<?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>2521-2281</journal-id>
<journal-title><![CDATA[Medicina clínica y social]]></journal-title>
<abbrev-journal-title><![CDATA[Med. clín. soc.]]></abbrev-journal-title>
<issn>2521-2281</issn>
<publisher>
<publisher-name><![CDATA[Facultad de Ciencias Médicas, Filial de Santa Rosa del Aguaray, Cátedra de Socioantropología]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2521-22812020000200060</article-id>
<article-id pub-id-type="doi">10.52379/mcs.v4i2.142</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Uso de antibióticos en el hospital general del Departamento de San Pedro - Paraguay]]></article-title>
<article-title xml:lang="en"><![CDATA[Use of antibiotics in the general hospital of the Department of San Pedro - Paraguay]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Estigarribia]]></surname>
<given-names><![CDATA[Gladys]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Aguilar]]></surname>
<given-names><![CDATA[Gloria]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Toledo Nuñez]]></surname>
<given-names><![CDATA[Santiago]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mereles]]></surname>
<given-names><![CDATA[Tito]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Franco]]></surname>
<given-names><![CDATA[Luz]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mendez]]></surname>
<given-names><![CDATA[Nathalia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alonzo]]></surname>
<given-names><![CDATA[Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Chaparro Franco]]></surname>
<given-names><![CDATA[Fiorella]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sanchez Holt]]></surname>
<given-names><![CDATA[Fátima]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Landsing Kolling]]></surname>
<given-names><![CDATA[Cimone]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional de Caaguazú Instituto de Investigación Regional en Salud ]]></institution>
<addr-line><![CDATA[Coronel Oviedo ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Nacional de Asunción Facultad de Ciencias Médicas ]]></institution>
<addr-line><![CDATA[Santa Rosa del Aguaray ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Regional Dr. José Ángel Samudio  ]]></institution>
<addr-line><![CDATA[Coronel Oviedo ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2020</year>
</pub-date>
<volume>4</volume>
<numero>2</numero>
<fpage>60</fpage>
<lpage>67</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2521-22812020000200060&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2521-22812020000200060&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2521-22812020000200060&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  Los antibióticos han constituido la herramienta más eficaz para la lucha contra enfermedades infecciosas y trasmisibles. Sin embargo, en los últimos tiempos su efectividad se ha visto afectada por la resistencia antimicrobiana, que a su vez es determinada en gran medida por el uso apropiado o inapropiado de antibióticos.  Objetivo:  Determinar la frecuencia puntual de uso de antibióticos en el Hospital General del Departamento de San Pedro Paraguay - Corea en el 2019. Metodología: Estudio observacional, descriptivo sobre el uso de antibióticos. Se incluyeron pacientes hospitalizados del 26 al 29 de agosto 2019. Se evaluó el motivo de indicación, clase de antibiótico y cumplimiento de guías terapéuticas. Los datos fueron cargados y analizados en la plataforma RedCap.  Resultados:  Fueron incluidos 62 pacientes. El 53,23 % de los pacientes fueron del sexo femenino, de 21 a 27 años en un 19,35 %. La frecuencia puntual de uso de antibióticos fue del 91,94 %, de los cuales 38,60 % fue para una profilaxis y 61,40 % para uso terapéutico. El diagnóstico más frecuente fue neumonía (31,43%) y el prescriptor más frecuente fue el médico responsable (85,48%). Entre los casos terapéuticos, se observó que el 94,29 % fue de uso empírico. Las familias de antibióticos empleados con mayor frecuencia fueron: cefalosporina de primera y tercera generación 25,64 %. Se observó un 52,63 % de uso no adecuado de antibióticos.  Conclusión:  Se ha destacado la elevada frecuencia de uso de antimicrobianos y una importante proporción de uso inadecuado en el Hospital General Paraguay-Korea. Es importante establecer los programas de optimización de uso de antimicrobianos y fortalecer los comités de infecciones asociadas al cuidado de la salud.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Antibiotics have been the most effective tool for the fight against infectious and communicable diseases. However, in recent times its effectiveness has been affected by antimicrobial resistance, which in turn is largely determined by the appropriate or inappropriate use of antibiotics.  Objective:  To determine the specific frequency of antibiotic use in the General Hospital of the Department of San Pedro Paraguay - Korea in 2019. Methodology: An observational, descriptive study on the use of antibiotics was done. Patients hospitalized from August 26 to 29, 2019 were included. The reason for indication, class of antibiotic and compliance with therapeutic guidelines were evaluated. The data was uploaded and analyzed on the RedCap platform.  Results:  A total of 62 patients were included. Of this patients 53.23% were female, aged 21 to 27 years (19.35%). The specific frequency of antibiotic use was 91.94%, of which 38.60% was for prophylaxis and 61.40% for therapeutic use. The most frequent diagnosis was pneumonia (31.43%) and the most frequent prescriber was the responsible physician (85.48%). Among the therapeutic cases, it was observed that 94.29% were for empirical use. The most frequently used antibiotic families were: first and third generation cephalosporin 25.64%. A 52.63% of inappropriate use of antibiotics was observed.  Conclusion:  The high frequency of antimicrobial use and a significant proportion of inappropriate use in the Paraguay-Korea General Hospital have been highlighted. It is important to establish antimicrobial use optimization programs and strengthen health care-associated infection committees.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Profilaxis Antibiótica]]></kwd>
<kwd lng="es"><![CDATA[Farmacorresistencia Microbiana]]></kwd>
<kwd lng="es"><![CDATA[automedicación]]></kwd>
<kwd lng="en"><![CDATA[Antibiotic Prophylaxis]]></kwd>
<kwd lng="en"><![CDATA[Microbial Drug Resistance]]></kwd>
<kwd lng="en"><![CDATA[self-medication]]></kwd>
</kwd-group>
</article-meta>
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