Correlación procalcitonina y urocultivo en diagnóstico de infección urinaria gestacional, resultante obstétrica y neonatal
No hay miniatura disponible
Fecha
2019
Autores
Título de la revista
ISSN de la revista
Título del volumen
Editor
Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
Resumen
La infección urinaria gestacional es causa de complicaciones obstétricas y neonatales como: Prematurez e infección intra-amniótica. El presente estudio fue realizado con el propósito de correlacionar si las cifras de procalcitonina y resultados de urocultivo tienen valor diagnóstico para infección urinaria gestacional. Por el tipo y diseño de investigación se realizó un estudio: Analítico - Correlacional, retrospectivo, no experimental, de corte transversal. Para el análisis de información se usaron programas estadísticos tipo SPSS, como prueba estadística se usó Chi cuadrado de asociación con IC del (95 %) e IR del (5 %). Los resultados obtenidos demostraron que la incidencia de casos fué del (45.88 %), los valores séricos de procalcitonina materna asociados a complicaciones obstétricas y neonatales son igual o mayor a (0.5 ng/ml) con rangos que oscilan entre: (0.2 – 3.0 ng/ml). Los factores presdisponentes observados fueron: Abortos previos, corioamnionitis, ruptura de membranas, uso de corticoides y Diabetes Gestacional. El principal microorganismo aislado por urocultivo fué: Escherichia coli. Las complicaciones obstétricas fueron: amenaza de parto prematuro (53.85 %), corioamnionitis (20.51 %), ruptura de membranas (12.82 %) y restricción del crecimiento intrauterino (7.69%). Las principales complicaciones neonatales fueron: prematuridad (51.28 %), enfermedad de membrana hialina (23.08 %) e hipoglicemia (15.38 %). La sensibilidad de procalcitonina fué del (96.88 %) y la especificidad (85.71 %), el p valor obtenido fue de: (.000). En conclusión se recomienda el uso de procalcitonina como parte de las pruebas de tamizaje inicial ante sospecha de infección urinaria gestacional.
Palabras clave:
Infección de vías urinarias, Procalcitonina, Urocultivo.
Gestational urinary tract infection and asymptomatic bacteriuria are the cause of obstetric and neonatal complications such as: Prematurity and intra-amniotic infection. The present study was carried out with the purpose of correlating whether the figures of procalcitonin and urine culture results have diagnostic value for gestational urinary infection. For the type and design of the research, a study was carried out: Analytical - Correlational, retrospective, non-experimental, cross-sectional. SPSS statistical programs were used for the analysis of information, as a statistical test Chi square of association was used with IC of (95%) and IR of (5%). The results obtained showed that the incidence of asymptomatic bacteriuria was (45.88%), the serum values of maternal procalcitonin associated with obstetric and neonatal complications are equal to or greater than (0.5 ng / ml) with ranges ranging from: (0.2 - 3.0 ng / ml). The predisposing factors observed were: Previous abortions, chorioamnionitis, rupture of membranes, use of corticosteroids and Gestational Diabetes. The main microorganism isolated by urine culture was: Escherichia coli. The obstetric complications were: threat of premature birth (53.85%), chorioamnionitis (20.51%), rupture of membranes (12.82%) and intrauterine growth restriction (7.69%). The main neonatal complications were: prematurity (51.28%), hyaline membrane disease (23.08%) and hypoglycemia (15.38%). The sensitivity of procalcitonin was (96.88%) and specificity (85.71%), the p value obtained was: (.000). In conclusion, the use of procalcitonin is recommended as part of the initial screening tests for suspected bacterial infection of the urinary tract.
Gestational urinary tract infection and asymptomatic bacteriuria are the cause of obstetric and neonatal complications such as: Prematurity and intra-amniotic infection. The present study was carried out with the purpose of correlating whether the figures of procalcitonin and urine culture results have diagnostic value for gestational urinary infection. For the type and design of the research, a study was carried out: Analytical - Correlational, retrospective, non-experimental, cross-sectional. SPSS statistical programs were used for the analysis of information, as a statistical test Chi square of association was used with IC of (95%) and IR of (5%). The results obtained showed that the incidence of asymptomatic bacteriuria was (45.88%), the serum values of maternal procalcitonin associated with obstetric and neonatal complications are equal to or greater than (0.5 ng / ml) with ranges ranging from: (0.2 - 3.0 ng / ml). The predisposing factors observed were: Previous abortions, chorioamnionitis, rupture of membranes, use of corticosteroids and Gestational Diabetes. The main microorganism isolated by urine culture was: Escherichia coli. The obstetric complications were: threat of premature birth (53.85%), chorioamnionitis (20.51%), rupture of membranes (12.82%) and intrauterine growth restriction (7.69%). The main neonatal complications were: prematurity (51.28%), hyaline membrane disease (23.08%) and hypoglycemia (15.38%). The sensitivity of procalcitonin was (96.88%) and specificity (85.71%), the p value obtained was: (.000). In conclusion, the use of procalcitonin is recommended as part of the initial screening tests for suspected bacterial infection of the urinary tract.
Descripción
PDF
Palabras clave
Infecciones urinarias, Procalcitonina, Urocultivo, Complicaciones, Epidemiología analítica, Hospital de la Mujer Alfredo G. Paulson, Cantón Guayaquil, Ecuador, Resultante materno neonatal, Embarazo