Estudio de resistencia e. coli en pacientes con infecciones urinarias atendidos Hosnag, desarrollo de un plan metodológico
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2016
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
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ESTUDIO DE RESISTENCIA E. coli EN PACIENTES CON INFECCIONES URINARIAS ATENDIDOS EN HOSNAG. DESARROLLO DE UN PLAN METODOLOGICO. .
La resistencia bacteriana de E. coli en infecciones urinarias constituye un problema de salud por lo que se plantea como objetivo elaborar un plan metodológico de resistencia bacteriana en pacientes atendidos en el Laboratorio de Microbiología del Hospital Naval. En relación a la metodología cualitativa, el método es el estudio de caso y se han empleado como instrumentos, las encuestas a especialistas y pacientes atendidos en la unidad hospitalaria, y el análisis documental, de la base de datos del laboratorio de Microbiología y análisis bibliográfico para actualizar los conocimientos sobre resistencia bacteriana y su aplicación dentro de la biología molecular; es una investigación sin riesgo para el paciente y se aplica los principios de Bioética. Los resultados fueron: del total de pacientes atendidos, más de la tercera parte corresponde a los casos de resistencia y de estos en mayor proporción corresponde a la resistencia E. coli; en encuesta a los Médicos Tratantes consideran que el diagnóstico temprano es un problema y proponen en su mayoría las pruebas moleculares por su corto tiempo de diagnóstico. Además, un gran porcentaje de pacientes reconocieron automedicarse porque existe la venta libre de los antibióticos. Se concluye que: para el diagnóstico de resistencia microbiana sirve la Espectrometría de Masa lo que da un resultado con alta sensibilidad y especificidad, por lo tanto la propuesta permite un resultado más preciso, en menor tiempo de diagnóstico, logrando pacientes y tratantes más satisfechos con la atención hospitalaria.
E. coli RESISTANCE STUDY IN PATIENTS WITH URINARY INFECTIONS TREATED IN HOSNAG. DEVELOPMENT OF A METHODOLOGICAL PLAN The bacterial resistance of E. coli in urinary infections is a health problem. Therefore, it is proposed to develop a methodological plan of bacterial resistance in patients treated at the Naval Hospital Microbiology Laboratory. In relation to the qualitative methodology, the method is the case study and have been used as instruments, the surveys of specialists and patients treated in the hospital unit, and the documentary analysis of the database of the laboratory of Microbiology and bibliographic analysis, to update knowledge about bacterial resistance and its application within molecular biology; it is a research without risk to the patient and applies the principles of Bioethics. The results were: of the total of patients attended, more than a third corresponds to the cases of resistance and of these in greater proportion corresponds to the E. coli resistance; in a survey to the Medical Doctors consider that the early diagnosis is a problem and they propose in the majority the molecular tests by their short time of diagnosis. In addition, a large percentage of patients acknowledged selfmedication because antibiotics were sold over the counter. It is concluded that: for the diagnosis of microbial resistance by Mass Spectrometry is used which gives a result with high sensitivity and specificity, so the proposal allows a more precise result, in less time of diagnosis, obtaining patients and treating doctor more satisfied with Hospital care.
E. coli RESISTANCE STUDY IN PATIENTS WITH URINARY INFECTIONS TREATED IN HOSNAG. DEVELOPMENT OF A METHODOLOGICAL PLAN The bacterial resistance of E. coli in urinary infections is a health problem. Therefore, it is proposed to develop a methodological plan of bacterial resistance in patients treated at the Naval Hospital Microbiology Laboratory. In relation to the qualitative methodology, the method is the case study and have been used as instruments, the surveys of specialists and patients treated in the hospital unit, and the documentary analysis of the database of the laboratory of Microbiology and bibliographic analysis, to update knowledge about bacterial resistance and its application within molecular biology; it is a research without risk to the patient and applies the principles of Bioethics. The results were: of the total of patients attended, more than a third corresponds to the cases of resistance and of these in greater proportion corresponds to the E. coli resistance; in a survey to the Medical Doctors consider that the early diagnosis is a problem and they propose in the majority the molecular tests by their short time of diagnosis. In addition, a large percentage of patients acknowledged selfmedication because antibiotics were sold over the counter. It is concluded that: for the diagnosis of microbial resistance by Mass Spectrometry is used which gives a result with high sensitivity and specificity, so the proposal allows a more precise result, in less time of diagnosis, obtaining patients and treating doctor more satisfied with Hospital care.
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Pruebas moleculares, Infecciones urinarias, Atención hospitalaria, Hospital Naval Guayaquil, Cantón Guayaquil, Ecuador, Escherichia coli, Espectrometría de masa