Pavón-Gómez NJ

Language: Spanish
References: 8
Page: 15-20
PDF size: 128.24 Kb.

ABSTRACT

Introduction: The urinary tract infection is one of the most common infections during pregnancy and its importance lies in the complications that have been reported in the pregnant women and the newborn. Material and methods: Observational, descriptive, longitudinal and prospective study. We included pregnant with urinary symptoms and positive urine culture. Results: In the period 2011-2012 was carried out a study involving 1,256 pregnant women with symptoms of urinary infection and positive urine culture. It was determined the sensitivity and resistance to antibiotics to urinary pathogens. The 55.6% of the pregnant women had less than 20 weeks gestation and 33.5% was 15 to 25 years old. The 84.9% of patients only had mild urinary infection symptoms. The most frequent etiological agent isolated was Escherichia coli with 76.6% of cases, 7.1% were caused by Proteus sp and 6.6% by Klebbsiella. The sensitivity of nitrofurantion for urinary pathogens was 94.3%, gentamycin 78% and ampicillin 73%. The antibiotics with high rates of sensitivity were ceftazidime and imipenem. Conclusions: The highest percentage of urinary tract infection was caused by Escherichia coli; the most common age of onset was between 15 to 25 years; antibiotics with highest sensitive were nitrofurantion, ceftazidime and imipenem.

REFERENCES

1. Ministerio de Salud. Guía de práctica clínica y procedimientos en obstetricia y perinatología. Lima Perú: Instituto Nacional Materno Perinatal; 2010.

2. Teppa RJ, Roberts JM. The uriscreen test to detect significant asymptomatic bacteriuria during pregnancy. J Soc Gynecol Investig 2005; 12: 50-3.

3. Millar LK, Cox SM. Urinary tract infections complicating pregnancy. Infect Dis Clin North Am 1997; 11: 13-26.

4. Vázquez JC, Villar J. Tratamientos para las infecciones urinarias sintomáticas durante el embarazo. Biblioteca Cochrane Plus [Internet] 2007; 3. Disponible en: http://www.update-software.com

5. Huete Ricardo, Gallo Meyling. Infección de vías urinarias en pacientes embarazadas del Hospital Humberto Alvarado de Masaya [Tesis de Especialidad] Colombia; Ginecoobstetricia: 1998.

6. Gómez CP, Plata M, Sejnaui J. Resistencia de E.coli en urocultivos de pacientes con sospecha de infección urinaria intra y extrahospitalaria en la Fundación Santa Fe de Bogotá. Urología Colombiana 2008; 18: 53-8.

7. Chávez-Valencia R. Patrones de resistencia antimicrobiana y etiología en infecciones urinarias no complicadas. Gac Med Mex 2010; 146: 94-9.

8. Abarzúa CF, Zajer C, Donoso B, Belmar J, Riveros JP, González BP et al. Reevaluación de la sensibilidad antimicrobiana de patógenos urinarios en el embarazo. Rev Chil Obstet Ginecol [en línea] 2002 [fecha de acceso 14 de noviembre de 2005]; 67. Disponible en: http://www.scielo.cl/pdf/rchog/v67n3/art11.pdf