Abstract

ESPINOSA FUENTES, Mirdo Luis et al. Recurrent acute pyelonephritis in women. Rev cubana med [online]. 2013, vol.52, n.3, pp. 161-172. ISSN 0034-7523.

A descriptive cross-sectional study was conducted to describe the behavior of recurrent acute pyelonephritis in women of 18 years of age and older who were admitted to "Mártires del 9 de Abril" Hospital in Sagua La Grande, from January 2004 to June 2007. The universe was composed of the 593 patients who were admitted with this diagnosis. A non-probabilistic sampling criterion was performed and then, the sample was composed of 67 patients. The ages ranged from 18 to 85 years. The most common clinical manifestations were low back pain, fever and low urinary symptoms. On physical examination, pain on deep palpation of the lumbar fosses was found, practically, in all cases. The diagnosis of certainty was made by urine culture in 104 occasions. The most common germs that infected the upper urinary tracts were gram-negative bacilli, and E. coli was the most common. The greatest sensitivity was seen for Amikacin and the resistance was greater to Ampicillin, Ciprofloxacin and Nalidixic Acid. Many of the patients with the majority of admissions presented structural anomalies of the urinary tract. The most frequently associated underlying disease was diabetes mellitus.

Keywords : Recurrent acute pyelonephritis; relapse; reeinfection; sensitivity; germ; resistance; antibiotic.

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