Infección del tracto urinario en mujeres de 20 a 45 años que acuden al Hospital Básico Pujilí de la provincia de Cotopaxi. Periodo 2022-2023

Abstract

Objectives: To identify the urinary tract infection in women between the ages of 20 and 45 who goes to the Hospital Básico Pujilí, in Cotopaxi´s Province 2022-2023 period. Methodology: Observational, retrospective and descriptive study, included 45 female patients diagnosed with urinary tract infection from 20 to 45 years who were attended in the Pujilí Basic Hospital in Cotopaxi´s Province into the 2022-2023 period. The data were obtained from a database in Microsoft Excel, and the statistical program SPSS was used for data processing. Results: The main predisposing factors for UTI in female sex are; sexual activity, lack of hygiene and contraceptives uses. The Urine culture was the confirmatory test for a diagnostic of UTI and was isolated Escherichia coli (62.2%) with resistance to Nitrofuratoin, Trimetrophinsulfa, Ampicillin, Ciprofloxacin, Cotrimoxazole; Enterobacter spp (22.2%), resistant to Trimetropinsulfa, Amoxicillin, Ampicillin + Sulbactam and Klebsiella pneumoniae (11.1%) resistant to Amoxicillin + Ac. Clavulanic acid, Ampicillin, Cefepime, Cefotaxime, Cotrimoxazole and Cefazolin were the main etiological agentstaht had been involved in UTI in women from 20 to 45 years. Conclusions: The main predisposing factor in the female sex to acquire UTI is the sexual activity, produced mainly by E. coli, the urine culture is currently the main diagnostic method for confirmation of UTI. The self-medication is a worldwide problem due to it increases the bacterial resistance, morbidity rates, and decreases the ability to treat a UTI.