Características de los urocultivos realizados en pacientes hospitalizados en el área de Pediatría, Hospital Vicente Corral Moscoso, 2014 - 2015

Abstract

Introduction: in pediatric, the urinary tract infection (UTI) is the second most common infection. Although it has a good prognosis if proper treatment is established, it can also cause serious complications, so the diagnosis by urine culture to identify the organism, resistance and antibiotic susceptibility is essential. Objective: determine the characteristics of the positive urine cultures in hospitalized patients in the area of pediatrics, Hospital Vicente Corral Moscoso, 2014 – 2015 Material and Methods:a descriptive study was conducted at the medical records of patients who were hospitalized in the pediatrics area Vicente Corral Moscoso Hospital. We collect data such as age, sex, origin, history of UTI, anatomical and functional abnormalities of the urinary tract, the presence of urinary catheter, urine culture and changes of empirical treatment after the results of the urine culture. The data were processed and analyzed with SPSS version 15 and Excel, frequency tables, mean and standard deviation were developed. Results: of 132 positive urine cultures analyzed, females represented 82.6%, the most common age group was 0-12 months with 40.2%. 29.5% of patients had a history of UTI. Escherichia coli (E. coli) was isolated in 82.5% with 99.0% sensitivity to amikacin and 83.3% resistance to ampicillin. Treatment was changed in 31.0%, after the result of urine culture. 82.5% of the changes were consistent with the sensitivity and resistance identified. Conclusion: the pathogen most frequently isolated was E. coli in 82.5 % of cases, with a sensitivity of 99.0 % for amikacin and a clear resistance to ampicillin 83.3 %.