<?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>1688-0390</journal-id>
<journal-title><![CDATA[Revista Médica del Uruguay]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Méd. Urug.]]></abbrev-journal-title>
<issn>1688-0390</issn>
<publisher>
<publisher-name><![CDATA[Sindicato Médico del Uruguay]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1688-03902020000200012</article-id>
<article-id pub-id-type="doi">10.29193/rmu.36.2.1</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Calidad en la asistencia en neumonía aguda comunitaria en una clínica médica del Hospital de Clínicas en el período de 2010 a 2014]]></article-title>
<article-title xml:lang="en"><![CDATA[Quality of health care for patients with acute pneumonia in a medical clinic of the university hospital between 2010 and 2014]]></article-title>
<article-title xml:lang="pt"><![CDATA[Qualidade da assistência em pneumonia aguda comunitária em uma clínica médica do Hospital de Clínicas no período 2010-2014]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pizzarossa]]></surname>
<given-names><![CDATA[Ana Carina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Nicassio]]></surname>
<given-names><![CDATA[Lorena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cánepa]]></surname>
<given-names><![CDATA[Analía]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rebella]]></surname>
<given-names><![CDATA[Martín]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de la República Facultad de Medicina Hospital de Clínicas]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de la República Facultad de Medicina Hospital de Clínicas]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de la República Facultad de Medicina Hospital de Clínicas]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Uruguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2020</year>
</pub-date>
<volume>36</volume>
<numero>2</numero>
<fpage>12</fpage>
<lpage>35</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S1688-03902020000200012&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S1688-03902020000200012&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S1688-03902020000200012&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción: el cumplimiento de las guías de práctica clínica en el manejo de la neumonía aguda comunitaria se desconoce en Uruguay.  Objetivo: evaluar el cumplimiento de las guías de práctica clínica en pacientes inmunocompetentes hospitalizados con diagnóstico de neumonía aguda comunitaria en una Clínica Médica del Hospital de Clínicas.  Metodología: estudio observacional retrospectivo. Se estudiaron variables patronímicas, clínicas e indicadores de calidad asistencial de acuerdo con estándares internacionales. El nivel de cumplimiento de los indicadores se clasificó como óptimo cuando el cumplimiento fue &gt; 90%, intermedio entre 60% y 90% y bajo cuando fue &lt; 60%. Se utilizaron como guías de referencia ConsenSur II e IDSA.  Resultados: se incluyeron 143 pacientes, 62,9% de sexo femenino (88/140), con una mediana de edad de 57 (38-73) años. La población estudiada se caracterizó por una mediana de Charlson de 1 (0-3), mediana de internación de 10 (7-14) días y 26,6% (38/143) de pacientes con criterios de neumonía severa. En cuanto al cumplimento de indicadores de calidad: ninguno se cumple en nivel óptimo, tres en nivel intermedio (hemocultivos en pacientes con neumonía severa, hemocultivos previo a antibióticos y administración de antibióticos dentro de las primeras 8 horas), mientras que cuatro variables que evalúan el uso de antibiótico apropiado, según las guías y la prevención de la neumonía, tienen un cumplimiento en nivel bajo.  Conclusiones: ninguno de los indicadores evaluados alcanzó un nivel óptimo. Se deben realizar intervenciones para mejorar la calidad en asistencia en la neumonía.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Summary:  Introduction:  the extent to which clinical practice guidelines in the handling of community acquired acute pneumonia are observed is not known in Uruguay.  Objective:  to assess the degree of compliance with the clinical guidelines in immunocompetent patients hospitalized with a diagnosis of community-acquired pneumonia in a medical clinic of the University Hospital.  Method:  observational, retrospective study. Patronymic and clinical variables, and quality of health care indicators were analysed as per international standards. The degree of compliance with indicators was classified as ideal when compliance was &gt; 90%, intermediate when it was between 60% and 90% and low when it was &lt; 60%. ConsenSur II and IDSA were the reference guidelines used.  Results:  143 patients were included in the study, 6.9 % were female (88/140), with a median age of 57 years old (38-73). The population studied was characterized by Charlson median of 1 (0-3), hospitalization median of 10 (7-14) days and 26.6% (38/143) of patients with acute pneumonia criteria. As to compliance with quality of health care indicators: none of them is ideal, 3 in intermediate level (hemoculture in patients with acute pneumonia, hemoculture prior to antibiotic therapy and administration of antibiotics within the first 8 hours), while 4 variables that assess the use of the appropriate antibiotic according to the guidelines and the prevention of pneumonia evidence a low level of compliance.  Conclusions:  none of the assessed indicators evidenced an ideal level of compliance. Interventions are required to improve quality in health care for patients with pneumonia.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo:  Introdução:  o cumprimento das guias de prática clínica no manejo da pneumonia aguda comunitária não é conhecido no Uruguai.  Objetivo:  avaliar o cumprimento das guias de prática clínica em pacientes imunocompetentes hospitalizados com diagnóstico de pneumonia aguda comunitária em uma Clínica Médica do Hospital de Clínicas.  Metodologia:  estudo observacional retrospectivo. Foram estudadas variáveis patronímicas e clínicas, e indicadores de qualidade assistencial de acordo com padrões internacionais. O nível de cumprimento dos indicadores foi classificado como ótimo quando o cumprimento foi &gt; 90%, intermédio entre 60 e 90% e baixo quando foi &lt; 60%. As guias ConsenSur II e IDSA foram utilizadas como guias de referência.  Resultados:  foram incluídos 143 pacientes, sendo 62,9 % de sexo feminino (88/140), com una mediana de idade de 57 (38-73) anos. A população estudada caracterizou-se por uma mediana de Charlson de 1 (0-3), mediana de internação de 10 (7-14) dias e 26,6% (38/143) dos pacientes com critérios de pneumonia severa. Com relação ao cumprimento de indicadores de qualidade: nenhum em nível óptimo, 3 em nível intermédio (hemoculturas em pacientes com pneumonia severa, hemoculturas prévia a antibióticos e administração de antibióticos nas primeiras 8 horas), enquanto 4 variáveis que avaliam o uso de antibiótico apropriado segundo as guias e a prevenção da pneumonia tem um cumprimento em nível baixo.  Conclusões:  nenhum dos indicadores avaliados alcançou um nível ótimo. É necessário realizar intervenções para melhorar a qualidade da assistência na pneumonia.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Infecciones comunitarias adquiridas]]></kwd>
<kwd lng="es"><![CDATA[Neumonía]]></kwd>
<kwd lng="es"><![CDATA[Guías de práctica clínica]]></kwd>
<kwd lng="es"><![CDATA[Calidad de la atención de salud]]></kwd>
<kwd lng="en"><![CDATA[Community acquired infections]]></kwd>
<kwd lng="en"><![CDATA[Pneumonia]]></kwd>
<kwd lng="en"><![CDATA[Practice guidelines]]></kwd>
<kwd lng="en"><![CDATA[Quality of health care]]></kwd>
<kwd lng="pt"><![CDATA[Infecções comunitárias adquiridas]]></kwd>
<kwd lng="pt"><![CDATA[Pneumonia]]></kwd>
<kwd lng="pt"><![CDATA[Guias de prática clínica]]></kwd>
<kwd lng="pt"><![CDATA[Qualidade da assistência à saúde]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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