Infección del tracto urinario: Una mirada al panorama nacional

• Autores: Maryam Sidahi Serrano, M. Dolores Mañas, David Bellido Pastrana, Antonio Sáenz Gutiérrez, Inés Clemente, Joaquín Castro
• Localización: Apuntes de Ciencia, ISSN-e 2173-7274, Nº. 2, 2011, págs. 7-17
• Idioma: español
• Enlaces
  • Texto completo (pdf)
• Resumen
  • español

    Hospital universitario; planes de estudio de Medicina; declaración de Bolonia;

    docencia pregrado.

    Conclusiones: La mayoría de los antibióticos utilizados como primera línea en la terapia empírica presentan elevados porcentajes de resistencias. En nuestro Hospital el antibiótico empírico de elección fue levofloxacino en un 47,3% y ciprofloxacino en un 9,2%. Se recogen cifras de resistencia a quinolonas del 50% (50,8% ciprofloxacino y 50% levofloxacino). Los casos de bacteriuria asintomática son tratados en muchas ocasiones con antibiótico sin tener indicación para ello.

  • English

    Objectives: To review the major clinical syndromes included in the concept of urinary tract infection and review the current status of this disease in our environment, as well as the etiology of this disease in our country and the map of resistance to antimicrobial presenting the main etiological agents.

    Search strategy and study selection: There has been a literature review in the database online Elsevier-Doyma, and Pubmed about articles and clinical practice guidelines, we have prioritized the work in Spain. The keywords used were:

    urinary tract infection, asymptomatic bacteriuria, empirical treatment, and of extended spectrum beta-lactamase.

    Study selection and data: The review included guides Infectious Diseases Society of America (IDSA), manuals and guides Spanish Society of Infectious Diseases, and the latest studies on this subject published in our country.

    Summary of results: Escherichia coli are the most common causal agent. In our Hospital, highlights a significant increase in resistance to antibiotics, especially quinolones.

    Conclusions: Most antibiotics used as first-line empirical therapy have high rates of resistance. In our hospital the antibiotic of choice was levofloxacin 47.3% and ciprofloxacin 9.2%. The quinolone resistance figures were 50% (ciprofloxacin 50,8% and levofloxacin 50%). The cases of asymptomatic bacteriuria are often treated with antibiotics without indication for it.