Prevalencia y agente etiológico de endometritis en mujeres de 18 a 35 años
Fecha
2018
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina
Resumen
La endometritis la infección más común, que compromete primariamente a la decidua y posteriormente al miometrio adyacente. Además, es causada por varios gérmenes entre ellos gérmenes aerobios, anaerobios y clamidias. El propósito de la investigación, es establecer la prevalencia y agente etiológico de la endometritis en mujeres de 18 a 35 años del Hospital Regional Teodoro Maldonado Carbo. Se analizó un estudio analítico de enfoque cualitivo, de tipo transversal y retrospectivo que incluyó 120 pacientes atendidas entre el periodo del 1 de enero del 2016 al 31 de diciembre del 2017. De los 120 pacientes evaluados durante el periodo de estudio, el grupo etario comprendido entre los 18 a 20 años presentó el mayor número de pacientes con el 66 %, seguido de los pacientes de 21 a 30 años con el 26%, luego de 31 a 35 años presentaron el 8 %. Así mismo, el lugar de procedencia, la provincia del Guayas ocupa el primer lugar con el 54 %, seguido de la provincia de santa Elena con el 22 % y la provincia de EL Oro con un 12%. En cuanto a los factores de riesgo, la infección de vías urinarias fue la más prevalente con 57 %, seguido de vaginitis aguda con 24%, multípara con 13%, rotura prematura de membranas con el 5 % y por último la preeclampsia con 2 %.Los agentes etiológicos hallados fueron los siguientes: Estreptococos con el 21 %, seguido de la Escherichia coli con 19 %, luego la Clamydia trachomatis con 16 %, el Micoplasma hominis con 14 %, múltiples cepas con 13 %, luego Fusobacterium con 10 %, y por último enterococo con 7 %. Además, se encontró asociación estadísticamente significativa entre las complicaciones y los factores de riesgo (p0, 001) y la edad (p0, 003).
Endometritis is the most common infection, involving primarily the decidua and subsequently the adjacent myometrium. In addition, it is caused by several germs including aerobic, anaerobic and chlamydial germs. The purpose of the research is to establish the prevalence and etiological agent of endometritis in women aged 18 to 35 years of the Regional Hospital Teodoro Maldonado Carbo. An analytical study with a qualitative, cross-sectional and retrospective approach that included 120 patients attended between the period of January 1, 2016 and December 31, 2017 was analyzed. Of the 120 patients evaluated during the study period, the age group included between 18 and 20 years old, the largest number of patients presented 66%, followed by patients from 21 to 30 years old with 26%, after 31 to 35 years they presented 8%. Likewise, the place of origin, the province of Guayas occupies the first place with 54%, followed by the province of Santa Elena with 22% and the province of EL Oro with 12%. Regarding risk factors, urinary tract infection was the most prevalent with 57%, followed by acute vaginitis with 24%, multiparous with 13%, premature rupture of membranes with 5% and finally preeclampsia with 2%. The etiological agents found were the following: Streptococci with 21%, followed by Escherichia coli with 19%, then Clamydia trachomatis with 16%, Mycoplasma hominis with 14%, multiple strains with 13%, then Fusobacterium with 10%, and finally enterococcus with 7%. In addition, a statistically significant association was found between complications and risk factors (p0, 001) and age (p0, 003).
Endometritis is the most common infection, involving primarily the decidua and subsequently the adjacent myometrium. In addition, it is caused by several germs including aerobic, anaerobic and chlamydial germs. The purpose of the research is to establish the prevalence and etiological agent of endometritis in women aged 18 to 35 years of the Regional Hospital Teodoro Maldonado Carbo. An analytical study with a qualitative, cross-sectional and retrospective approach that included 120 patients attended between the period of January 1, 2016 and December 31, 2017 was analyzed. Of the 120 patients evaluated during the study period, the age group included between 18 and 20 years old, the largest number of patients presented 66%, followed by patients from 21 to 30 years old with 26%, after 31 to 35 years they presented 8%. Likewise, the place of origin, the province of Guayas occupies the first place with 54%, followed by the province of Santa Elena with 22% and the province of EL Oro with 12%. Regarding risk factors, urinary tract infection was the most prevalent with 57%, followed by acute vaginitis with 24%, multiparous with 13%, premature rupture of membranes with 5% and finally preeclampsia with 2%. The etiological agents found were the following: Streptococci with 21%, followed by Escherichia coli with 19%, then Clamydia trachomatis with 16%, Mycoplasma hominis with 14%, multiple strains with 13%, then Fusobacterium with 10%, and finally enterococcus with 7%. In addition, a statistically significant association was found between complications and risk factors (p0, 001) and age (p0, 003).
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Endometritis, Etiología, Hospital de Especialidades Dr. Teodoro Maldonado Carbo, Cantón Guayaquil, Ecuador, Prevalencia