Sanín-Ramírez Daniel, Calle-Meneses Cristian, Jaramillo-Mesa Carolina, Nieto-Restrepo Julián Alfredo, Marín-Pineda Diana Marcela, Campo-Campo María Nazareth
Universidad Pontificia Bolivariana, UT San Vicente CES, Medellín (Colombia).
Universidad Pontificia Bolivariana, DAVITA, Medellín (Colombia).
Rev Colomb Obstet Ginecol. 2019 Dec;70(4):243-252. doi: 10.18597/rcog.3332.
To determine the prevalence of urinary tract infections (UTIs), the microbiological profile and antibiotic resistance in pregnant women with suspected urinary tract infection.
Cross-sectional study of pregnant women with suspected community- acquired urinary tract infection referred to the outpatient clinic by prenatal care practitioners or seen in the emergency room, and hospitalized be- tween August 2013 and September 2015 in a referral teaching hospital located in Medellin, Colombia. Pregnant women who had received antibiotics on the day before admission were excluded. Random sampling. Measured variables: sociodemographic, clinical and bacteriological. Descriptive statistics were applied.
The prevalence of urinary tract infections was 29%. Gram negative bacteria isolates were found predominantly, the main ones being and at 57.7 and 11.4%, respectively. Resistance to trimethoprim- sulfamethoxazole and to ampicillin-sulbactam was observed in 19.5% and 17.5% of isolates, respectively.
Population-based studies are needed to provide a better approach to bacterial resistance in community-acquired UTIs. On the other hand, the high resistance observed may suggest that some of the exposed antibiotics might not be included in the local guidelines for the management of UTIs.
确定疑似尿路感染的孕妇中尿路感染（UTIs）的患病率、微生物谱及抗生素耐药性。
对产前护理从业者转诊至门诊或在急诊室就诊、于2013年8月至2015年9月间在哥伦比亚麦德林一家转诊教学医院住院的疑似社区获得性尿路感染孕妇进行横断面研究。排除入院前一天接受过抗生素治疗的孕妇。随机抽样。测量变量：社会人口统计学、临床和细菌学变量。应用描述性统计分析。
尿路感染患病率为29%。主要分离出革兰氏阴性菌，其中 菌和 菌分别占57.7%和11.4%。分别有19.5%和17.5%的分离菌株对甲氧苄啶 - 磺胺甲恶唑和氨苄西林 - 舒巴坦耐药。
需要开展基于人群的研究，以便更好地应对社区获得性尿路感染中的细菌耐药性问题。另一方面，观察到的高耐药性可能表明，一些已使用的抗生素可能未被纳入当地尿路感染管理指南。
