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Clinical and microbiological characteristics of urinary infection in women treated at the macas general hospital

Abstract:

Introduction: urinary tract infection represents a public health problem due to its high prevalence, with an increase in an-tibiotic resistance by various mechanisms, which leads to an increase in hospital stay. Objective: determine the clinical and microbiological characteristics of urinary tract infection in women served in the Macas General Hospital, January to December 2018. Methods: quantitative, observational, de-scriptive, cross-sectional study. 179 medical records and the microbiology database were analyzed, during the period from January to December 2018, processed using the SPSS version 15.0 program. Results: 179 urine cultures were included of which 81 were pos-itive (47.5%), prevailing a mean age of 38.2 years (± 24.6) and the clinic service (35.8%) with the highest number of cases. Fever (45.3%) was the most prevalent symptom. The most frequent germ isolated was Escherichia coli (35.8%) with an antimicrobial sensitivity profile to cephalosporins of 60.9% and a drug resistance to penicillins of 26.6%. Conclusions: it occurs more frequently in adulthood, with a febrile syndrome and a hospital stay of 4-7 days. Escherichia coli is the most prevalent causative agent, sensitive to cephalosporins.