Acuña-Ruíz Ana María, Molina-Torres Francisca Alejandra
Instituto Mexicano del Seguro Social, Unidad de Medicina Familiar Nº 1, Servicio de Medicina Familiar. Ciudad Obregón, Sonora, México.
Rev Med Inst Mex Seguro Soc. 2022 Jul 4;60(4):411-417.
The urinary tract infections in pregnant women are the second most frequent medical pathology in pregnancy, presenting an incidence of 5-10%. In Mexico, according to the Mexican Clinical Practice Guide, the incidence is 2%, and establishes a recurrence of 23% of them.
To determine the associated epidemiologic factors with recurring infections in lower urinary tract in pregnant women during the period of May 2019 through May 2020.
Analytical observational cross-sectional and retrospective research study, where prenatal control sheets of clinical records were reviewed from the institutional program to identify frequency of recurrence and epidemiologic factors associated with lower urinary tract infections in 90 pregnant women; the variables were analyzed through descriptive statistics and analytical statistics.
Of a total of 90 electronic records of pregnant women, a recurrence of lower urinary tract infections was found in 41 patients (45.6%).
The prevalence of recurring lower urinary tract infections during pregnancy in our population is alarming in whom no association was found with the presence of the epidemiologic factors studied in the present investigation; however, a tendency of recurrence urinary tract infections was identified in women that are not working, superior level of education, 2 pregnancies or less, patients under 20 years of age and in those who were treated with nitrofurantoin for a period of time less than 7 days.
孕妇泌尿系统感染是孕期第二常见的医学病症，发病率为5%-10%。在墨西哥，根据《墨西哥临床实践指南》，发病率为2%，且其中23%会复发。
确定2019年5月至2020年5月期间孕妇下尿路感染复发的相关流行病学因素。
分析性观察性横断面回顾性研究，回顾了机构项目中临床记录的产前检查表，以确定90名孕妇下尿路感染的复发频率和相关流行病学因素；通过描述性统计和分析性统计对变量进行分析。
在总共90份孕妇电子记录中，41名患者（45.6%）出现下尿路感染复发。
我们人群中孕期下尿路感染复发的患病率令人担忧，在本研究中未发现与所研究的流行病学因素存在关联；然而，在无工作、受教育程度较高、怀孕2次或更少、年龄在20岁以下以及使用呋喃妥因治疗时间少于7天的女性中，发现了尿路感染复发的倾向。
