Resistencia de Escherichia coli en infecciones de vías urinarias en pacientes pediátricos del Hospital Civil de Guadalajara “Fray Antonio Alcalde”

Héctor Aguirre Alvarado; Arturo Plascencia Hernández; Carlos Clemente Rivera Mendoza; Martín Guerrero Becerra; Victoria Murillo Neri

2007, Number 3

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Enf Infec Microbiol 2007; 27 (3)

***Resistencia de Escherichia coli en infecciones de vías urinarias en pacientes pediátricos del Hospital Civil de Guadalajara “Fray Antonio Alcalde”***

Aguirre AH, Plascencia HA, Rivera MCC, Guerrero BM, Murillo NV

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Language: Spanish
References: 13
Page: 83-87
PDF size: 84.94 Kb.

ABSTRACT

Introduction: The urinary tract infections are very common in children. Escherichia coli is the most frequent bacterium responsible for these infections. In the last years there have been reports that show an increase to the resistance of Escherichia colii> to several antibiotics.
Materials and methods: Retrospective and descriptive study. The most common etiologic agents of urinary tract infections in urine cultures were reviewed and analyzed, as well as the resistance pattern of Escherichia coli to several antibiotics. This study took place in our Pediatric Service at Hospital Civil de Guadalajara “Fray Antonio Alcalde” in 2006.
Results: From a total of 350 urinary cultures for an isolated germen, Escherichia coli was isolated in a 45% scale. 77% of these strains were from the community. The rate of Escherichia coli resistance to trimethoprim-sulfamethoxazole was 72%, and for ampicillin was 80%. The rate of resistance from nosocomial strains was higher than community strains.
Discussion: Our rate of Escherichia coli resistance to several antibiotics (trimethoprim-sulfamethoxazole, ampicillin) is higher than other references published. In our opinion, these antibiotics should not be prescribed as initial empiric therapy in patients with urinary tract infections.

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