Laboratorio Clínico

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Agentes patógenos en secreción vaginal de las trabajadoras sexuales que acuden al Centro de Salud Pumapungo. Cuenca, 2016
(Universidad de Cuenca, 2017-11-11) Calle Peñafiel, Byron Hernán; Guzmán Aldaz, Luis David; Sempértegui Coronel, Sandra Mariana; Cárdenas Carrera, Jenny Carola
The objective of the investigation was the determination of pathogens in vaginal secretion of the sex workers who visited the Pumapungo Health Center in 2016, vaginal infection is an alteration in the normal bacterial flora of the vagina caused by different pathogenic microorganisms (1) (2) The study was a descriptive cross-sectional study. The study population consisted of 608 sex workers and the sample selected according to the random sampling formula were 168 sex workers, the samples were received in the External Gynecological Consultation and their processing was performed in the Department of Microbiology of the Faculty of Medical Sciences, patients signed the informed consent and a survey was carried out related to the study variables, the study objective and its importance (2) (3) 51.8% had pathogens, 46.4% had bacterial growth and 4.2% had mycotic forms. 47% of women workers are between 18 and 24 years old. 88.1% of the respondents use some contraceptive method, of which 53.6% have barrier methods, 32.7% hormonal and 11.9 simply do not use it. 40.5% of sex workers are groomed three to four times a day, and 38.1% do so after each sexual relationship. The most frequent germ correspond to Escherichia coli 37.9%, followed by 19.5% Klebsiella pneumoniae, and a mycotic growth of 9.1% of the total samples. The 43.7% of samples analyzed corresponded to persons between 18 and 24 years of age, of which 26.4% were due to Gram negative bacteria infection, 9.2% Gram positive and 5.7% due to mycotic forms . As a result of the present investigation it was possible to obtain important data such as a high frequency of bacterial microorganisms in vaginal secretion in this population group
Amilasa pancreática sérica en personas de 23 a 42 años de la ciudad de Cuenca-Ecuador, 2009-2010
(Universidad de Cuenca, 2010-11-11) Polo Peñafiel, César Daniel; Quituisaca Cabrera, Marco Antonio; Cabrera Vicuña, José Antonio; Álvarez Herrera, María Hermelinda
The objective of this project was to determine the levels of serum pancreatic amylase in people who are between 23 to 42 years old of any sex, high and sex who live in Cuenca Ecuador at least for the two last years with the purpose of establishing values of reference according to our reality. This descriptive research was done on 1000 people chosen randomly in the urban parishes of the city. From this amount of people 64.7% are women (647).; with an arithmetic mean of tall of 160 cm.; an arithmetic mean of weight of 64 kilograms. They were asked several questions in order to know their current health condition. They were asked also about their medical history which let us chose healthy people. The blood samples were collected and analyzed under very rigid norms of bio-security at the Clinic Laboratory of the Diagnosis Center of the School of Medicine of the University of Cuenca. A Spectronic Genesys 20, spectrophotometer was used. The reagents were obtained from the chemical store Wienner. The average value of amylase in male people is 77,8 AU /dL and in female people is 71,9 AU /dL. This gives a total average of 74 ± 0,65 AU/dl. We found a significant direct relationship with the Chi square test between the variables sex amylase: (p=0,000); we doesn`t found a significant direct relationship between; amylase with age: (p=0,069); amylase with high: (p=0,265); amylase with weight : (p=0,311). KEY WORDS: Amylases, reference values, urban population, adult, Cuenca – Ecuador.
Análisis bacteriológico del agua e índice parasitario de la parroquia Cumbe
(1985) Capón Caimayo, Gladys; Correa Pardo, Eudelia; Torres Martínez, Martha Cecilia
Análisis comparativo del perfil de susceptibilidad de mycobacterium tuberculosis frente a fármacos de primera línea de tratamiento en pacientes del Hospital Vicente Corral Moscoso en el período 2021 - 2022
(Universidad de Cuenca, 2023-03-14) Torres Largo, Tatiana Elizabeth; Rojas Aragones, María Camila; Espinoza Pesántez, Diana Isabel
Tuberculosis is an infectious disease caused mainly by Mycobacterium tuberculosis and its growing bacterial resistance to antibiotics represents a threat to the sustainability of public health. Therefore, a comparative analysis of the susceptibility profile of Mycobacterium tuberculosis was undertaken, in regard to top-notch medication used for treatment of patients at Vicente Corral Moscoso Hospital in 2021-2022. This is a descriptive, cross-sectional and retrospective study. The universe comprised positive cultures of M. tuberculosis, featuring antimicrobial identification and susceptibility test. The sample was propositional nonprobabilistic. The statistical analysis was conducted using IMB SPSS Statics 25, free trial version, and Microsoft Excel. The results showed that in 2021 the frequency of M. tuberculosis accounted for 7.7%: males represented 58.2% and 21- to 30-year-old patients represented 25.5%. In regard to the susceptibility profile, nineteen isolation procedures were analyzed: 10.5% showed resistance to ethambutol and a 100% were sensitive to isoniazid. In 2022, the frequency of M. tuberculosis was 8.3%: males represented 59.6% and 21-to 30- year-old patients represented 23.4%. Regarding the susceptibility profile, twenty-seven isolation procedures were analyzed: 33.3% showed resistance to isoniazid and 100% was sensitive to ethambutol.
Anormalidades cromosómicas, mediante citogenética convencional en abortos espontáneos, en pacientes del Hospital Vicente Corral Moscoso. Cuenca. 2016
(Universidad de Cuenca, 2016-11-11) Macas Quishpi, Digna Elizabeth; Peláez Cajas, Diana Elizabeth; Larriva Villarrreal, Diana Katherine; Mejía Chicaiza, Jorge Victoriano
BACKGROUND: The human reproduction is considered as a relatively inefficient process; the spontaneous abortions occur in 10-15% of all clinically recognized pregnancies. Chromosomal abnormalities are one of the main causes for such loss occurs. To this postponement of motherhood which directly influences a high incidence of chromosomal abnormalities adds. In addition, statistics of chromosomal aberrations in spontaneous abortions amounted to gestational age and if the woman has a history of abortions. (1) (2) OBJECTIVE: To determine by conventional cytogenetics chromosomal abnormalities in spontaneous abortions in patients Hospital Vicente Corral Moscoso in 2016. METHODS: An observational, analytical cross-sectional study was conducted in a six-month period 100 samples were collected abortion. As laboratory method analysis abortion tissues used by conventional cytogenetics; plus the patient data were obtained through a form, they were tabulated and associated with the result of the karyotype. The data obtained were analyzed in the SPSS version 1.8 software in Spanish and Excel 2010. RESULTS AND CONCLUSIONS: We obtained 59 karyotypes of processed samples and 33.9% had chromosomal abnormalities, the most common abnormalities were aneuploidy by 50%. No statistically significant association with the associated variables found. The results of the study were provided to each of the patients it was useful for counseling
Bacterias causantes de sepsis neonatal y su perfil de susceptibilidad en el Hospital Vicente Corral Moscoso, 2015 - 2018
(Universidad de Cuenca, 2020-03-04) Cabrera Plaza, Aracely Leslie; Cáceres Palacios, Jennifer Johanna; Agreda Orellana, Ivanna Solmayra
INTRODUCTION: Neonatal sepsis is responsible for a high percentage of the worldwide mortality rate. It’s defined as an abnormal immune response that is used to fight off a systematic invasion of microorganisms such as fungus, bacteria, and viruses that are in the bloodstream during the first 28 days of life. The symptomatology is nonspecific and the risk factors are maternal – neonatal. GENERAL OBJECTIVE: To determine the bacteria that causes neonatal sepsis and their susceptibility profile in the Vicente Corral Moscoso Hospital, 2015 - 2018. METHODOLOGY: A descriptive-retrospective study was done with universal and a sample of 1.200 infants were performed. Blood culture results and associated factors such as sex, gestational age and days of hospitalization were collected. The data was analyzed and tabulated in the SPSS version 22 and Microsoft Excel 2016 programs. RESULTS: Of 122 diagnoses of neonatal sepsis, 27,1% presented positive blood culture. The most affected population were women with 54,5%, preterm infants in 66,7% and the hospital stay was ≥8 days at 100%. The main causative agents were: Staphylococcus epidermidis 42,5% and Staphylococcus hominis 12,2%, both producers of betalactamases and resistant methicillin. The most pathogenic bacterium was Klebsiella pneumoniae 3,3%, producer of extended spectrum betalactamases and carbapenemases. CONCLUSION: Neonatal sepsis mainly affected women and preterm infants. The bacteria most affected were Staphylococcus spp. negative coagulase and were found resistance markers: BLEE, BLACT, MRS, MLSb and carbapenemases production.
Bacteriemia en pacientes atendidos en el Hospital Universitario del Río, Cuenca 2019 – 2020. Cuenca 2022
(Universidad de Cuenca, 2023-04-05) Delgado Cullquipuma, Paula Inés; Jaramillo Pizarro, Gissela Lizbeth; Agreda Orellana, Ivanna Solmayra
INTRODUCTION: Bacteremia is known as the infection of the bloodstream caused by bacterial microorganisms. Among its causes are the colonization of devices such as venous catheters, urethral catheters, among others. Bacteremia is classified according to the place where it was acquired and the origin of the infection, the diagnosis is made through microbiological techniques such as blood culture. GENERAL OBJECTIVE: To determine the frequency of bacteremia in patients attended at the Hospital Universitario del Río, Cuenca 2019 - 2020. METHODOLOGY: The study was a cross-sectional descriptive study, the universe consisted of the reports of patients who underwent blood cultures at the Hospital Universitario del Río 2019 - 2020. The information was collected in the data registration form and was analyzed with the implementation of Microsoft Excel 2013 and SPSS version 2.2 software. RESULTS: During the period 2019 - 2020 a total of 1 530 blood cultures were recorded, cases of bacteremia represent 7.12 %, ICU was the area with the highest number of cases with 54.13 %, being the male gender more susceptible to contracting the infection with 57.79 % and the age group most affected was 61 - 75 years. The most frequent comorbidity was pneumonia with 54.13 %, obtaining Klebsiella pneumoniae as the main microorganism isolated with 21.10 % in peripheral blood cultures.
Bilirrubinas séricas en personas de 23 a 42 años de la ciudad de Cuenca-Ecuador, 2009-2010
(Universidad de Cuenca, 2010-11-11) Peñaloza Ordóñez, Mayra Isabel; Vizhñay Fajardo, Jessica Maricela; Cabrera Vicuña, José Antonio; Alvarez Herrera, María Hermelinda; Cabrera Vicuña, José Antonio
Was evaluated serum levels of bilirubin in healthy people 23 to 42 years in the urban parishes of the city of Cuenca, who helped apply a survey to assess their health status and thus become part of our study. We obtained blood samples from fasting, they were processed in the laboratory of the Diagnostic Center for identification, we used the spectrophotometer Genesis 20, and the commercial reagent Wiener Bilirubin results relate to the variables of age, sex, height and weight. We used SPSS 15.0 where the average value of total bilirubin was: 0.8 ± 0.009 mg / dl, a standard deviation of 0.3 mg / dl, the minimum value of 0.2 mg / dl and the maximum 1.5 mg / dl. Direct bilirrubin was the average value: 0.15±0.002 mg/dl, a standard deviation of 0.06 mg/dl, the mínimum value of 0.01 mg/dl and the máximum value of 0.30 mg/dl; and indirect bilirubin average value: 0.50 ± 0.007 mg / dl, a standard deviation of 0.23 mg / dl, the minimum value of 0.00 mg / dl and the máximum value of 1.00mg/dl. There is no significant correlation between total bilirubin, age (p = 0.243), with sex (p = 0.212), height (p = 0.721), weight (p = 0.865) were not significant direct bilirubin relation ships - age(p = 0.148), with sex (p = 0.264); size (p = 0.909), weight (p = 0.215) and also between indirect bilirubin – size (p = 0.217), weight (p = 0.361), being significantly related indirect bilirubin - sex (p = 0.003), age (p = 0.046). Keywords: bilirubin, reference value, technical and laboratory procedures, healthy, Cuenca-Ecuador.
Biometría del cordón umbilical en el recién nacido comparado con niveles de hemoglobina y hematocrito en la madre en preparto. I.E.S.S.-H.V.C.M.-1988
(1989-11-11) Galarza Molina, Elizabeth; León de Ayala, Dalia; Nicolalde de Tapia, Gladys; Peralvo Román, Juan
Calcio sérico en personas de 23 a 42 años de la ciudad de Cuenca-Ecuador. 2009-2010
(Universidad de Cuenca, 2011-11-11) Vivanco Tinoco, América Maritza; Seminario Vintimilla, Laura Elizabeth; Cabrera Vicuña, José Antonio; Alvarez Herrera, María Hermelinda
This study aimed to determine the values of Calcium in persons 23 to 42 years old of different sex, height and weight, in order to establish values reference. The study was conducted in 1000 randomly selected people in the urban parishes of the city of Cuenca; who were applied a questionnaire covering their current health status, the personal and family medical history, which allowed selection of healthy individuals. Research was conducted in the Clinical Laboratory of the Diagnostic Center at the Medical School of the University of Cuenca. A Spectronic Genesys 20 brand spectrophotometer and a reactive substance from the Wienner business were used for this research. Of the research subjects, 35% were men and 65% women. The majority, 34%, of subjects were between the ages of 23 and 26, 23,1% of subjects were between the ages of 39 and 42 with a total of 57,1 %,73.3% of subjects were between 151 and 170 cm tall, with an average height of 160 cm. 67% of subjects weighed between 51 and 70 Kg with an average weight of 63, 4 Kg. The obtained results were as follows: the average calcium level was 9,4 ± 0,0204 mg/dl with the84,5 % , with an average for men of 9,5 mg/dl and an average for women of 9,3 mg/dl. Broken down by ages, subjects between the ages of 23 and 26 had an average calcium level of 9,4 mg/dl. For subjects between the ages of 27 and 30 the average calcium level was 9,3 mg/dl, 9,3 mg/dl for subjects between the ages of 31 and 34, 9,4 mg/dl for subjects between the ages of 35 and 38, and 9,5 mg/dl for subjects between the ages of 39 and 42, with a resulting total Chi-square value of 0,164. Key words: Calcium, value of reference, urban population, adult, Cuenca Ecuador.
Calcio sérico en personas de 23 a 42 años de la Ciudad de Cuenca-Ecuador. 2009-2010
(Universidad de Cuenca, 2010-11-11) Vivanco Tinoco, América Maritza; Seminario Vintimilla, Laura Elizabeth; Cabrera Vicuña, José Antonio; Álvarez Herrera, María Hermelinda; Cabrera Vicuña, José Antonio
This study aimed to determine the values of Calcium in persons 23 to 42 years old of different sex, height and weight, in order to establish values reference. The study was conducted in 1000 randomly selected people in the urban parishes of the city of Cuenca; who were applied a questionnaire covering their current health status, the personal and family medical history, which allowed selection of healthy individuals. Research was conducted in the Clinical Laboratory of the Diagnostic Center at the Medical School of the University of Cuenca. A Spectronic Genesys 20 brand spectrophotometer and a reactive substance from the Wienner business were used for this research. Of the research subjects, 35% were men and 65% women. The majority, 34%, of subjects were between the ages of 23 and 26, 23,1% of subjects were between the ages of 39 and 42 with a total of 57,1 %,73.3% of subjects were between 151 and 170 cm tall, with an average height of 160 cm. 67% of subjects weighed between 51 and 70 Kg with an average weight of 63, 4 Kg. The obtained results were as follows: the average calcium level was 9,4 ± 0,0204 mg/dl with the84,5 % , with an average for men of 9,5 mg/dl and an average for women of 9,3 mg/dl. Broken down by ages, subjects between the ages of 23 and 26 had an average calcium level of 9,4 mg/dl. For subjects between the ages of 27 and 30 the average calcium level was 9,3 mg/dl, 9,3 mg/dl for subjects between the ages of 31 and 34, 9,4 mg/dl for subjects between the ages of 35 and 38, and 9,5 mg/dl for subjects between the ages of 39 and 42, with a resulting total Chi-square value of 0,164. Key words: Calcium, value of reference, urban population, adult, Cuenca Ecuador.
Calcio sérico por fotocolorimetría en mujeres de 45 a 55 años de la Ciudad de Cuenca 2013
(Universidad de Cuenca, 2013-11-11) Samaniego Espinosa, Sandra Tamara; Fernández Iñiguez, Patricia Guisella; Cárdenas Carrera, Jenny Carola; Cabrera Vicuña, José Antonio
The calcium, essential for the human body, is kept at levels from 8.5 to 10.5 mg / dl. Higher levels (hypercalcemia) are detected in the menopause, when the rate of reabsorption increases regarding the reduction of ovarian estrogen production and, consequently, more calcium is needed to manage the reduction in the efficiency of the use of mineral obtained from food. It was made an observational and descriptive study, which purpose was to determine the serum calcium using photocolorimetry in 45-55 years old women. According to the aim, 201 blood samples from patients belonging to urban area parishes of the city of Cuenca were analyzed, in order to identify the relationship between hypercalcemia and hormonal alteration these women. The processing of the samples was performed at the Laboratory of the” Vicente Corral Moscoso” Hospital, following biosafety standards and quality control. Next, the data was entered to SPSS and Excel software, getting these results: The 50.2% of women surveyed are over 50 years old. 56.7% of these women have a rate of calcium between 9 and 10.9 mg / dl, while 33.3% have values higher than 11 mg / dl relating it to a study carried out in Costa Rica with outpatient population in 45 healthy adult women randomly selected, without apparent disorders of calcium metabolism, in which was obtained serum calcium between 8.6 - 10.3 mg / dl.
Cáncer gástrico y grupos sanguíneos en el “Instituto de cáncer SOLCA – Cuenca”. 2019
(Universidad de Cuenca, 2020-08-07) Chauca Abad, Valeria Estefanía; Baculima Tenesaca, José Mauricio
Background The gastric cancer is a neoplastic disease causing uncontrolled and abnormal growth of the cells that are responsible for covering the inner surface of the stomach. In 2018, the International Agency for the Research of Cancer (IARC) showed that there are were 1.033.000 new cases of gastric cancer; in the same year, the World Health Organization revealed that the frequency of gastric cancer worldwide was 5,7%, representing the fifth cause of death from cancer (2,38). Objective: To establish the distribution of gastric cancer according to the blood groups of the patients treated in the Cancer Institute SOLCA during the period 2013-2018. Methodology: The research was a kind of descriptive in cross-section, with a universe conformed by patients who underwent stomach biopsy treated in the Cancer Institute SOLCA Cuenca in the period 2013-2018; the sampling will be obtained in those who underwent a stomach biopsy in the study period. The data was processed with computer tools such as SPSS Statistics 25, trial version, and EXCEL, analyzing the data obtained with descriptive statistics and association measures. Results: The frequency of gastric cancer in the six periods of the study was 14,2%, the male sex was 52,19%, showing with significance and association statistical; 97,92% corresponded to an age between 30 and 95 years, finding association and significance statistical in more than 50 years. The 78,5% of the patients came from the Health Zone Six. The blood group “O” obtained the highest frequency index in positives with 10,8%. The presence of gastric cancer is presented in the following order: "O", "A", "B Conclusions: The gastric cancer has a frequency of 14,2% in the study periods, predominating the blood groups O, the male sex and age group over 50 years. From the last two mentioned above, statistical significance and associations were obtained.
Características de las pacientes con complicaciones en el puerperio inmediato atendidas en el servicio de ginecología y obstetricia del Hospital Vicente Corral Moscoso. Cuenca 2013
(2015) López Montero, Grace Katherine; Naula Espinoza, Lourdes Isabel; Ñauta Baculima, Manuel Jaime
Postpartum hemorrhage is one of the most common obstetric problems and ranks among the top three causes of maternal mortality, which determine greater hospital stay, so we must know them to focus on prevention, improving the quality of life of patients and reducing maternal mortality. To determine the characteristics of patients with immediate postpartum complications treated at the department of gynecology and obstetrics HVCM Cuenca 2013. METHOD AND MATERIALS: A descriptive study, with data collection from medical records in the field of gynecology and obstetrics by a form with data concerning: demographics, reproductive background. The information was entered into the Epi Info for tabulation. The results are presented in simple tables. RESULTS: Immediate postpartum complications in patients treated at the HVCM 2013 are: 58.1% uterine hypotonia, anemia 23.6%, 8.2% uterine inertia, delivery incomplete 3.3%, maternal mortality 0 , 5%. 46.6% of patients were among those 15-23 years old, 36.7%. CONCLUSION: In our study, postpartum hemorrhage was the most frequent and age of greater frequency was between 15 to 23 years therefore must implement actions and strategies to reduce the incidence of morbidity and mortality at this stage, so it is important to educate the adolescents on the pregnancy course health personnel should be prepared to identify risk factors, diagnostic procedures and treatment.
Características del trauma abdominal en pacientes atendidos en el Hospital "Homero Castanier Crespo". Azogues, 2010-2013
(2015) Mejia Auquilla, Marcia del Carmen; Mocha Guamanrrigra, Carlos Efraín; Ordóñez Cumbe, Julio César; Charry Ramírez, José Ricardo
Trauma to the Ecuador is the leading cause of death and disability in the economically Active Population. The abdominal trauma for mortality ranges between 10% and 50 % depending on the structure or organ Affected, increasing in Injuries of the Great Arteries, hypovolemic shock being the leading cause of death. Objective: To determine characteristics of abdominal trauma patients seen in “Homero Castanier Crespo" Azogues hospital, during the period 2010-2013. Methods: A descriptive, retrospective and cross-sectional carried out with stories Clinics Patients over five years with abdominal trauma to meet the study inclusion criteria. Data were collected In a Validated Form and Were Processed with SPSS v.15. For statistical analysis used simple tables and contingency, with percentages and averages. Results: The open abdominal trauma represent 28.9 % and closed abdominal trauma 71,1%, Affection Primarily a young male. The chest trauma mainly correlated with abdominal trauma (51,22%). Events transit son The Number One Cause abdominal trauma closed abdominal trauma increasing the risk para. 67,5% showed altered laboratory tests . More affected organs were liver and biliary tract (14%). They try to clinical Way to 24% of patients and there was a mortality rate of 5,26 %
Caracterización bacteriana en flora intestinal y pruebas de resistencia antibiótica en 500 escolares del sector urbano de Cuenca, año 2009
(Universidad de Cuenca, 2011-11-11) Jimbo Méndez, Janeth María; Saquicela Quezada, Sandra Tarcila; Galindo Banegas, Telmo Benjamín; Alvarez Serrano, Marlene Elizabeth
Objective: Bacterial characterization in Intestinal Flora and Tests of Antibiotic Resistance in 500 scholars of the Urban Sector of Cuenca, Year 2009 .-Materials and Methods. With an Observational Descriptive design, 500 samples of fecal grounds were gathered of school and they were processed in the laboratory of microbiology of the Ability of Sciences you prescribe, during the period September of the 2009. - Results. -Of the 500 scholars 279 were women and 221 men, the percentage distribution for ages was: 5-7 years (33.6%), 8-10 years (44.4%) and of 11-13 years (22.0%). The carried out bacterial isolations showed to Escherichia coli in 80%, Enterobacter 13%, Klebsiella 5.8%, Proteus 0.8% and Pseudomona 0.4%. - It was determined that all the bacterias turned out to be sensitive in a high percentage to Imipenem 100%, Cloranfenicol 98.4%, Ciprofloxacina 97.5%, Cefotaxime 95.5%, Cefurexime 93.3%, and Ceftriaxona 90.2%. Escherichia coli presents resistance to Trimetoprinsulfa with 20%, Gentamicina 23.5% and Ampicilina+ Sulbactam 25.3%; as for the Enterobacter it was it for Gentamicina 15.4%, Ampicilina+Sulbactam 18.5%, in what concerns Klebsiella 24.1% point for Gentamicina and Ampicilina+ Sulbactam and Trimetoprinsulfa 27.6%. Proteus and Pseudomona didn't present resistance some. Conclusions. - Escherichia coli was the bacteria of more frequency contrary to Klebsiella, Enterobacter, Proteus and Pseudomona, the bacterial resistance was comparatively low.AU
Caracterización y resistencia de escherichia Coli a los antimicrobianos en los hospitales Vicente Corral Moscoso y José Carrasco Arteaga, Cuenca, 2008-2009
(Universidad de Cuenca, 2011-11-11) Alvarado Sánchez, Sebastián Stalyn; Guzmán Rodas, Fernanda Elizabeth; Saquipay Pañi, Wilson Roberto; Galindo Banegas, Telmo Benjamín; Álvarez Serrano, Marlene Elizabeth
Objective. To characterize and determine the strength of Escherichia coli in primary cultures in Vicente Corral and Jose Carrasco hospitals of Cuenca city. Materials and method. A descriptive design information was collected 1000 primary cultures in external consultation and hospitalization of both institutions of health in period January to May 2009. Results. In the 1000 primary cultures 789 (79%) were at the Hospital Vicente Corral and 211 (21%) in the Hospital José Carrasco identified 352 (35.2%) positive cultures: Escherichia coli, in both hospitals the highest percentage of samples came from the outpatient clinic, the bacterium Escherichia coli showed increased resistance to TMP + SMX association in 50% of crops, there is resistance to other antibacterial agents: cefepime, nitrofurantoin, ceftriaxone, ceftazidime, ciprofloxacin, imepenem, gentamicin and sulbactam, ranging from 12.8% to 22.2%, respectively. Collection characterized the distribution of frequencies as: age, sex and origin of material for cultivation and antibiogram. . Conclusions. Bacterial resistance patterns are changing and differ between health houses. Bacterial behaviour seems to be determined by abuse of antibiotics. Key words: Culture media, antibiogram, bacteria, bacterial drug resistance, Escherichia coli.
Caracterización y resistencia de proteus, pseudomona, klebsiella y enterobacter en 1000 cultivos primarios en pacientes de los hospitales Vicente Corral Moscoso y José Carrasco Arteaga, Cuenca, 2008-2009
(Universidad de Cuenca, 2010-11-11) Sánchez Alvarado, David Fernando; Carrasco Contreras, Maribel Fabiola; Campoverde Ochoa, Mariela Soledad; Galindo Banegas, Telmo Benjamín; Alvarez Serrano, Marlene Elizabeth
Objective. Characterize the sensitivity and resistance of Proteus, Pseudomonas, Enterobacter, Klebsiella isolated in crops in the Vicente Corral and Jose Carrasco hospitals of Cuenca city. Materials and Methods. With a cross sectional study was collected information 1000 primary cultures in the outpatient and hospitalization of both houses of health from 2008 to 2009. Results. In the 1000 primary cultivations 789 (79%) picked up in the Hospital Vicente Corral and 211 (21%) in the Hospital José Carrasco 137 were identified (13,7%) positive cultivations for: Klebsiella spp (5,5%), Enterobacter spp (4,9%), Proteus spp (1,7%) and Pseudomona spp (1,6%). In both hospitals the biggest percentage was of the Service of External Consultation. Pseudomona spp went more resistant to Cefepima (53,4%). Gentamicina (50%) and Ceftriaxona (50%); Klebsiella spp to Ampiciline Sulbactam (52,8%) and Gentamicina (40%); Enterobacter spp to Gentamicina (65,4%), and Proteus spp to Ciprofloxacina (41,2%) and Sulbactam (35,3%). The summary characterizes the variables of interest like age, sex and bacterial resistance in patient as well as the hospital areas where were assisted and collection the sample for cultivation and antibiograma. Technique was used settled down in cultivation microbiology (primary, secondary), you prove biochemical of identification and antibiograma of Kirby Bawer, validated internationally. Conclusions: Sensitivity and bacterial resistance patterns are very changing and differ markedly between health centres. Bacterial behavior seems to be determined by the abuse of antibiotics. KEY WORDS: bacteria - characterization - proteus, pseudopretty, klebsiella, to enterobacter - bacterial farmacoresistencia - technical and procedures of laboratory - patient, hospitals public, Cuenca - Ecuador
Conocimientos y prácticas del uso de analgésicos antiinflamatorios no esteroideos en adultos mayores del centro gerontológico del iess. Cuenca 2013- 2014.
(2014) Guillén Palomeque, Paula Gabriela; García Ordoñez, Galo Fabián; Roldán Fernández, José Vicente
Background: The nonsteroidal antiinflammatory drugs are a group of medicament with a high potential to develop adverse effects and exacerbate underlying diseases with a lot of susceptibility in the elderly. Objective: Raising the level of knowledge and best practices to use NSAIDs in the elderly in the Geriatric Center IESS through an educational program of NSAIDs. Methodological Design: This study is analytical quantitative quasi experimental. It took a random sample of 262 patients. They are retired people who often use the Geriatric Center services. The main variables which were analyzed were how much people know about NSAID and how they use them. The data was gotten through an interview before and after an educational period. After the educational period we put the information in the computer to be analyzed in Fisterra, SPSS, and Epi info softwares. Outcomes: The items that assess knowledge such as: prior information on ADRs of NSAIDs (RR<1, IC 0,08-0,18, p<0,05), effects due to long term consumption (RR<1, IC 0,11-0,22, p<0,05), interactions (RR<1, IC 0,09-0,18, p<0,05), contraindications (RR<1, IC 0,00-0,05, p<0,05), options to deal with the pain (RR<1, IC 0,07-0,15, p<0,05), fever (RR<1, IC 0,15-0,25, p<0,05) e inflamation (RR<1, IC 0,32-0,44, p<0,05). Assessment practices such as: the necessity of visiting the Doctor before consuming any drug (RR<1, IC 0,09-0,24, p<0,05), effects of consuming drugs without prescription (RR<1, IC 0,27-0,71, p<0,05), information sources (RR<1, IC 0,49-0,73, p<0,05), consuming frequency (RR<1, IC 0,19-0,43, p<0,05), consuming of proton pump inhibitors (RR<1, IC 0,81-1,00, p<0,05) and pain level (RR<1, IC 0,10-0,58, p<0,05). Conclusion: After the educational program, the level of knowledge and practices in the elderly increased except by the consuming of gastro protectors which was around the unit. KEY WORDS: NSAIDs, ELDERLY, EDUCATIONAL PROGRAM, KNOWLEDGE, PRACTICES, DRUGS CONSUME AND SELF-MEDICATION.
Conocimientos, actitudes y prácticas sobre métodos parasitológicos aplicados en el diagnóstico de enteroparásitos, de los profesionales que laboran en centros públicos y privados de la ciudad de Cuenca, 2021
(Univeridad de Cuenca, 2023-01-31) García Galán, Nelly Catalina; Guaricela Guzmán, Diego Israel; Baculima Tenesaca, José Mauricio
Background: Objective: To identify the knowledge, attitudes and practices on parasitological methods applied in the diagnosis of enteroparasites, by professionals who work in public and private centers in the city of Cuenca. Methodology: The research was of a descriptive, quantitative, cross-sectional type in professionals who work in public and private centers that maintain an agreement with the Clinical Laboratory career, a survey valued by the Likert scale was applied, the results of which were tabulated with SPSS Statistics 25 and Excel, descriptive statistics were used through frequency, percentages, mean and standard deviation, exposing the results in tables and statistical graphs. Results: The knowledge of the professionals is maintained on the "very frequent" scale with a minimum percentage of 76.5%, the attitudes are "positive" being the highest 89.8%, unlike the practices that are maintained on the scale "poor" reaching 69.4% referring to the non-use of complementary techniques for parasitological diagnosis. Conclusions: The professionals present a good level of knowledge, positive attitudes, but a poor level of practice on parasitological techniques. It is necessary to carry out constant evaluations on the parasitological diagnosis.

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