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Revista Información Científica

On-line version ISSN 1028-9933

Abstract

DONATIEN GONZALEZ, Betsy; GONZALEZ RODRIGUEZ, Iván  and  DELGADO DELGADO, María Mercedes. Characterization of pregnant women with urosepsis and antimicrobial resistance of Escherichia coli, Hospital "Dr. Agostinho Neto", Guantánamo. Rev. inf. cient. [online]. 2019, vol.98, n.2, pp. 184-195. ISSN 1028-9933.

Introduction:

the combined resistance to multiple antibiotics in some of the main pathogenic bacteria in humans is increasing in recent years and is generating a major threat to public health.

Objective:

to characterize pregnant women with urosepsis who presented antimicrobial resistance of E. coli isolated in urocultures and treated in the General Teaching Hospital "Dr. Agostinho Neto" of Guantanamo during the period from January to June 2017.

Method:

a descriptive study was carried out, transversal and retrospective in the General Teaching Hospital "Dr. Agostinho Neto" of Guantánamo, in the period January to June 2017. The universe of study was constituted by 58 pregnant women. The variables studied were: age, parity, risk factors and resistance. The absolute frequency and the relative frequency (%) were used as a summary measure.

Results:

the greater number of pregnant women with urosepsis caused by Escherichia coli were in the age group between 19 and 29 for 48.3%. Urosepsis in stages prior to pregnancy was identified in 48.3% of the multiparous women, only 11 of the primiparous women (19.0%). Anemia was diagnosed in 28 pregnant women (48.3%), diabetes mellitus type II in 11 patients for 19.0%. In 33 pregnant women (57%), there was resistance to nalidixic acid, in 28 to sulfaprim (48.2%) and in 40% to amoxicillin + clavulanic acid a total of 23 patients.

Conclusions:

Urosepsis due to Escherichia coli predominated in pregnant women between 19 and 29 years of age, multiparous, with this condition in stages before pregnancy, anemia, multigesta and with diabetes mellitus. There was resistance to nalidixic acid, sulfaprim, amoxicillin + clavulanic acid and cephalexin.

Keywords : urosepsis; Escherichia coli; multiresistance.

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