Prevalencia de infección del tracto urinario en mujeres embarazadas que asisten al control prenatal del Subcentro de Salud Carlos Elizalde

Abstract

Urinary tract infection (UTI), occurs when bacteria enters the bladder or kidney and multiplies in the urine. There are three types of distinguished UTI: cystitis, pyelonephritis and Asymptomatic bacteriuria which usually occurs when there are no previous symptoms. This study was conducted in the Health Subcenter Carlos Elizalde, located in Baños, Cuenca - Ecuador. The study population consisted of 200 women in gestation, who were attended in prenatal care and met the criteria for exclusion. Found that 22.5 % of patients had UTI, be the main causal agent Escherichia coli (E. coli) with 71.11 %, second Enterobacteragglomerans (11.1 % ), followed by Klebsiellaozaenae(8.8 % ), Enterococcus faecalissmaller percentage (4.4 % ), Citrobacterdiversus and finally Streptococcus agalactie with 2.2 % each. The susceptibility to antibiotics used in the case of E. coli , 40 % were ampicillin sensitive; ampicillin + sulbactam sensitive 93.33 %; amoxicillin + clavulanic acid, 70 % sensitive and 20 % intermediate sensitivity; for the case of cephalothin, 66.67 % of sensitivity and 20 % of intermediate sensitivity; finally nitrofurantoin was 100 % sensitive It concluded that the most prevalent pathogen and causative agent of UTI was E. coli and the treatment choice suggested in the gestation period is ampicillin + sulbactam.