<?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>S2312-38932025000100221</article-id>
<article-id pub-id-type="doi">10.18004/rvspmi/2312-3893/2025.e12122521</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Estadificación y tratamiento del pie diabético en Urgencias del Hospital Nacional de Itauguá, Paraguay, año 2024]]></article-title>
<article-title xml:lang="en"><![CDATA[Staging and treatment of diabetic foot in the Emergency Department of the Hospital Nacional de Itauguá, Paraguay, 2024]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cañete Cañete]]></surname>
<given-names><![CDATA[Nayeli Abigahil]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López Esquivel]]></surname>
<given-names><![CDATA[Nathalia Yanina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Romero Gaona]]></surname>
<given-names><![CDATA[Nayia María Inés]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López Esquivel]]></surname>
<given-names><![CDATA[Nelson Gabriel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ortega Filártiga]]></surname>
<given-names><![CDATA[Edgar Augusto]]></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[,Ministerio de Salud Pública y Bienestar Social Hospital Nacional ]]></institution>
<addr-line><![CDATA[Itauguá ]]></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>221</fpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2312-38932025000100221&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2312-38932025000100221&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2312-38932025000100221&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  el pie diabético es una de las complicaciones más graves de la diabetes mellitus que se asocia a altas tasas de amputación y mortalidad.  Objetivos: determinar la estadificación y tratamiento de los pacientes con pie diabético internados en el Departamento de Urgencias Adultos del Hospital Nacional de Itauguá, Paraguay, en año 2024.  Metodología: se realizó un estudio observacional descriptivo, retrospectivo de corte transversal, utilizando datos de fichas clínicas.  Resultados:  fueron evaluadas 228 fichas clínicas con diagnóstico de pie diabético. El sexo masculino predominó en 57,89%. La edad media fue de 61 ± 10 años. Las comorbilidades más frecuentes fueron la hipertensión arterial (82,46%) y la enfermedad arterial periférica (35,96%). El 30,70% tenía antecedentes de amputación. El grado más frecuente de la escala de Wagner fue el IV (64,91%). El tratamiento quirúrgico más frecuente fue la amputación (72,82%). El 3,51% obitó por sepsis con foco de partida en piel y partes blandas.  Conclusiones: el grado más frecuente en la escala de Wagner fue el IV. Todos los pacientes recibieron antibioticoterapia y curaciones. El tratamiento quirúrgico más frecuente fue la amputación del miembro.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Diabetic foot is one of the most serious complications of diabetes mellitus, associated with high rates of amputation and mortality.  Objectives:  To determine the staging and treatment of patients with diabetic foot admitted to the Adult Emergency Department of the Hospital Nacional de Itauguá, Paraguay, in 2024.  Methodology:  A descriptive, retrospective, cross-sectional observational study was conducted using data from medical records.  Results:  A total of 228 medical records with a diagnosis of diabetic foot were evaluated. Males predominated at 57.89%. The mean age was 61 ± 10 years. The most frequent comorbidities were hypertension (82.46%) and peripheral arterial disease (35.96%). Thirty-point seven percent had a history of amputation. The most frequent Wagner scale grade was IV (64.91%). The most frequent surgical treatment was amputation (72.82%). Three-point five one percent died from sepsis that originated in the skin and soft tissues.  Conclusions:  The most frequent grade on the Wagner scale was IV. All patients received antibiotic therapy and wound care. The most frequent surgical treatment was limb amputation.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[diabetes mellitus tipo 2]]></kwd>
<kwd lng="es"><![CDATA[pie diabético]]></kwd>
<kwd lng="es"><![CDATA[amputación quirúrgica]]></kwd>
<kwd lng="es"><![CDATA[complicaciones de la diabetes]]></kwd>
<kwd lng="en"><![CDATA[type 2 diabetes mellitus]]></kwd>
<kwd lng="en"><![CDATA[diabetic foot]]></kwd>
<kwd lng="en"><![CDATA[surgical amputation]]></kwd>
<kwd lng="en"><![CDATA[complications of diabetes]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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