2011, Number 3
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Arch Inv Mat Inf 2011; 3 (3)
Principales factores de riesgo asociados a infecciones nosocomiales de vías urinarias en un Servicio de Neonatología
Peralta RI, González CMN, Pardo MRV
Language: Spanish
References: 13
Page: 138-144
PDF size: 57.23 Kb.
ABSTRACT
Objective: To identify the main factor of risk in association with nosocomial urinary tract infection (NUTI) in Service of Neonatal of the Hospital of Ginaecology and Obstetrics, IMIEM, during the period of one year.
Patients and methods: Prospective study (June 2009 to May 2010) including neonates who had positive bacterial urine cultures, to compare and validate the risk factors in this group; the selected cases were patients with a positive urine culture by bag specimen collection, through risk analysis, the risk factors were gestational edge, weight, intrahospital stay in days, sepsis, sex, parenteral nutrition, intravascular catheter, use of antibiotics, mechanical ventilation, blood transfusion, maternal infection, between others. On the other hand, analysed the results of general examination of urine, resulted of urine cultures, pathogens isolated and sensitivity or resistance to antibiotics.
Results: 538 urine culture were made, 70 patients had NUTI, 12 and 3 of them had a second and third event respectly. The factor associated predominantly were the use previous of antibiotics (85%) and premature newborns (84.3%).
Conclusions: The main factor of risk was associated to NUTI, were the use previous of antibiotics and premature newborns.
REFERENCES
Moslehi MA. Urinary tract infections in newborns. Pediatric Oncall, ISSN 0973 – 0958. Available in: http://www.pediatriconcall.com/fordoctor/diseasesandcondition/pediatric_nephrology/printarticle.asp
Paschke AA, Zaoutis T, Conway PH, Xie D, Keren R. Previous antimicrobial exposure is associated with drug-resistant urinary tract infections in children, Pediatrics 2010; 125 (4): 664-72.
Guzmán-Blanco M, Casellas JM, Silva SH. Bacterial resistance to antimicrobial agents in Latin America. The giant is awakening, Infect Dis Clin N Am 2000; 14 (1): 67-81.
Movahedian AH, Mosayebi Z, Moniri R. Urinary tract infections in hospitalized newborns in Beheshti Hospital, Iran: a retrospective study, J Infect Dis Antimicrob Agents, 2007; 24 (1): 7-11.
Tamim MM, Alesseh H, Aziz H. Analysis of the efficacy of urine culture as part of sepsis evaluation in the premature infant, Pediatr Infect Dis J 2003; 22 (9): 805-8.
López SJB, Ramos AA, Coto GD, Fernández CB, Hernández MC. Urinary tract infection in the newborn: clinical and radio imaging studies, Pediatr Nephrol 2007; 22: 1735–1741.
Islas DLP, Cardiel MLE, Estrada TMR, Gavidia LLJ. Frecuencia de infección de las vías urinarias en recién nacidos con septicemia neonatal, Rev Mex Pediatr 2001; 68 (2): 66-68.
García F, Nager A. Jaundice as an early sign of urinary tract infection in infancy, Pediatrics 2002; 109 (5): 846-851.
Cavagnaro SMF. Infección urinaria en la infancia, Rev Chil Infect 2005; 22 (2); 161-168.
Falcão MC. Urinary tract infection in full-term newborn infants: risk factor analysis, Rev Hosp Clin Fac Med S Paulo 2000; 55 (1): 9-16.
Donough JO. Urinary tract infections in newborns, Upto Date 2011. Available in: http://www.uptodate.com/contents/urinary-tract-infections-in-newborns.
Barton M, Bell Y, Thame M, Nicholson A, Trotman H. Urinary tract infection in neonates with serious bacterial infections admitted to the University Hospital of the West Indies, West Indian Med J 2008; 57 (2): 101-105.
Arredondo-García JL, Segura-Cervantes E, Calderón-Jaimes E, Mancilla-Ramírez J, Sánchez-Huerta G, Solórzano-Santos F. Consenso mexicano en infecciones de vías urinarias en pediatría, Acta Pediatr Mex 2007; 28 (6): 289-93.