Identificar candiduria en pacientes con diabetes mellitus tipo II por el método Chromagar, estudio a realizarse en pacientes con diabetes mellitus tipo II en el Hospital Luis Vernaza de la Junta de Beneficencia de Guayaquil
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2013
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Tecnología Médica
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El presente estudio permite identificar los diferentes tipos de cándidas que se presentan en los pacientes diabéticos no insulino dependientes con cuadro clínico de infección por levaduras en orina, conocido como candidurias, este tipo de patología es propensa a cualquier persona, pero en el estudio se determina su relevancia en pacientes inmunosuprimidos como es el caso de la Diabetes Mellitus tipo 2, como una de las causales, el estudio se lo realizó durante el periodo del mes de enero a mayo del 2013, en el Laboratorio Clínico del Hospital Luis Vernaza de la Junta de Beneficencia de Guayaquil, cuyo objetivo principal es identificar mediante método de CHROMagar las diferentes cándidas de acuerdo a la coloración que se presentan los urocultivos en este método de determinación del agente infeccioso. El estudio es de tipo descriptivo, analítico y de tipo bibliográfico-de campo, aplicado en un total de 100 pacientes según los criterios de inclusión mencionados en el mismo. Los resultados mostraron que el 65% corresponden a pacientes del sexo femenino, el 33% tiene entre 46 a 50 años de edad, 45% tiene estudios secundarios, 58% no tiene ingresos económicos fijos, una media del 54% tiene antecedentes patológicos familiares, el 51% presenta con mucha frecuencia infecciones a las vías urinarias, el 61% es reincidente en la infección por levaduras, la afectación se inicia a partir del primer año de diagnóstico de diabetes, la mayoría presenta síntomas de prurito con el 89% y 72% con secreciones genitales, el tipo de cándida que mayormente se encontraron en los cultivos fue el del género C. albicans con el 54%, es importante precautelar las funciones renales de los pacientes diabéticos ya que las infecciones a las vías urinarias frecuentes pueden traer consecuencias irreversibles aumentando las complicaciones sobre la enfermedad y la incidencia de la morbimortalidad por la diabetes.
This study identifies the different types of candida that occur in non-insulin diabetic patients dependent with clinical picture of urine yeast infection, known as candidurias, this type of pathology is prone to anyone, but the study determines its relevance in immunosuppressed patients such as type 2 Diabetes Mellitus, as one of the causes, the study was conducted during the period from January to May 2013, at the Ho Clinical Laboratory spital Luis Vernaza of the Board of Charity of Guayaquil, whose main objective is to identify by method of CHROMagar the different candidas according to the coloration that the urocultures are presented in this method of determination of the infectious agent. The study is descriptive, analytical and bibliographic-field, applied in a total of 100 patients according to the inclusion criteria mentioned in it. The results showed that 65% are for female patients, 33% are between 46 and 50 years of age, 45% have secondary education, 58% have no fixed economic income, an average of 54% have a family pathological history, 51% have very often urinary tract infections, 61% is repeat offender in yeast infection, affectation starts from the first year of diabetes diagnosis, most have symptoms of itching with 89% and 72% with genital secretions, the type of candida that were mostly found in crops was that of the genus C. albicans with 54%, it is important to pre-caution the kidney functions of diabetic patients since infections to the common urinary tract can have irreversible consequences increasing complications about the disease and the incidence of diabetes morbidity.
This study identifies the different types of candida that occur in non-insulin diabetic patients dependent with clinical picture of urine yeast infection, known as candidurias, this type of pathology is prone to anyone, but the study determines its relevance in immunosuppressed patients such as type 2 Diabetes Mellitus, as one of the causes, the study was conducted during the period from January to May 2013, at the Ho Clinical Laboratory spital Luis Vernaza of the Board of Charity of Guayaquil, whose main objective is to identify by method of CHROMagar the different candidas according to the coloration that the urocultures are presented in this method of determination of the infectious agent. The study is descriptive, analytical and bibliographic-field, applied in a total of 100 patients according to the inclusion criteria mentioned in it. The results showed that 65% are for female patients, 33% are between 46 and 50 years of age, 45% have secondary education, 58% have no fixed economic income, an average of 54% have a family pathological history, 51% have very often urinary tract infections, 61% is repeat offender in yeast infection, affectation starts from the first year of diabetes diagnosis, most have symptoms of itching with 89% and 72% with genital secretions, the type of candida that were mostly found in crops was that of the genus C. albicans with 54%, it is important to pre-caution the kidney functions of diabetic patients since infections to the common urinary tract can have irreversible consequences increasing complications about the disease and the incidence of diabetes morbidity.
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Diabetes mellitus tipo 2, Método Chromagar, Hospital Luis Vernaza, Cantón Guayaquil, Ecuador