<?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>1688-1249</journal-id>
<journal-title><![CDATA[Archivos de Pediatría del Uruguay]]></journal-title>
<abbrev-journal-title><![CDATA[Arch. Pediatr. Urug.]]></abbrev-journal-title>
<issn>1688-1249</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Uruguaya de Pediatría]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1688-12492025000301806</article-id>
<article-id pub-id-type="doi">10.31134/ap.96.35</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Protocolo. Manejo neonatal del dengue: abordaje clínico y preventivo]]></article-title>
<article-title xml:lang="pt"><![CDATA[Manejo neonatal da dengue: abordagem clínica e preventiva]]></article-title>
<article-title xml:lang="en"><![CDATA[Neonatal nanagement of dengue: clinical and preventive approach]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sobrero]]></surname>
<given-names><![CDATA[Helena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[de los Santos]]></surname>
<given-names><![CDATA[Jennise]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Dendi]]></surname>
<given-names><![CDATA[Álvaro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vezzaro]]></surname>
<given-names><![CDATA[Valeria]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pazos]]></surname>
<given-names><![CDATA[Estefany]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Quipildor]]></surname>
<given-names><![CDATA[Marcelo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Moraes]]></surname>
<given-names><![CDATA[Mario]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,UDELAR Facultad de Medicina Unidad Académica Neonatología. CHPR]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,UDELAR Facultad de Medicina Unidad Académica Neonatología. CHPR]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,UDELAR Facultad de Medicina Unidad Académica Neonatología. CHPR]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,UDELAR Facultad de Medicina ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Universidad Nacional de Salta  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Argentina</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,UDELAR Facultad de Medicina Unidad Académica Neonatología. CHPR]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Uruguay</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>96</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S1688-12492025000301806&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S1688-12492025000301806&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S1688-12492025000301806&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen El dengue es una enfermedad viral transmitida por el mosquito Aedes aegypti. Esta infección ha mostrado un aumento global de casos, afectando especialmente a la región de las Américas. En Uruguay, el brote más reciente (2024) registró 702 casos autóctonos y 410 importados, lo que subraya la necesidad de fortalecer estrategias de vigilancia y manejo. El dengue puede complicar el embarazo con riesgos de parto pretérmino y bajo peso al nacer, aunque no se ha confirmado una asociación estadísticamente significativa. El riesgo de transmisión vertical oscila entre 1,6%-10,5%, aumentando si la infección ocurre cerca del parto. Los recién nacidos pueden adquirir la infección de forma vertical (transplacentaria) u horizontal (picadura de mosquito). Se puede observar una amplia variabilidad del cuadro clínico, oscilando desde pacientes asintomáticos, síntomas leves o casos graves con potencial mortalidad, requiriendo un diagnóstico diferencial con sepsis. Las pruebas recomendadas incluyen la reacción en cadena de polimerasa (PCR) en sangre de cordón, detección de antígeno NS1 e IgM, adaptada al momento clínico. La lactancia materna es segura y recomendada en todos los casos, incluso con madres infectadas dado su papel protector. Estas recomendaciones buscan optimizar la identificación y manejo de neonatos en riesgo, asegurando un enfoque integral y preventivo frente al dengue.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[ A dengue é uma doença viral transmitida pelo mosquito Aedes aegypti. Esta infecção tem mostrado um aumento global de casos, afetando especialmente a região das Américas. No Uruguai, o surto mais recente (2024) registrou 702 casos autóctones e 410 importados, o que salienta a necessidade de fortalecer as estratégias de vigilância e manejo. A dengue pode complicar a gravidez com riscos de parto prematuro e baixo peso ao nascer, embora uma associação estatisticamente significativa não tenha sido confirmada. O risco de transmissão vertical oscila entre 1.6-10.5%, aumentando se a infecção ocorrer próximo ao parto. Os recém-nascidos podem adquirir a infecção de forma vertical (transplacentária) ou horizontal (picada de mosquito). Pode-se observar uma ampla variabilidade do quadro clínico, que vai desde pacientes assintomáticos, sintomas leves ou casos graves com potencial mortalidade, requerendo um diagnóstico diferencial com sepse. Os testes recomendados incluem PCR em sangue de cordão, detecção de antígeno NS1 e IgM, adaptados ao momento clínico. A amamentação é segura e recomendada em todos os casos, mesmo com mães infectadas, dado o seu papel protetor. Estas recomendações buscam otimizar a identificação e o manejo de neonatos em risco, assegurando uma abordagem integral e preventiva frente à dengue.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Summary Dengue is a viral disease transmitted by the Aedes aegypti mosquito. This infection has shown a global increase in cases, particularly affecting the Americas region. In Uruguay, the most recent outbreak (2024) recorded 702 autochthonous and 410 imported cases, underscoring the need to strengthen surveillance and management strategies. Dengue can complicate pregnancy with risks of preterm birth and low birth weight, although a statistically significant association has not been confirmed. The risk of vertical transmission ranges from 1.6-10.5%, increasing if the infection occurs close to delivery. Newborns can acquire the infection vertically (trans-placentally) or horizontally (mosquito bite). A wide variability in clinical presentation can be observed, ranging from asymptomatic patients, mild symptoms, or severe cases with potential mortality, requiring differential diagnosis with sepsis. Recommended tests include PCR in cord blood, NS1 antigen detection, and IgM, adapted to the clinical timing. Breastfeeding is safe and recommended in all cases, even for infected mothers, given its protective role. These recommendations aim to optimize the identification and management of at-risk neonates, ensuring a comprehensive and preventive approach to dengue.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Dengue]]></kwd>
<kwd lng="es"><![CDATA[Recién Nacido]]></kwd>
<kwd lng="pt"><![CDATA[Dengue]]></kwd>
<kwd lng="pt"><![CDATA[Recém-Nascido]]></kwd>
<kwd lng="en"><![CDATA[Dengue]]></kwd>
<kwd lng="en"><![CDATA[Infant, Newborn]]></kwd>
</kwd-group>
</article-meta>
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