<?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>0301-696X</journal-id>
<journal-title><![CDATA[Revista de sanidad militar]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. sanid. mil.]]></abbrev-journal-title>
<issn>0301-696X</issn>
<publisher>
<publisher-name><![CDATA[Secretaría de la Defensa Nacional, Dirección General de Sanidad]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0301-696X2018000400300</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Efectividad del tratamiento con esteroide tópico en fimosis fisiológica]]></article-title>
<article-title xml:lang="en"><![CDATA[Effectiveness of topical steroid treatment in physiological phimosis]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Romero-Cortés]]></surname>
<given-names><![CDATA[Irina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Leonardo-Puerta]]></surname>
<given-names><![CDATA[Juan de Dios]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Márquez-Celedonio]]></surname>
<given-names><![CDATA[Félix Guillermo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Naval de Veracruz Escuela de Postgrados en Sanidad Naval ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Naval de Veracruz  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad del Valle de México  ]]></institution>
<addr-line><![CDATA[Veracruz ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2018</year>
</pub-date>
<volume>72</volume>
<numero>5-6</numero>
<fpage>300</fpage>
<lpage>304</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0301-696X2018000400300&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0301-696X2018000400300&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0301-696X2018000400300&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción  La fimosis es una condición en la que el prepucio no puede ser retraído sobre el glande. La fimosis fisiológica afecta hasta a 96% de los recién nacidos y persiste hasta los tres o cuatro años de vida; es motivo común de consulta en la atención médica primaria y el tratamiento principal es la circuncisión. Diversos estudios han valorado el uso de esteroides tópicos en la liberación del prepucio fimótico.  Objetivo  Determinar la efectividad del tratamiento con esteroide tópico para la liberación del prepucio en lactantes con fimosis fisiológica en el Hospital Naval de Especialidades de Veracruz (HOSNAVESVER).  Material y métodos  Ensayo clínico aleatorizado controlado en lactantes de 30 a 60 días de edad con fimosis fisiológica. Se formaron mediante la aleatorización de tres grupos: A (hidrocortisona 1%/fisioterapia), B (vaselina/fisioterapia) y C (hidrocortisona 1% sola); se comparó su efectividad mediante la escala de Kayaba antes y después del tratamiento. El análisis estadístico se efectuó con pruebas de &#967;2 y Kruskal-Wallis.  Resultados  Se incluyeron 61 lactantes. Al inicio, 17 (85.0%) del grupo A, 14 (70.0%) del B y 17 (81.0%) del C estaban en categoría I de Kayaba; al final del tratamiento, 19 (95.0%) del grupo A estaban en categoría III y IV, 18 (90.0%) del grupo B y 19 (90.5%) del grupo C estaban en categoría II y III (p &lt; 0.05). La hidrocortisona/fisioterapia tuvo RR de -93.8%, IC 95% (-99.1 a -57.2%) y NNT de 1, IC 95% (1 a 2).  Conclusión  La hidrocortisona 1% con fisioterapia mostró mayor efectividad para el tratamiento de la fimosis fisiológica en lactantes de 30 a 60 días de vida.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction Phimosis is a condition in which the foreskin cannot be retracted on the glans. Physiological phimosis affects up to 96% of newborns, persisting until three or four years of age. It is a common reason for consultation in primary medical care, with the main treatment being circumcision. Several studies have evaluated the use of topical steroids in the release of the foreskin.  Objective To determine the effectiveness of topical steroid treatment for the liberation of the prepuce in infants with physiological phimosis in the Naval Hospital of Specialties of Veracruz (HOSNAVESVER).  Material and methods  Randomized controlled clinical trial in infants between 30 and 60 days of age with physiological phimosis. Three groups were randomized: A (hydrocortisone 1%/physiotherapy), B (petrolatum/physiotherapy) and C (only hydrocortisone 1%), comparing their effectiveness using the Kayaba scale before and after treatment. A statistical analysis was made with &#967;2 and Kruskal-Wallis tests.  Results 61 infants were included. At the beginning, 17 (85.0%) of group A, 14 (70.0%) of B and 17 (81.0%) of C were in category I of Kayaba; at the end of the treatment, 19 (95.0%) of group A were in category III and IV, 18 (90.0%) of group B, and 19 (90.5%) of group C were in category II and III (p &lt; 0.05). Hydrocortisone/physiotherapy had RR of -93.8%, 95% CI (-99.1% to -57.2%) and NNT of 1, 95% CI (1 to 2).  Conclusion Hydrocortisone 1% with physiotherapy showed greater effectiveness for the treatment of physiological phimosis in infants between 30 and 60 days of age.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Fimosis fisiológica]]></kwd>
<kwd lng="es"><![CDATA[hidrocortisona]]></kwd>
<kwd lng="es"><![CDATA[fisioterapia]]></kwd>
<kwd lng="es"><![CDATA[Kayaba]]></kwd>
<kwd lng="en"><![CDATA[Physiological phimosis]]></kwd>
<kwd lng="en"><![CDATA[hydrocortisone]]></kwd>
<kwd lng="en"><![CDATA[physiotherapy]]></kwd>
<kwd lng="en"><![CDATA[Kayaba]]></kwd>
</kwd-group>
</article-meta>
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</article>
