<?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>0300-9041</journal-id>
<journal-title><![CDATA[Ginecología y obstetricia de México]]></journal-title>
<abbrev-journal-title><![CDATA[Ginecol. obstet. Méx.]]></abbrev-journal-title>
<issn>0300-9041</issn>
<publisher>
<publisher-name><![CDATA[Federación Mexicana de Colegios de Obstetricia y Ginecología A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0300-90412017000700433</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Enfermedad pélvica inflamatoria: análisis retrospectivo]]></article-title>
<article-title xml:lang="en"><![CDATA[Pelvic inflammatory disease: retrospective analysis]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Álvarez-Pabón]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sepúlveda-Agudelo]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Díaz-Martínez]]></surname>
<given-names><![CDATA[LA]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Industrial de Santander Facultad de Salud Escuela de Medicina]]></institution>
<addr-line><![CDATA[Bucaramanga Santander]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Industrial de Santander Facultad de Salud Departamento de Ginecoobstetricia]]></institution>
<addr-line><![CDATA[Bucaramanga Santander]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Industrial de Santander Facultad de Salud ]]></institution>
<addr-line><![CDATA[Bucaramanga Santander]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2017</year>
</pub-date>
<volume>85</volume>
<numero>7</numero>
<fpage>433</fpage>
<lpage>441</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0300-90412017000700433&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0300-90412017000700433&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0300-90412017000700433&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  OBJETIVO: describir las variables sociodemográficas y clínicas relacionadas con los casos de enfermedad inflamatoria pélvica de pacientes atendidas en el Hospital Universitario de Santander, Bucaramanga, Colombia, y explorar su relación con la necesidad de cirugía.  MATERIALES Y MÉTODOS: estudio retrospectivo y análisis de los expedientes de pacientes atendidas entre 2013 y 2014 en el Hospital Universitario de Santander. Análsis de datos con STATA 12.1. Evaluación entre la necesidad de cirugía y las demás variables mediante pruebas de X2 o U de Mann-Whitney.  RESULTADOS: se incluyeron 212 pacientes: 136 (64.2%) hospitalizadas, de las que 35 (25.7%) requirieron intervención quirúrgica. En las pacientes hospitalizadas el régimen mayormente formulado fue clindamicina y gentamicina (55 de 136: 41.4%); en las de tratamiento ambulatorio: metronidazol y doxiciclina (21 de 76: 27.6%). Las variables significativamente asociadas con la necesidad de cirugía fueron: hallazgos ecográficos, el valor diagnóstico de los leucocitos y de PCR y las comorbilidades activas.  CONCLUSIÓN: la enfermedad inflamatoria pélvica debe considerarse un diagnóstico diferencial en cualquier paciente femenina en edad fértil con dolor abdominal; los parámetros paraclínicos básicos son una aproximación útil para determinar la necesidad de cirugía en pacientes con cuadro agudo.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  OBJECTIVE: to describe the socio-demographic and clinical variables related to pelvic inflammatory disease cases of patients treated in the Hospital Universitario de Santander, Bucaramanga, Colombia and explore the relationship of these variables with the need for surgery.  MATERIALS AND METHODS:  retrospective study and analysis of medical records of patients treated between 2013 and 2014 in the &#8220;Hospital Universitario de Santander&#8221;. Data analysis was performed with STATA 12.1. Evaluation between the need for surgery and other variables using the X2 test or the Mann-Whitney U test.  RESULTS: 212 patients were included: 136 (64.2%) hospitalized, 35 (25.7%) required surgical intervention. For the hospitalized patients, the main regimen was clindamycin and gentamicin (55 de 136: 41.4%); the patients with ambulatory treatment received: metronidazole and doxycycline (21 de 76: 27.6%). The variables significantly associated with the need for surgery were: ultrasound findings, the diagnostic value of white blood cells and of PCR and active comorbidities.  CONCLUSION: pelvic inflammatory disease should be considered a differential diagnosis in any reproductive age female patient with abdominal pain; basic paraclinical parameters are a useful approach to determine the need for surgery in patients who present an acute picture.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[enfermedad inflamatoria pélvica]]></kwd>
<kwd lng="es"><![CDATA[enfermedades de trasmisión sexual]]></kwd>
<kwd lng="es"><![CDATA[atención terciaria de salud]]></kwd>
<kwd lng="en"><![CDATA[pelvic inflammatory disease]]></kwd>
<kwd lng="en"><![CDATA[sexually transmitted diseases]]></kwd>
<kwd lng="en"><![CDATA[tertiary health care]]></kwd>
</kwd-group>
</article-meta>
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