<?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>1870-7203</journal-id>
<journal-title><![CDATA[Acta médica Grupo Ángeles]]></journal-title>
<abbrev-journal-title><![CDATA[Acta méd. Grupo Ángeles]]></abbrev-journal-title>
<issn>1870-7203</issn>
<publisher>
<publisher-name><![CDATA[Grupo Ángeles, Servicios de Salud]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1870-72032018000200120</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Factores de riesgo asociados con lesiones hepáticas secundarias en neonatos en el periodo de enero de 2014 a noviembre de 2016]]></article-title>
<article-title xml:lang="en"><![CDATA[Risk factors associated with secondary hepatic lesions in neonates from January 2014 to November 2016]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lozano Duau]]></surname>
<given-names><![CDATA[Corinne Michelle]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Orozco Romero]]></surname>
<given-names><![CDATA[Diana Paulina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Braverman Bronstein]]></surname>
<given-names><![CDATA[Ariela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bernárdez Zapata]]></surname>
<given-names><![CDATA[Isabel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Iglesias Leboreiro]]></surname>
<given-names><![CDATA[José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad La Salle Facultad Mexicana de Medicina Hospital Español de México]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Español de México Unidad de Cuidados Intensivos Neonatales ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Español de México  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital Español de México  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Hospital Español de México División de Pediatría y Neonatología ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2018</year>
</pub-date>
<volume>16</volume>
<numero>2</numero>
<fpage>120</fpage>
<lpage>124</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1870-72032018000200120&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1870-72032018000200120&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1870-72032018000200120&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  Las lesiones hepáticas secundarias son entidades cada vez más frecuentes. El diagnóstico temprano es un reto por el cuadro clínico inespecífico y el poco control ultrasonográfico. Dentro de las lesiones hepáticas secundarias descritas se encuentran hematomas, abscesos e infecciones fúngicas. El objetivo de nuestro estudio es identificar los factores de riesgo asociados a lesiones hepáticas secundarias en neonatos.  Material y métodos:  Se trata de un estudio retrospectivo de casos y controles. Se incluyeron pacientes hospitalizados en la Unidad de Cuidados Intensivos Neonatales del Hospital Español de México. Los pacientes revisados fueron aquéllos que presentaron lesiones hepáticas en el ultrasonido abdominal en la primera semana de vida.  Resultados:  El peso bajo para la edad gestacional incrementa ocho veces la probabilidad de presentar lesiones en comparación con los neonatos de peso adecuado para la edad. Se observó que aquellos con antecedentes de infección materna durante el embarazo tienen 3.8 veces más probabilidad de presentar lesiones hepáticas.  Discusión:  La inmadurez inmunológica de los recién nacidos pretérmino y de bajo peso para la edad gestacional ha mostrado ser una condicionante para presentar lesiones hepáticas. La selección bacteriana por laprofilaxis antimicrobiana al colocar catéteres umbilicales favorece la presencia de lesiones hepáticas fúngicas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction: The incidence of collateral hepatic lesions in neonates has increased in the last years. Due to the unspecific clinical data and lack of ultrasonographic control, a timely diagnosis is quite important. The purpose of this case study is to identify risk factors related to the secondary hepatic lesions frequently reported in neonates, such as hematomas and hepatic candidiasis.  Material and methods: This is a retrospective case-control study based on patients from the Neonatal Intensive Care Unit of the Hospital Español de México that showed hepatic lesions during the first week of life.  Results: Low weight for gestational age increases eight times the likelihood of liver damage compared to normal weight infants. Similarly, newborns with a history of maternal infection during pregnancy were 3.8 times more likely to present liver lesions than those without a history of maternal infection.  Discussion: Immunological immaturity of preterm and low birth weight infants has proved a conditioning factor for having hepatic lesions. Similarly, bacterial selection by antimicrobial prophylaxis when placing umbilical catheters promotes the presence of fungal liver lesions. Another risk factor highlighted in our study was the risk of hepatic lesions secondary to a maternal infection during pregnancy due to a possible upward spread of the infection.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Lesiones hepáticas]]></kwd>
<kwd lng="es"><![CDATA[factores de riesgo]]></kwd>
<kwd lng="es"><![CDATA[ultrasonido abdominal]]></kwd>
<kwd lng="es"><![CDATA[neonatos]]></kwd>
<kwd lng="en"><![CDATA[Hepatic lesions]]></kwd>
<kwd lng="en"><![CDATA[risk factors]]></kwd>
<kwd lng="en"><![CDATA[abdominal ultrasound]]></kwd>
<kwd lng="en"><![CDATA[neonate]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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