| Journal: | Jornal brasileiro de patologia e medicina laboratorial |
| Database: | PERIÓDICA |
| System number: | 000297223 |
| ISSN: | 1676-2444 |
| Authors: | Lucchetti, Giancarlo1 Silva, Antonio Jose da Ueda, Suely Mitoi Ykko2 Perez, Marjo Cadernuto Deninson Mimica, Lycia Maria Jenne |
| Institutions: | 1Irmandade da Santa Casa de Misericordia de Sao Paulo, Clinica Medica, Sao Paulo. Brasil 2Santa Casa de Sao Paulo, Faculdade de Ciencias Medicas, Sao Paulo. Brasil |
| Year: | 2005 |
| Season: | Dic |
| Volumen: | 41 |
| Number: | 6 |
| Pages: | 383-389 |
| Country: | Brasil |
| Language: | Portugués |
| Document type: | Artículo |
| Approach: | Experimental, analítico |
| English abstract | BACKGROUND: Urinary tract infections (UTI) are gaining a new role of importance in nosocomial infections. The main reason for this increase is the huge number of chronic catheterized patients (corresponding to 80% of all UTI). OBJECTIVES: Analysis of the frequency and antimicrobial susceptibilities to urinary tract infections agents in chronic catheterized patients in outpatient setting. METHOD: Urine cultures of 109 patients mentioned above were analyzed and if positive, it was collected the patient conditions that leads to UTI, the causative agents and the antimicrobial susceptibilities. RESULTS: From the 858 urine cultures analyzed from 109 patients, 674 (78.57%) were positive for pathogens growth. The most common microorganisms found were the Gram-negative bacilli with 618 (92.38%) cultures in which Pseudomonas aeruginosa was found in 288 (42.77%) of them, followed by Escherichia coli with 89 (13.14%) cultures, antibiotic susceptibilities to norfloxacin was 40%-44.34% and to ciprofloxacin was 35.13%-51.37%, main choice to oral treatment. The main predisposed condition for the infection in these patients was: time of catheterization, age and diagnosis. DISCUSSION: In this study, it was determined that conditions predisposed towards UTI are fundamental for orientation, medical treatment and care in the catheterization. The data collection showed that 674 (78.57%) of these patients had infections, with great incidence in the first and second years. CONCLUSION: The non-fermentative Gram-negative bacilli were the most common agents that differentiate them from the infections within the community in which the most frequent agent is Escherichia coli (which was the second agent in this study) |
| Portuguese abstract | DISCUSSÃO: A faixa etária predominante dos pacientes foi a da sétima década de vida, o tempo de sondagem foi inferior a três anos e o diagnóstico de base principal a hiperplasia prostática benigna (HPB). O perfil de sensibilidade para os bacilos gram-negativos mostrou uma sensibilidade variável perante antibióticos indicados para a ITU. CONCLUSÃO: Concluímos em nosso estudo que n = 674 (78,57%) das uroculturas dos pacientes sondados são positivas para bactérias ou fungos. O agente mais freqüente de ITU nesses pacientes é a Pseudomonas aeruginosa, seguida da Escherichia coli, o segundo agente mais freqüente |
| Disciplines: | Medicina |
| Keyword: | Diagnóstico, Hospitales, Terapéutica y rehabilitación, Infecciones urinarias, Antimicrobianos, Cateterismo vesical |
| Keyword: | Medicine, Diagnosis, Hospitals, Therapeutics and rehabilitation, Urinary infections, Antimicrobial agents, Vesical catheterism |
| Full text: | Texto completo (Ver HTML) |
