Characterization of the urinary infection acquired in the IESS Macas community period 2019-2020

Abstract

Introduction. Urinary Tract Infections (UTI) are one of the main reasons for consultation in the primary care setting, due to the increase in antibacterial resistance. Objetive: To characterize the prevalence of urinary tract infections and the antimicrobial susceptibility profile in enterobacteria isolated from patients from Morona Santiago province - Ecuador. Method: This research was descriptive of documentary design. The population was 1488 records of urine cultures, compiled from the database of the microbiology laboratory of the Hospital del Día Macas Outpatient Surgical Clinical Center, in the period from January 2019 to December 2020. The data were processed through descriptive statistics, analysis frequency and chi squarE. Results: The prevalence of UTI was 55.6%; the main etiological agents were: E. coli (88.0%), Klebsiella spp., (7.5%), and Proteus spp. (2.4%). UTIs and E. coli infection were statistically higher in adult women. The highest frequency of E. coli resistance was for cefazolin (42.4%), sulfamethoxazole trimethoprim (40.6%), norfloxacin (38.0%), nalidixic acid (34.3%) and ciprofloxacin (31.4 %) in Klebsiella spp. was norfloxacin (7.5%), cefazolin (7.2%), cefuroxime (4.5%), levofloxacin (3.8%) and ampicillin sulbactam (3.5%). Conclusion. The causal agent and the most frequent of urinary tract infections continues to be E. coli. Empirical treatment of UTI, at the author's discretion, should include gentamicin, amikacin, and nitrofurantoin.