Perfil microbiológico de los uro patógenos no asociados al cuidado de la salud y su resistencia bacteriana en la población pediátrica de los 0 a los 12 años en dos unidades de servicio Engativá y Bosa en el año 2016

The ITU is the third cause of hospitalization in the pediatric population and its microbiological profile has been altered over time, decreasing the percentage of infections caused by Escherichia. coli and increasing its bacterial resistance, which constitutes a problem in public health. Objective: To determine the microbiological and bacterial resistance profile of uropathogenic not associated with the health care in pediatric population in the units of service Bosa and Engativá and the congruence of the empirical treatment and the suggested by the Antibiogram. Materials and methods: This was done descriptive study, transversal retrospective where we analyzed 138 clinical histories and determined absolute frequencies and relative. Results: Where it was shown that the main organism isolated in both centers was Escherichia coli, with an average of 78% However, the isolation was lower in Bosa in contrast to the results obtained in Engativá; The distribution in the age groups was more frequent in the minor infants in the unit of services Bosa, in contrast to those obtained in Engativá where it was more frequent in preschools, on the other hand E. coli was the main multidrug-resistant microorganism and producer of (BLEE) predominating in the feminine genus and being the main mechanism of resistance in Engativá in contrast to Bosa where the (BLEA) prevailed; The average resistance was higher for aminopenicillin with an average of 67%, followed by the combination Aminopenicilina more inhibitor of betalactamase by 50%; Only resistance to first generation cephalosporins was present in Bosa by 22%. The first line scheme for the management of ITU was the first generation cephalosporins in both centers, finally the congruence of the empirical treatment and suggested by the Antibiogram was greater than 80% in both centers studied; Conclusions: Escherichia coli remains the main causal microorganism of ITU its frequency to diminished and has increased its resistance however, in these centers was adequately addressed the ITU.

• Autores: Acosta Ariza, Kimberly Suam; Camacho Silva, Jhoan Andrés; Cano Narváez, Ximena Andrea; Espitia Lozano, Nicole
• Tipo de recurso: Trabajo de grado de pregrado
• Fecha de publicación: 2017
• Institución: Universidad de Ciencias Aplicadas y Ambientales U.D.C.A
• Repositorio: Repositorio Institucional UDCA
• Idioma: spa
• OAI Identifier: oai:repository.udca.edu.co:11158/834
• Acceso en línea: https://repository.udca.edu.co/handle/11158/834
• Palabra clave: Infección de vías urinarias; Pediatría; Resistencia bacteriana; Congruencia tratamiento; Asesores científicos; Estudiantes de medicina décimo semestre.; Enfermedades del aparato urinario; Enfermedades en niños; Resistencia a drogas en microorganismos; Medicina
• Rights: closedAccess
• License: Derechos Reservados - Universidad de Ciencias Aplicadas y Ambientales