Infecciones de vías urinarias en embarazadas del Hospital Teodoro Maldonado Carbo en el 2015
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2017
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Medicina
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El embarazo y las infecciones de vías urinarias son hechos que preocupan a la sociedad, en el Ecuador las cifras van en aumento, aunque el embarazo es una condición fisiológica, cuando se presenta una infección de vías urinarias se convierte en un problema al no ser tratadas, las complicaciones que pueden llevar esta infección son varias, aumentando el riesgo de morbimortalidad materna e infantil. El presente trabajo determino los factores de riesgo asociados y complicaciones al desarrollo de infección de vías urinarias en embarazadas, del Hospital Teodoro Maldonado Carbo de Guayaquil en el 2015. Para la realización del estudio se tomó una muestra de 100 pacientes que cumplían con los requisitos de la investigación, de un universo de 7790 que presentaron IVU. El enfoque del estudio fue cuantitativo, diseño observacional, de corte transversal. Obteniéndose los siguientes resultados: En relación a la edad materna el grupo entre 21 – 25 años de edad represento una mayor frecuencia de infección de vías urinaria en el embarazo con un 35% (35);siendo mayor en el primer trimestre con un 54% (54); las pacientes primigestas en un 63% (63) de las cuales la mayor afectación corresponde a las provenientes de zonas rurales con un 53% (53); fue la cistitis la patología de mayor frecuencia 49% (49); En relación a los controles prenatales se encontró una relación inversa ; las que tuvieron < 4 controles prenatales 54% (54); Pacientes que presentaron amenaza de parto pretermino fue un 64% (64), En cuanto la repercusión neonatal ;27%presento sepsis neonatal y 19 % presento asfixia perinatal; En relación del peso del producto no hubo mayor incidencia
Palabras claves: infección vía urinaria, embarazo, factores de riesgo, complicaciones.
Pregnancy and urinary tract infections are facts that cause concern to society, in Ecuador the numbers are increasing, although pregnancy is a physiological condition, when a urinary tract infection becomes a problem when not treated , The complications that can lead to this infection are several, increasing the risk of maternal and infant morbidity and mortality. The present study determined the associated risk factors and complications for the development of urinary tract infection in pregnant women at the Teodoro Maldonado Carbo Hospital in Guayaquil in 2015. A sample of 100 patients who met the requirements of The investigation, of a universe of 7790 that presented IVU. The focus of the study was quantitative, observational, cross-sectional design. The following results were obtained: Regarding maternal age, the group aged between 21 and 25 years showed a higher frequency of urinary tract infection in pregnancy with 35% (35), being higher in the first trimester with 54% (54); The primigravida patients in 63% (63) of which the most affected corresponds to those coming from rural areas with 53% (53); Cystitis was the most frequent pathology 49% (49); In relation to prenatal controls, an inverse relationship was found; Those who had <4 prenatal controls 54% (54); Patients who presented preterm labor threat were 64% (64). As for the neonatal repercussion, 27% had neonatal sepsis and 19% presented perinatal asphyxia; Regarding the weight of the product, there was no higher incidence
Pregnancy and urinary tract infections are facts that cause concern to society, in Ecuador the numbers are increasing, although pregnancy is a physiological condition, when a urinary tract infection becomes a problem when not treated , The complications that can lead to this infection are several, increasing the risk of maternal and infant morbidity and mortality. The present study determined the associated risk factors and complications for the development of urinary tract infection in pregnant women at the Teodoro Maldonado Carbo Hospital in Guayaquil in 2015. A sample of 100 patients who met the requirements of The investigation, of a universe of 7790 that presented IVU. The focus of the study was quantitative, observational, cross-sectional design. The following results were obtained: Regarding maternal age, the group aged between 21 and 25 years showed a higher frequency of urinary tract infection in pregnancy with 35% (35), being higher in the first trimester with 54% (54); The primigravida patients in 63% (63) of which the most affected corresponds to those coming from rural areas with 53% (53); Cystitis was the most frequent pathology 49% (49); In relation to prenatal controls, an inverse relationship was found; Those who had <4 prenatal controls 54% (54); Patients who presented preterm labor threat were 64% (64). As for the neonatal repercussion, 27% had neonatal sepsis and 19% presented perinatal asphyxia; Regarding the weight of the product, there was no higher incidence
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Infecciones de las vías urinarias, Factores de riesgo, Complicaciones, Hospital de Especialidades Dr. Teodoro Maldonado Carbo, Cantón Guayaquil, Ecuador, Mujeres embarazadas