Infecciones del tracto urinario y su sensibilidad a los antibióticos en el Hospital Abel Gilbert Pontón en el periodo 2013 - 2014
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2015
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Medicina
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Introducción. La infección de vías urinarias (IVU) es la existencia de bacterias en la orina. Afecta mayoritariamente a individuos del sexo femenino y mayores de 15 años, los patógenos más comunes son la Echerichia coli uropatógena como predominante, estafilococos saprofíticos, Klebsiella pneumoniae, Proteus mirabilis, Enterococos fecalis, Enterobacter ssp, Pseudomonas aeruginosa y patógenos fúngicos.
Objetivo. Determinar los patógenos que más frecuentemente producen infección de vías urinarias y su sensibilidad frente a los antibióticos, en los pacientes del Hospital Abel Gilbert Pontón durante el periodo 01 de Enero del 2013 al 31 de Diciembre del 2014.
Métodos. Es un estudio descriptivo, retrospectivo, con resultados estadísticos descriptivos, en el periodo 2013 – 2014, con 103 pacientes del hospital Dr. Abel Gilbert Pontón, que presentaban infección de vías urinarias con urocultivo positivo.
Resultados. La infección de vías urinarias fue más frecuente en mujeres en un 61 %, y predomina en el rango de edad de 35 a 65 años 48,5 %. El germen que se aisló con mayor frecuencia fue la E. coli, 53,6 %, seguida por K. pneumoniae 28,2 %. La familia de antibióticos que mayor sensibilidad presentó ante los patógenos fueron los carbapenémicos, seguido de los aminoglucósidos. La E. coli, fue sensible a cefotaxima, amikacina, nitrofurantoína y a los carbapenémicos. La K. pneumoniae fue sensible solamente a carbapenémicos y amikacina.
Conclusiones. Las infecciones de vías urinarias, aunque sean más frecuentes en mujeres, pueden afectar a ambos géneros y a todos los grupos etarios, sin embargo es más frecuente entre los 35 y 65 años. La interpretación de los perfiles de susceptibilidad encontrados permite considerar la realización de urocultivo y antibiograma a todo paciente que vaya a ser de manejo intrahospitalario.
Introduction. Urinary tract infection (UTI) is the existence of bacteria in the urine. It mainly affects female individuals and those over 15 years of age, the most common pathogens are uropathogenic Echerichia coli, saprophytic staphylococci, Klebsiella pneumoniae, Proteus mirabilis, Enterococci fecalis, Enterobacter ssp, Pseudomonas aeruginosa and fungal pathogens. Objective. To determine the pathogens that most frequently cause urinary tract infection and their sensitivity to antibiotics, in the patients of the Abel Gilbert Pontón Hospital during the period from January 1, 2013 to December 31, 2014. Methods It is a descriptive, retrospective study, with descriptive statistical results, in the period 2013-2014, with 103 patients from the Dr. Abel Gilbert Pontón hospital, who presented urinary tract infection with a positive urine culture. Results. Urinary tract infection was more frequent in women in 61%, and it predominates in the age range of 35 to 65 years, 48.5%. The most frequently isolated germ was E. coli, 53.6%, followed by K. pneumoniae 28.2%. The family of antibiotics with the highest sensitivity to pathogens were carbapenems, followed by aminoglycosides. E. coli was sensitive to cefotaxime, amikacin, nitrofurantoin, and carbapenems. K. pneumoniae was sensitive only to carbapenems and amikacin. Conclusions. Urinary tract infections, although they are more frequent in women, can affect both genders and all age groups, however they are more frequent between the ages of 35 and 65. The interpretation of the susceptibility profiles found allows us to consider the performance of urine culture and antibiogram in all patients who are going to be managed in-hospital
Introduction. Urinary tract infection (UTI) is the existence of bacteria in the urine. It mainly affects female individuals and those over 15 years of age, the most common pathogens are uropathogenic Echerichia coli, saprophytic staphylococci, Klebsiella pneumoniae, Proteus mirabilis, Enterococci fecalis, Enterobacter ssp, Pseudomonas aeruginosa and fungal pathogens. Objective. To determine the pathogens that most frequently cause urinary tract infection and their sensitivity to antibiotics, in the patients of the Abel Gilbert Pontón Hospital during the period from January 1, 2013 to December 31, 2014. Methods It is a descriptive, retrospective study, with descriptive statistical results, in the period 2013-2014, with 103 patients from the Dr. Abel Gilbert Pontón hospital, who presented urinary tract infection with a positive urine culture. Results. Urinary tract infection was more frequent in women in 61%, and it predominates in the age range of 35 to 65 years, 48.5%. The most frequently isolated germ was E. coli, 53.6%, followed by K. pneumoniae 28.2%. The family of antibiotics with the highest sensitivity to pathogens were carbapenems, followed by aminoglycosides. E. coli was sensitive to cefotaxime, amikacin, nitrofurantoin, and carbapenems. K. pneumoniae was sensitive only to carbapenems and amikacin. Conclusions. Urinary tract infections, although they are more frequent in women, can affect both genders and all age groups, however they are more frequent between the ages of 35 and 65. The interpretation of the susceptibility profiles found allows us to consider the performance of urine culture and antibiogram in all patients who are going to be managed in-hospital
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Infecciones urinarias, Pruebas de sensibilidad microbiana, Adolescente, Hospital de Especialidades Guayaquil Dr. Abel Gilbert Pontón, Cantón Guayaquil, Ecuador, Sensibilidad colateral al uso de fármacos, Antibióticos