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| DC Field | Value | Language |
|---|---|---|
| dc.creator | Jon Kepa Balparda Arias, MD* | - |
| dc.creator | Paula Cristina Muñoz, MD | - |
| dc.creator | Nelson Ramiro Gómez Gómez, MD | - |
| dc.creator | Clara Inés Murillo, MD | - |
| dc.date | 2011 | - |
| dc.date.accessioned | 2013-05-30T13:38:06Z | - |
| dc.date.available | 2013-05-30T13:38:06Z | - |
| dc.date.issued | 2013-05-30 | - |
| dc.identifier | http://revistas.unab.edu.co/index.php?journal=medunab&page=article&op=view&path%5B%5D=1375&path%5B%5D=1347 | - |
| dc.identifier | http://www.doaj.org/doaj?func=openurl&genre=article&issn=01237047&date=2011&volume=14&issue=1&spage=26 | - |
| dc.identifier.uri | http://koha.mediu.edu.my:8181/jspui/handle/123456789/5857 | - |
| dc.description | Antecedentes: La infección del tracto urinario (ITU) es una patología sumamente importante en la práctica diaria del pediatra y del médico general que atiende niños. Regularmente en su manejo se requiere la aplicación empírica de un antibiótico 48 a 72 horas antes de contar el patrón de sensibilidad antimicrobiana de la bacteria implicada. Así, es importante que el médico conozca la sensibilidad antimicrobiana de las cepas circundantes para administrar los medicamentos que maximicen el éxito en la atención de los pacientes. Metodología: Estudio descriptivo retrospectivo, a partir de registros de exámenes de orina y urocultivos realizados en el laboratorio clínico de la Fundación Clínica Noel, Medellín, para identificar los niños y niñas con ITU. Luego se analizó la información concerniente a patrones etiológicos y de sensibilidad antimicrobiana. Resultados: El microorganismo preponderante fue Escherichia coli (72.5% de los casos); otros agentes encontrados fueron Proteus mirabilis, Klebsiella pneumoniae y Enterococcus faecalis. Los medicamentos con mayor sensibilidad fueron ceftriaxona, gentamicina y amikacina. Conclusiones: Parece razonable que el manejo empírico de la ITU no complicada en los pacientes pediátricos sea con gentamicina, excepto en los lactantes, en los cuales podría usarse ésta o amikacina indistintamente. La ceftriaxona debería ser guardada para casos complicados o por cepas resistentes.______________________________________________________________________Background: Urinary tract infections (UTI) are a quite important disease process for paediatricians and for general physicians who attend children. On most cases, managing these infections includes prescribing an antibiotic agent 48 to 72 hours prior to having a urine culture result with antibiotic sensibility patters for the said strain. Therefore, it is of paramount importance for the physician to be aware of the general antibiotic resistance patterns of the strains most prevalent in his or her working place. Methods: This is aretrospective, descriptive study in which the institution's databases were reviewed in search for information concerning urine tests and cultures performed at the laboratory. The information was the processed and analysed focusing on information regarding aetiology and antibiotic sensitivity patterns. Results: The most common aetiologicagent was Escherichia coli (72.5%), followed by Proteus mirabilis, Klebsiella pneumonia and Enterococcus faecalis. Those antibiotics with greatest sensitivity rates were ceftriaxone, gentamicin, and amikacin. Conclusions: It seems reasonable that empirical treatment for uncomplicated UTI in paediatric population should be started with gentamicin, except in those children under two years of age, in with both gentamicin and amikacin could be used without difference.Ceftriaxone should be saved for complicated or resistant strains. | - |
| dc.publisher | Universidad Autónoma de Bucaramanga | - |
| dc.source | MedUNAB | - |
| dc.subject | Palabras clave: Infecciones del tracto urinario | - |
| dc.subject | Infecciones adquiridas en la comunidad | - |
| dc.subject | Resistencia a medicamentos | - |
| dc.subject | Resistencia antimicrobiana. | - |
| dc.subject | Key words: Urinary tract infections | - |
| dc.subject | Community-acquired infections | - |
| dc.subject | Drug resistance | - |
| dc.subject | Microbial resistance. | - |
| dc.title | Caracterización etiológica y de sensibilidad a antimicrobianos en pacientes pediátricos con infección urinaria adquirida en la comunidad. Fundación Clínica Noel, Medellín, 2009;Aetiological characterization and antibiotic sensitivity patterns in paediatric patients with community-acquired urinary tract infection. Fundación Clínica Noel, Medellín, 2009 | - |
| Appears in Collections: | Health Sciences | |
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