Infecciones de vías urinarias como factor predisponente de amenaza de parto pretérmino
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2020
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina
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Introducción: La presente investigación incluye la relación entre la infección del tracto urinario durante el embarazo (ITU) y la amenaza de parto prematuro. Saber que la ITU es una condición frecuente durante el embarazo y que se manifiesta con diferentes grados de gravedad, según el microorganismo que se asocie con frecuencia a E. coli. Metodología: El presente estudio posee un enfoque cuantitativo, el cual se realizó en Babahoyo, la cual pertenece a la zona cinco del Ecuador, dentro de las instalaciones del Hospital General IESS de Babahoyo. Teniendo como muestra a 63 gestantes, los cuales se identificaron a partir de la aplicación de los criterios de inclusión y exclusión, teniendo como universo a las pacientes diagnosticadas con infecciones de vías urinarias que presentaron parto pretérmino. Resultados: Existe una prevalencia del 90,48% de pacientes con IVU de las cuales un 60,32% presentó amenaza de parto pretérmino y un 30,16% no presento APP. Por otro lado un 9,52% de pacientes que no presentaron IVU, un 7,94 si presentó APP y un 1,59% no presentó APP. Conclusión: Dentro de las principales características demográficas de las pacientes motivo de estudio se determinó que el 82,5% que pertenecen al grupo etario formado por pacientes de entre 20-35 años, el 60,3% de pacientes que poseen un grado de escolaridad secundario, el 58.7 reside en áreas urbanas, un 52,4% posee un estado civil de unión libre y un 41,30% de embarazadas es ser ama de casa, un 39.7% presento en las semanas 30-32 de gestación, 52.4% de las pacientes eran multípara, el 42.9% se realizó de 5-7 controles prenatales, 85.7% presento disuria, 66.70% presento dolor pélvico, 57.1 presentaron hipertermia, 90.5% presentaron urocultivo positivos, a predominio del 68.3% de E. coli, el 92.10 recibió tratamiento
Background: The present investigation includes the relationship between urinary tract infection during pregnancy (UTI) and the threat of premature labor. Knowing that UTI is a frequent condition during pregnancy and that it manifests with different degrees of severity, according to the microorganism that is frequently associated with E. coli. Methodology: This study has a quantitative approach, which was carried out in Babahoyo, which belongs to zone five of Ecuador, within the facilities of the IESS General Hospital in Babahoyo. Taking as a sample 63 pregnant women, which were identified from the application of the inclusion and exclusion criteria, having as a universe the patients diagnosed with urinary tract infections who presented preterm delivery. Results: There is a prevalence of 90.48% of patients with UTI, of which 60.32% presented threatened preterm delivery and 30.16% did not present PPP. On the other hand, 9.52% of patients who did not present UTI, 7.94 if they presented APP and 1.59% did not present APP. Conclusion: Among the main demographic characteristics of the patients under study, it was determined that 82.5% who belong to the age group formed by patients between 20-35 years, 60.3% of patients who have a secondary schooling degree, 58.7% reside in urban areas, 52.4% have a free union marital status and 41.30% of pregnant women are housewives, 39.7% present in weeks 30-32 of gestation, 52.4% of the Patients were multiparous, 42.9% had 5-7 prenatal check-ups, 85.7% presented dysuria, 66.70% presented pelvic pain, 57.1 presented hyperthermia, 90.5% presented positive urine culture, with a predominance of 68.3% of E. coli, 92.10 received treatment
Background: The present investigation includes the relationship between urinary tract infection during pregnancy (UTI) and the threat of premature labor. Knowing that UTI is a frequent condition during pregnancy and that it manifests with different degrees of severity, according to the microorganism that is frequently associated with E. coli. Methodology: This study has a quantitative approach, which was carried out in Babahoyo, which belongs to zone five of Ecuador, within the facilities of the IESS General Hospital in Babahoyo. Taking as a sample 63 pregnant women, which were identified from the application of the inclusion and exclusion criteria, having as a universe the patients diagnosed with urinary tract infections who presented preterm delivery. Results: There is a prevalence of 90.48% of patients with UTI, of which 60.32% presented threatened preterm delivery and 30.16% did not present PPP. On the other hand, 9.52% of patients who did not present UTI, 7.94 if they presented APP and 1.59% did not present APP. Conclusion: Among the main demographic characteristics of the patients under study, it was determined that 82.5% who belong to the age group formed by patients between 20-35 years, 60.3% of patients who have a secondary schooling degree, 58.7% reside in urban areas, 52.4% have a free union marital status and 41.30% of pregnant women are housewives, 39.7% present in weeks 30-32 of gestation, 52.4% of the Patients were multiparous, 42.9% had 5-7 prenatal check-ups, 85.7% presented dysuria, 66.70% presented pelvic pain, 57.1 presented hyperthermia, 90.5% presented positive urine culture, with a predominance of 68.3% of E. coli, 92.10 received treatment
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Infecciones de las vías urinarias, Amenaza de parto prematuro, Causalidad, Mujeres embarazadas, Hospital General Babahoyo (IESS), Cantón Babahoyo, Ecuador