Microbiología de las infecciones urinarias en pacientes diabéticos del Hospital Básico de Colta

Abstract

Introduction: Urinary tract infections are common in diabetic patients, with reduced and predictable etiological agents; but with a high rate of antibiotic resistance that makes treatment difficult. Objective: to evaluate the microbiology of urinary tract infections in diabetic patients of the Basic Hospital of Colta, determining demographic, microbiological and laboratory characteristics. Methodology: This is a quasi-experimental study with a quantitative approach, descriptive-observational, prospective cross-sectional type, carried out in the Hospital de Colta with 38 patients. Results: The prevalence of UTI in diabetics was found in those over 50 years of age (71.1%), with primary education (55.5%); of female gender (65.8%) and married (86.8%). The associated risk factors were poorly controlled diabetes (69.4%) and recurrent urinary tract infections (57.9%). Among the microorganisms found were E. coli (42.1%); S. saprophytic (31.6%); S. aureus (13.2%); in addition to k. oxytoca, and E. faecalis (7.9% and 5.3%). In relation to resistance we have: ciprofloxacin (45%) and cephalexin (42%); while sensitivity was for amoxicillin plus clavulanic acid and ampicillin plus IBL (84% and 66%); cefuroxime (74%), gentamicin (71%). Conclusions. The characterization of urinary tract infections in diabetics corresponds to those older than 50 years, with primary education, female gender and married marital status; while their risk factors are poorly controlled diabetes and recurrent infections; among the microorganisms found were E. coli, S. saprophytic, S. aureus, K. oxitoca, and E. faecalis with resistance to ciprofloxacin and cephalexin, with sensitivity to cefuroxime, amoxicillin plus clavulanic acid and gentamicin