<?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>0120-5552</journal-id>
<journal-title><![CDATA[Revista Salud Uninorte]]></journal-title>
<abbrev-journal-title><![CDATA[Salud, Barranquilla]]></abbrev-journal-title>
<issn>0120-5552</issn>
<publisher>
<publisher-name><![CDATA[Fundación Universidad del Norte, División de Ciencias de la]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0120-55522023000300948</article-id>
<article-id pub-id-type="doi">10.14482/sun.39.03.787.658</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Descripción clínico-microbiológica y factores asociados con desenlaces desfavorables en infecciones de pie diabético. Estudio transversal en el Caribe colombiano]]></article-title>
<article-title xml:lang="en"><![CDATA[Clinical and microbiological description and factors associated with unfavorable outcomes in diabetic foot infections: a cross-sectional study in the Colombian Caribbean region]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[ROJAS TAPIA]]></surname>
<given-names><![CDATA[JORGE ELIECER]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[LOZADA-MARTINEZ]]></surname>
<given-names><![CDATA[IVAN DAVID]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[LOPERA MARTÍNEZ]]></surname>
<given-names><![CDATA[MATEO]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[DÍAZ BELTRÁN]]></surname>
<given-names><![CDATA[GIOVANNY]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[GONZÁLEZ CASTRO]]></surname>
<given-names><![CDATA[JOSÉ DENNIS]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Cartagena Departamento de Medicina ]]></institution>
<addr-line><![CDATA[Cartagena ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Cartagena Facultad de Medicina ]]></institution>
<addr-line><![CDATA[Cartagena ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de Cartagena Facultad de Medicina ]]></institution>
<addr-line><![CDATA[Cartagena ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital Universitario del Caribe  ]]></institution>
<addr-line><![CDATA[Cartagena ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Universidad de Cartagena Facultad de Medicina ]]></institution>
<addr-line><![CDATA[Cartagena ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2023</year>
</pub-date>
<volume>39</volume>
<numero>3</numero>
<fpage>948</fpage>
<lpage>970</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0120-55522023000300948&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0120-55522023000300948&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0120-55522023000300948&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: En la región del Caribe colombiano es escasa la evidencia sobre infección de pie diabético que apoye la toma de decisiones basada en datos propios y se desconoce el comportamiento microbiológico actual de este tipo de infección.  Métodos: Estudio corte transversal que incluyó pacientes con infección de pie diabético atendidos en un hospital de referencia de tercer nivel de la región del Caribe colombiano, entre septiembre de 2021 y mayo de 2022. Se extrajeron datos sociodemográficos, clínicos y microbiológicos del paciente y su infección. Se realizó un análisis descriptivo y cálculo de razón de prevalencia (RP), para identificar factores asociados con desenlaces desfavorables.  Resultados: Un total de 149 pacientes fueron incluidos. El 61,8 % de la muestra era de sexo masculino, con una mediana de edad de 61 años. Predominó la infección moderada a severa (67,8 %). Pseudomona aeruginosa (18,1%), Escherichia coli (13,5 %) y Staphylococcus aureus (12,8 %), fueron los agentes más frecuentes encontrados. El 44,2 % de los microorganismos demostró resistencia. El tabaquismo (p &lt;0,001), antecedente de amputación (p &lt;0,001), la cronicidad de la úlcera (p &lt;0,001) y el ingreso a cuidado intensivo (p &lt;0,001) se asociaron significativamente con mortalidad, amputación, resistencia microbiana y diagnóstico de osteomielitis por imagen.  Conclusión: En la región del Caribe colombiano, la infección por pie diabético es predominante en hombres de mediana edad, con presentación moderada a severa, causada principalmente por bacterias gramnegativas y enterobacterias y, el tabaquismo y el ingreso a cuidado intensivo son los factores asociados de manera más significativa a desenlaces desfavorables.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: In the Colombian Caribbean region, there is scarce evidence on diabetic foot infection to support decision making based on the patient's own data, and the current microbiological behavior of this type of infection is unknown.  Methods: Cross-sectional study that included patients with diabetic foot infection treated at a third level referral hospital in the Colombian Caribbean region, between September 2021 and May 2022. Sociodemographic, clinical and microbiological data on the patient and his infection were extracted. A descriptive analysis and prevalence ratio (PR) calculation were performed to identify factors associated with unfavorable outcomes.  Results: A total of 149 patients were included. The 61.8% of the sample was male, with a median age of 61 years. Moderate to severe infection predominated (67.8 %). Pseudomona aeruginosa (18.1 %), Escherichia coli (13.5 %), and Staphylococcus aureus (12.8 %) were the most frequent agents found. 44.2 % of the microorganisms showed resistance. Smoking (p &lt;0.001), history of amputation (p &lt;0.001), chronicity of ulcer (p &lt;0.001) and admission to intensive care (p &lt;0.001) were significantly associated with mortality, amputation, microbial resistance and diagnosis of osteomyelitis by imaging  Conclusions: In the Colombian Caribbean region, diabetic foot infection is predominant in middle-aged men, with moderate to severe presentation, mainly caused by gram-negative bacteria and enterobacteria, and smoking and admission to intensive care are the factors most significantly associated with unfavorable outcomes.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[pie diabético]]></kwd>
<kwd lng="es"><![CDATA[infecciones]]></kwd>
<kwd lng="es"><![CDATA[diabetes mellitus]]></kwd>
<kwd lng="es"><![CDATA[amputación]]></kwd>
<kwd lng="es"><![CDATA[mortalidad]]></kwd>
<kwd lng="es"><![CDATA[región del Caribe]]></kwd>
<kwd lng="en"><![CDATA[diabetic foot]]></kwd>
<kwd lng="en"><![CDATA[infections]]></kwd>
<kwd lng="en"><![CDATA[diabetes mellitus]]></kwd>
<kwd lng="en"><![CDATA[amputation]]></kwd>
<kwd lng="en"><![CDATA[mortality]]></kwd>
<kwd lng="en"><![CDATA[Caribbean region]]></kwd>
</kwd-group>
</article-meta>
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