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Federación Mexicana de Ginecología y Obstetricia, A.C.

2014, Number 11

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Ginecol Obstet Mex 2014; 82 (11)

Prevalence of urinary tract infection in hospitalized patients with preterm labor

Acosta-Terriquez JE, Ramos-Martínez MA, Zamora-Aguilar LM, Murillo-Llanes J

Language: Spanish
References: 20
Page: 737-743
PDF size: 417.71 Kb.


ABSTRACT

Objective: To determine the prevalence of urinary tract infection (UTI) in patients with preterm labor.
Methods: A prospective, observational, descriptive study, with a sample of 272 patients who were hospitalized in the Hospital de la Mujer at Culiacan, Sinaloa that presented symptoms of preterm labor. Age body mass index (BMI), parity, education, weeks of gestation, mode of delivery, history of preterm delivery and UTI were assessed.
Results: Of the 272 patients with threatened preterm delivery, 97 (35.6 %) had positive urine culture and of these patients, 32 (32.9 %) had preterm labor. Association between urinary tract infection and patients with a hemoglobin (Hb) less than 11 g/dL OR: 2.66 95% CI (1.55-4.55), p0.0003. Was isolated E. coli in 72 (74.4 %) patients, Proteus in 9 (9.2 %) patients. It was found that 42 % of E. coli strains were resistant to ampicillin and 38.4 % to ciprofloxacin.
Conclusion: The prevalence of UTI is higher than the national prevalence


REFERENCES

  1. Escribà-Agüir V, Clemente I, Saurel-Cubizolles MJ. Factores socioeconómicos asociados al parto pretérmino. Resultados del proyecto EUROPOP en el Estado español. Gacet Sanit 2001;15:6-13. http://web.minsal.cl/portal/url/item/721fc45c972f9016e 04001011f0113bf.pdf. (Revisado el 28 de marzo de 2014)

  2. Cota G, Morales A, Prince R. Infección cervicovaginal y riesgo de parto prematuro. Rev Med IMSS 2001;39:289- 293.

  3. Mittal P, Wing DA. Urinary tract infections in pregnancy. Clin Perinatol 2005;32:749-64.

  4. Williams W, Andrews-Larry C, Gilstrap LC. Infecciones de vías urinarias. En: Gleicher N, editor. Tratamiento de las complicaciones clínicas del embarazo. 3ª ed. Buenos Aires: Panamericana, 2000;1236-1249.

  5. Diagnóstico y tratamiento del parto pretermino. México: Secretaría de Salud, 2008-2009.

  6. Beltrán J, Ávila M, Vadillo F, Hernández C, Peraza F. Infección cervicovaginal como factor de riesgo para parto pretérmino. Ginecol Obstet Mex 2002;70:203-209.

  7. Calderón-Guillén J, Vega Malagón G, Velásquez Tlapanco J, Morales Carrera R, Vega Malagón AJ. Factores de riesgo materno asociados al parto pretérmino. Rev Med Inst Mex Seguro Soc 2005;43:339-342.

  8. Puil L, Mail J, Wright JM. Asymptomatic bacteriuria during pregnancy. Rapid answers using the Cochrane Library. Can Fam Physician 2002;48:58-60,62-4.

  9. Kass E, Finland M. Asymptomatic infections of the urinary tract. J Urol 2002;168:420-4(Abstract).

  10. Quiroga-Feuchter G, Robles-Torres RE, Ruelas-Morán A, Gómez-Alcalá V. Bacteriuria asintomática en mujeres embarazadas. Una amenaza subestimada. Rev Med Inst Mex Seguro Soc 2007;45:169-172.

  11. Hernández-Blas F, López-Carmona JM, Rodríguez-Moctezuma JR y col. Frecuencia de bacteriuria en embarazadas y sensibilidad antimicrobiana in vitro de los uropatógenos. Ginecol Obstet Mex 2007;75:325-331.

  12. Diagnóstico y tratamiento de la infección del tracto urinario bajo durante el embarazo en el primer nivel de atención, México: Secretaría de Salud, 2009.

  13. Emiru T, Beyene G, Tsegaye W, Melaku S. Associated risk factors of urinary tract infection among pregnant women at Felege Hiwot Referral Hospital, Bahir Dar, North West Ethiopia. BMC Res Notes 2013;6:292.

  14. Campos-SolórzanoT, Canchucaja Gutarra L, Gutarra- Vilchez RB. Factores de riesgo conductuales para bacteriuria asintomática en gestantes. Rev Peru Ginecol Obstet 2013;59:267-274.

  15. Whitehead NS. Racial, Ethnic, and Economic Disparities in the Prevalence of Pregnancy Complications. Matern Child Health J 2009;13:198-205.

  16. Villanueva-Egan LA, Contreras-Gutiérrez AK, Pichardo Cuevas M, Rosales Lucio J. Perfil epidemiológico del parto prematuro. Ginecol Obstet Méx 2008;76:542-548.

  17. Imade PE, Izekor PE, Eghafona NO, Enabulele OI, Ophori E. Asymptomatic bacteriuria among pregnant women. North Am J Med Sci 2010;2:263-266.

  18. Schnarr J. and Smaill F. Asymptomatic bacteriuria and symptomatic urinary tract infections in pregnancy. Review article. Eur J Clin Invest 2008;38:50-57.

  19. Shazia Parven S, Sharada V, Reddy, et al. Uropathogens and their drugs susceptibility patterns among pregnant women in a teaching hospital. Annals of Biological Research 2011;2:516-521.

  20. Murillo Llanes J, Varon J, Velarde Félix JS, González-Ibarra FP. Antimicrobial resistance of Escherichia coli in Mexico: how serious is the problem? J Infect Dev Ctries 2012;6:126- 31.




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