Epidemiological and microbiological characteristics of uncomplicated urinary infections
Introduction: Uncomplicated urinary tract infections(UC-UTI) represent a frequent reason for consultation. Most cases are empirically treated, but the antimicrobial susceptibility of the causative microorganisms has changed over the past years. The objectives of this study where to determine UC-UTI...
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Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2020
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| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/27610 |
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I10-R10-article-27610 |
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ojs |
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Universidad Nacional de Córdoba |
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I-10 |
| repository_str |
R-10 |
| container_title_str |
Revistas de la UNC |
| language |
Español |
| format |
Artículo revista |
| topic |
urinary tract infections cystitis pyelonephritis anti-infective agents Infectious diseases infecciones urinarias cistitis pielonefritis antiinfecciosos Enfermedades infecciosas infecções urinárias cistite pielonefrite anti-Infecciosos Doenças infecciosas |
| spellingShingle |
urinary tract infections cystitis pyelonephritis anti-infective agents Infectious diseases infecciones urinarias cistitis pielonefritis antiinfecciosos Enfermedades infecciosas infecções urinárias cistite pielonefrite anti-Infecciosos Doenças infecciosas Saad, Emanuel José Foia, Esteban Finello, Malena Peñaranda, Gabriela Estefanía Suasnabar, David Francisco Ellena Leon, María Fabiana Panchuck, Ana Dominella, Fernando Hernández, Daniela Cometto, María Aldana Vázquez, Sofía Mariela Amuchástegui, Tomás Albertini, Ricardo Arturo Epidemiological and microbiological characteristics of uncomplicated urinary infections |
| topic_facet |
urinary tract infections cystitis pyelonephritis anti-infective agents Infectious diseases infecciones urinarias cistitis pielonefritis antiinfecciosos Enfermedades infecciosas infecções urinárias cistite pielonefrite anti-Infecciosos Doenças infecciosas |
| author |
Saad, Emanuel José Foia, Esteban Finello, Malena Peñaranda, Gabriela Estefanía Suasnabar, David Francisco Ellena Leon, María Fabiana Panchuck, Ana Dominella, Fernando Hernández, Daniela Cometto, María Aldana Vázquez, Sofía Mariela Amuchástegui, Tomás Albertini, Ricardo Arturo |
| author_facet |
Saad, Emanuel José Foia, Esteban Finello, Malena Peñaranda, Gabriela Estefanía Suasnabar, David Francisco Ellena Leon, María Fabiana Panchuck, Ana Dominella, Fernando Hernández, Daniela Cometto, María Aldana Vázquez, Sofía Mariela Amuchástegui, Tomás Albertini, Ricardo Arturo |
| author_sort |
Saad, Emanuel José |
| title |
Epidemiological and microbiological characteristics of uncomplicated urinary infections |
| title_short |
Epidemiological and microbiological characteristics of uncomplicated urinary infections |
| title_full |
Epidemiological and microbiological characteristics of uncomplicated urinary infections |
| title_fullStr |
Epidemiological and microbiological characteristics of uncomplicated urinary infections |
| title_full_unstemmed |
Epidemiological and microbiological characteristics of uncomplicated urinary infections |
| title_sort |
epidemiological and microbiological characteristics of uncomplicated urinary infections |
| description |
Introduction: Uncomplicated urinary tract infections(UC-UTI) represent a frequent reason for consultation. Most cases are empirically treated, but the antimicrobial susceptibility of the causative microorganisms has changed over the past years. The objectives of this study where to determine UC-UTI causative microorganism and their antimicrobial susceptibility profiles in adult women.
Methods: A prospective analytic study was conducted in two hospital in Córdoba, Argentina, between November/2016 and October/2017. From the identification of positive urine cultures, urinary tract infections (UTI) in women ≥18 years without risk factors for complicated UTIs were included, excluding asymptomatic bacteriurias.
Results: A total of 610 UC-UTI were identified and 62.6% of them in patients younger than 50 years; 73.3% of cases were cystitis, being more frequent in older women. Escherichia coli was isolated in 89.2% of UTI and negative coagulase Staphylococcus in 4.2%. As regards Escherichia coli, its resistance against ciprofloxacin was 18.8%; 4.4% against ceftriaxone and 1.8% against nitrofurantoin. There was an elevated resistance against ampicillin, trimethoprim–sulfamethoxazole and ampicillin–sulbactam.
Main conclusion: The most frequent isolated microorganism was Escherichia coli, consistent with global epidemiology. This microorganism showed less than 20% total resistance against ciprofloxacin, ceftriaxone and nitrofurantoin. |
| publisher |
Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2020 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/27610 |
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I10-R10-article-276102020-11-02T19:41:57Z Epidemiological and microbiological characteristics of uncomplicated urinary infections Características epidemiológicas y microbiológicas de las infecciones urinarias no complicadas Características epidemiológicas e microbiológicas de infecções urinárias não complicadas Saad, Emanuel José Foia, Esteban Finello, Malena Peñaranda, Gabriela Estefanía Suasnabar, David Francisco Ellena Leon, María Fabiana Panchuck, Ana Dominella, Fernando Hernández, Daniela Cometto, María Aldana Vázquez, Sofía Mariela Amuchástegui, Tomás Albertini, Ricardo Arturo urinary tract infections cystitis pyelonephritis anti-infective agents Infectious diseases infecciones urinarias cistitis pielonefritis antiinfecciosos Enfermedades infecciosas infecções urinárias cistite pielonefrite anti-Infecciosos Doenças infecciosas Introduction: Uncomplicated urinary tract infections(UC-UTI) represent a frequent reason for consultation. Most cases are empirically treated, but the antimicrobial susceptibility of the causative microorganisms has changed over the past years. The objectives of this study where to determine UC-UTI causative microorganism and their antimicrobial susceptibility profiles in adult women. Methods: A prospective analytic study was conducted in two hospital in Córdoba, Argentina, between November/2016 and October/2017. From the identification of positive urine cultures, urinary tract infections (UTI) in women ≥18 years without risk factors for complicated UTIs were included, excluding asymptomatic bacteriurias. Results: A total of 610 UC-UTI were identified and 62.6% of them in patients younger than 50 years; 73.3% of cases were cystitis, being more frequent in older women. Escherichia coli was isolated in 89.2% of UTI and negative coagulase Staphylococcus in 4.2%. As regards Escherichia coli, its resistance against ciprofloxacin was 18.8%; 4.4% against ceftriaxone and 1.8% against nitrofurantoin. There was an elevated resistance against ampicillin, trimethoprim–sulfamethoxazole and ampicillin–sulbactam. Main conclusion: The most frequent isolated microorganism was Escherichia coli, consistent with global epidemiology. This microorganism showed less than 20% total resistance against ciprofloxacin, ceftriaxone and nitrofurantoin. Introducción: Las infecciones del tracto urinario no complicadas (ITU-NoC) representan un motivo frecuente de consulta ambulatorio, siendo la mayoría tratadas empíricamente. Han existido cambios en susceptibilidad antimicrobiana en los últimos años. Nuestros objetivos fueron determinar los microorganismos de las ITU-NoC y su perfil de susceptibilidad antimicrobiana en mujeres adultas. Métodos: Estudio analítico prospectivo en dos hospitales de Córdoba, Argentina, entre noviembre/2016 y octubre/2017. A partir de la identificación de urocultivos positivos, se incluyeron las infecciones urinarias(ITUs) en mujeres ≥18 años, sin factores de riesgo para ITUs complicada, excluyéndose las bacteriurias asintomáticas. Resultados: Se identificaron 610 episodios de ITU-NoC, 382(63%) en <50 años. El 73.3% de las ITU-noC correspondieron a cistitis, siendo más frecuentes en las mujeres mayores 50 años. En el 89.2% de las ITUs se aisló Escherichia coli y 4.2% Staphylococcus coagulasa negativo. Respecto a E. coli, su resistencia a ciprofloxacina fue de 18.8%, ceftriaxona 4.4% y nitrofurantoína 1.8%. Se observó una resistencia elevada a ampicilina, trimetoprima-sulfametoxazol y ampicilina-sulbactam. Conclusiones: En conclusión, el microorganismo más frecuentemente aislado fue E. coli, concordando con la epidemiología global, presentando una resistencia menor al 20% a ciprofloxacina, ceftriaxona y nitrofurantoína. Introdução: Infecções não complicadas do trato urinário (ITU-NoC) representam um motivo frequente de consulta ambulatorial, a maioria sendo tratada empiricamente. Houve mudanças na suscetibilidade antimicrobiana nos últimos anos. Nossos objetivos foram determinar os microrganismos da ITU-NoC e seu perfil de suscetibilidade a antimicrobianos em mulheres adultas. Métodos: Estudo analítico prospectivo em dois hospitais de Córdoba, Argentina, entre novembro/2016 e outubro/2017. A partir da identificação de culturas de urina positivas, foram incluídas infecções urinárias (ITU) em mulheres com idade ≥18 anos, sem fatores de risco para ITUs complicadas, excluindo bacteriúria assintomática. Resultados: Foram identificados 610 episódios de ITU-NoC, 382 (63%) em <50 anos. 73,3% da UIT-noC corresponderam a cistite, sendo mais frequente em mulheres acima de 50 anos. Escherichia coli e 4,2% de Staphylococcus coagulase negativo foram isolados em 89,2% das ITUs. Em relação a E. coli, sua resistência à ciprofloxacina foi de 18,8%, ceftriaxona 4,4% e nitrofurantoína 1,8%. Foi observada alta resistência à ampicilina, trimetoprim-sulfametoxazol e ampicilina-sulbactam. Conclusões: Em conclusão, o microrganismo isolado com mais frequência foi E. coli, de acordo com a epidemiologia global, apresentando resistência inferior a 20% à ciprofloxacina, ceftriaxona e nitrofurantoína. Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2020-08-21 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf text/html https://revistas.unc.edu.ar/index.php/med/article/view/27610 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 77 No. 3 (2020); 155-160 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 77 Núm. 3 (2020); 155-160 Revista da Faculdade de Ciências Médicas de Córdoba; v. 77 n. 3 (2020); 155-160 1853-0605 0014-6722 10.31053/1853.0605.v77.n3 spa https://revistas.unc.edu.ar/index.php/med/article/view/27610/31059 https://revistas.unc.edu.ar/index.php/med/article/view/27610/30715 Derechos de autor 2020 Universidad Nacional de Córdoba http://creativecommons.org/licenses/by-nc/4.0 |