mecánica por al menos 48 horas y con criterios clínicos, radiológicos y microbiológicos específicos para NAVM.  Resultados:  de 60 pacientes ingresados a la unidad de terapia intensiva, el 55% eran mujeres, con una edad media 62 ±17 años. El 71,66% requirió intubación. La prevalencia de NAVM fue del 31,66%. En 5% se aislaron gérmenes, siendo los más frecuentes: Acinetobacter baumannii, Klebsiella pneumoniae BLEE y Serratia marcescens. La mortalidad general fue del 25%, de los cuales el 11,66% corresponde a pacientes con NAVM.  Conclusión:  la prevalencia de NAVM fue del 31,66%, con mortalidad del 36,84% en los pacientes afectados. Los gérmenes más frecuentes fueron Acinetobacter baumannii, Klebsiella pneumoniae BLEE y Serratia marcescens.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Ventilator-associated pneumonia (VAP) is included among healthcare-associated infections, nosocomial infections, and hospital-acquired infections. It is common in critical patients and can occur in 20 to 25% of those with invasive mechanical ventilation for more than 48 hours. It represents 15-20% of in-hospital infections.  General objective:  To determine the prevalence of VAP in adult patients admitted to intensive care at the Rigoberto Caballero Police Hospital, Asuncion, during 2024. The specific objectives were to detail the clinical characteristics of the patients and describe the germs involved.  Methodology:  An observational, descriptive, cross-sectional, retrospective design with non-probabilistic sampling of consecutive cases was applied. Patients older than 18 years old admitted with mechanical ventilation for at least 48 hours and with specific clinical, radiological, and microbiological criteria for VAP were included.  Results:  Out of 60 patients admitted to the intensive care unit, 55% were women, with a mean age of 62 ±17 years. Intubation was required in 71.66%. The prevalence of VAP was 31.66%. In 5%, germs were isolated, the most frequent being: Acinetobacter baumannii, ESBL Klebsiella pneumoniae, and Serratia marcescens. Overall mortality was 25%, of which 11.66% corresponded to patients with VAP.  Conclusion: The prevalence of VAP was 31.66%, with a mortality of 36.84% in affected patients. The most frequent germs were Acinetobacter baumannii, ESBL Klebsiella pneumoniae, and Serratia marcescens.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[respiración artificial]]></kwd>
<kwd lng="es"><![CDATA[neumonía asociada al ventilador]]></kwd>
<kwd lng="es"><![CDATA[unidades de cuidados intensivos]]></kwd>
<kwd lng="en"><![CDATA[artificial respiration]]></kwd>
<kwd lng="en"><![CDATA[ventilator-associated pneumonia]]></kwd>
<kwd lng="en"><![CDATA[intensive care units]]></kwd>
</kwd-group>
</article-meta>
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