<?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>0121-0319</journal-id>
<journal-title><![CDATA[Medicas UIS]]></journal-title>
<abbrev-journal-title><![CDATA[Medicas UIS]]></abbrev-journal-title>
<issn>0121-0319</issn>
<publisher>
<publisher-name><![CDATA[Universidad Industrial de Santander]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0121-03192018000100023</article-id>
<article-id pub-id-type="doi">10.18273/revmed.v31n1-2018003</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Procalcitonina de cordón umbilical como predictor de sepsis temprana en recién nacidos prematuros &#8220;en Tamaulipas, México 2016&#8221;. Resultado preliminar]]></article-title>
<article-title xml:lang="en"><![CDATA[Umbilical cord blood serum procalcitonin as predictor of early onset sepsis in premature infants in Tamaulipas México, 2016. Preliminary results]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López-Garrido]]></surname>
<given-names><![CDATA[Esteban]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González-Quintanilla]]></surname>
<given-names><![CDATA[María Arlen]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Berlanga-Bolado]]></surname>
<given-names><![CDATA[Oscar Manuel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fortuna Reyna]]></surname>
<given-names><![CDATA[Brenda de Jesús]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rivera-Vázquez]]></surname>
<given-names><![CDATA[Patricia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Regional de Alta Especialidad de Ciudad Victoria  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Regional de Alta especialidad de Ciudad Victoria  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Regional de Alta Especialidad de Ciudad Victoria  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital Regional de Alta Especialidad de Ciudad Victoria  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Hospital General Norberto Treviño Zapata  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2018</year>
</pub-date>
<volume>31</volume>
<numero>1</numero>
<fpage>23</fpage>
<lpage>30</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0121-03192018000100023&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0121-03192018000100023&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0121-03192018000100023&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: La sepsis causa alta mortalidad en el prematuro, afecta hasta 19 de 1000 en los menores de 1000 g y su manifestación puede ser inespecífica. La toma de decisión del uso de antibióticos es difícil, siendo necesario un predictor rápido, barato y efectivo para sepsis temprana.  Objetivo: Determinar la utilidad de la procalcitonina de cordón umbilical como predictor de sepsis temprana en el recién nacido prematuro.  Materiales y métodos: Estudio descriptivo, longitudinal, de junio a noviembre del 2016. Se incluyeron 22 recién nacidos &lt; 37 semanas de gestación, con o sin factores de riesgo para infección. Los neonatos con malformaciones o sospecha de enfermedad metabólica fueron excluidos. Procalcitonina y hemocultivo de cordón fueron tomados al nacimiento, posteriormente fueron valorados desde el nacimiento hasta las 72 horas de vida para datos de sepsis.  Resultados: Doce desarrollaron sepsis temprana y diez no. La media de procalcitonina de cordón en el grupo de sepsis fue de 0,68 ng/ml versus de 0,13 ng/ml en el grupo sin sepsis, p=0.025. En el análisis bajo el área de la curva ROC para la procalcitonina fue de 0,75. El valor de corte de procalcitonina de cordón fue de 0,14 ng/ml como predictor de sepsis temprana (sensibilidad 75%, especificidad 70%, valor predictivo positivo 75%, valor predictivo negativo 70%).  Conclusiones: La procalcitonina de cordón umbilical al nacimiento puede ser un parámetro útil como marcador de sepsis neonatal temprana en el prematuro, sin embargo, estos resultados deben ser validados con un tamaño de muestra más grande. MÉD.UIS. 2018;31(1):23-30.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: Sepsis is a cause of high mortality in the premature, it affects up to 19 of 1000 in children under 1000 g and its manifestation may be nonspecific. Decision-making on the use of antibiotics is not always easy, so it is worth having an fast, cheap and effective predictor of early onset sepsis.  Objective: To determine the use of serum procalcitonin umbilical cord as a predictor of early onset sepsis in preterm infants.  Materials and methods: Longitudinal descriptive study from june to november 2016 was made. 22 preterm infants (&lt;37 weeks of gestation) were included, with or without risk factors for infection. Neonates with malformations or suspicion of metabolic disease were excluded. A blood sample was taken from the umbilical artery for procalcitonin and blood culture at birth, subsequently they were assessed from birth to 72 hours of life for sepsis data.  Results: Twelve developed early onset sepsis and ten did not. The mean procalcitonin of umbilical cord in the sepsis group was 0.68 ng/ml versus 0.13 ng/ml in the group without sepsis, p=0.025. In the analysis under the ROC curve area for procalcitonin was 0.75. The cut value of umbilical cord procalciton was 0.14 ng/ml as a predictor of early sepsis (sensitivity 75%, specificity 70%, positive predictive value 75%, negative predictive value 70%).  Conclusions: Procalcitonin of umbilical cord at birth may be a useful parameter as a marker of early onset sepsis in the premature, however these results must be validated with a larger sample size. MÉD.UIS. 2018;31(1):23-30.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Procalcitonina]]></kwd>
<kwd lng="es"><![CDATA[Cordon Umbilical]]></kwd>
<kwd lng="es"><![CDATA[Sepsis temprana]]></kwd>
<kwd lng="es"><![CDATA[Prematuro]]></kwd>
<kwd lng="en"><![CDATA[Procalcitonin]]></kwd>
<kwd lng="en"><![CDATA[Umbilical Cord]]></kwd>
<kwd lng="en"><![CDATA[Neonatal Sepsis]]></kwd>
<kwd lng="en"><![CDATA[Infant]]></kwd>
<kwd lng="en"><![CDATA[Premature]]></kwd>
</kwd-group>
</article-meta>
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