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2004, Number 2

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Arch Med Fam 2004; 6 (2)

Prevalence of symptomatic and asymptomatic bacteriuria in the elderly and antimicrobial susceptibility in vitro

González Pedraza AA, Medina ZL, Moreno CY, Ortiz ZC, Dávila MR.

Language: Spanish
References: 24
Page: 52-56
PDF size: 62.61 Kb.


ABSTRACT

Objective: To determine the prevalence of urinary tract infection (UTI) in the elderly population. To recognize the principal associate symptoms, as well as to determine the antimicrobial susceptibility of Gram negative microorganisms. Design: A transversal, prospective study. Material and methods: We were carried out from March to December of 2003 in Medicine Practice Center “Dr. Ignacio Chávez” ISSSTE, Coyoacán, Mexico DF. One hundred and fifty six older patients, 130 women and 26 men that fulfilled the established inclusion criterion being included. To analyze the sex and age like factors of risk that condition an UTI we were carried out the statistical of square Chi. Results: 30.8% of positive culture, 32% for women and 23% for men, the symptomatic and asymptomatic bacteriuria was presented in 31% and 30.6% respectively. Escherichia coli was the most frequently isolated bacteria with 62%. 16.7% of the positive culture was Gram-positive organisms. The Gram-negative had resistance values of 63% for trimethoprim-sulfamethoxazole and 69% for ampicillin. Conclusions: A similar prevalence of bacteriuria was obtained in symptomatic and asymptomatic patient. The relationship between women and men was 3:2 in favor of the first ones. The age doesn’t condition the presence of UTI. We obtained a high percentage of resistances against the antibiotics of common use; none of the associate symptoms was predictor of the UTI.


REFERENCES

  1. Merrien D. Characteristics of infectious diseases in the elderly. Presse Med 2002; 31(32): 1517-1520.

  2. Dwyer PL, O’Reilly M. Recurrent urinary tract infection in the female. Curr Opin Obstet Gynecol 2002; 14(5): 537-543.

  3. Foxman B. Epidemiology of urinary tract infections: incidence, morbidity, and economic costs. Am J Med 2002; 113 Suppl 1A: 5S-13S.

  4. Weidner W, Hochreiter W, Liedl B, Ludwing M, Naber KG, Vahlensiek FM et al. Urogenital infections in the elderly. Urology A 2002; 41(4): 328-332.

  5. Burman WJ, Breese PE, Murray BE, Singh KV, Batal HA, MacKenzie TD et al. Conventional and molecular epidemiology of trimethoprim-sulfamethoxazole resistance among urinary Escherichia coli isolates. Am J Med 2003; 115(5): 358-364.

  6. Astal Z, El-Manama A, Sharif FA. Antibiotic resistance of bacteria associated with community-acquired urinary tract infections in the southern area of the Gaza Strip. J Chemother 2002; 14(3): 259-264.

  7. Abdul-Ghani MA, Glicberg F, Sahagian H. High incidence of resistant pathogens in community acquired bacteriuria from patients in the Jerusalem area with lower urinary tract infections. Harefuah 2002; 141(12): 1032-1035, 1091,1090.

  8. Gray RP, Malone-Lee J. Review: urinary tract infection in elderly people-time to review management? Age Ageing 1995; 24(4): 341-345.

  9. Pallarés J, López A, Cano A, Fábrega J, Mendive J. La infección urinaria en el diabético. Aten Primaria 1998; 21(9): 630-637.

  10. Totten PA, Amsel R, Hale J, Piot P, Holmes KK. Selective differential human blood bilayer media for isolation of Gardnerella (Haemophilus) vaginalis. J Clin Microbiol 1982; 15: 141-147.

  11. Kass EH. Asymptomatic infections of the urinary tract. Trans Assoc Am Physicians 1956; 69: 56-64.

  12. Koneman EW, Allen SD, Dowell VR, Sommers HM, Washington C. Diagnóstico Microbiológico. Texto y Atlas Color. 3° Ed. México. ED. Médica Panamericana. 1997.

  13. National Committee for Clinical Laboratory Standards. Performance standards for Antimicrobial disk susceptibility test. Villanova (PA): National Committee for Clinical Laboratory Standards, 1997. NCCLS document M2A6.

  14. Matsumoto T. Urinary tract infections in the elderly. Curr Urol Rep 2001; 2(4): 330-333.

  15. Hedin K, Petersson C, Wideback K, Kahlmeter G, Molstad S. Asymptomatic bacteriuria in a population of elderly in municipal institutional care. Scand J Prim Health Care 2002; 20(3): 166-168.

  16. Nicolle LE. Urinary infections in the elderly: symptomatic of asymptomatic? Int J Antimicrob Agents 1999; 11(3-4): 265-268.

  17. Childs SJ, Egan RJ. Bacteriuria and urinary infections in the elderly. Urol Clin North Am 1996; 23(1): 43-54.

  18. Trivalle C, Martin E, Martel P, Jacque B, Menard JF, Lemeland JF. Group B streptococcal bacteremia in the elderly. J Med Microbiol 1998; 47(7): 649-6%2.

  19. Shortliffe LM, McCue JD. Urinary tract infection at the age extremes: Pediatrics and Geriatrics. Am J Med 2002; 113 Suppl 1A: 55S-66S.

  20. Ronald A. The etiology of urinary tract infection: Traditional and emerging pathogens. Dis Mon 2003; 49(2): 71-82.

  21. Jureen R, Digranes A, Baerheim A. Urinary tract pathogens in uncomplicated lower urinary tract infections in women in Norway. Tidsskr Nor Laegeforen 2003; 123(15): 2021-2022.

  22. Ackerman RJ, Monroe PW. Bacteremic urinary tract infection in older people. J Am Geriatr Soc 1996; 44(8): 927-933.

  23. Farah NB, Murshidi MS. Urinary tract infections in adult and adolescent females of a developing community: pattern, bacteriology and genitourinary predisposing factors. Int Urol Nephrol 1996; 28(3): 319-325.

  24. Hummers-Pradier E, Kochen MM. Urinary tract infections in adult general practice patients. Br J Gen Pract 2002; 52(482): 752-761.




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