Características epidemiológicas e microbiológicas de infecções urinárias não complicadas
DOI:
https://doi.org/10.31053/1853.0605.v77.n3.27610Palavras-chave:
infecções urinárias, cistite, pielonefrite, anti-InfecciososResumo
Introdução: Infecções não complicadas do trato urinário (ITU-NoC) representam um motivo frequente de consulta ambulatorial, a maioria sendo tratada empiricamente. Houve mudanças na suscetibilidade antimicrobiana nos últimos anos. Nossos objetivos foram determinar os microrganismos da ITU-NoC e seu perfil de suscetibilidade a antimicrobianos em mulheres adultas.
Métodos: Estudo analítico prospectivo em dois hospitais de Córdoba, Argentina, entre novembro/2016 e outubro/2017. A partir da identificação de culturas de urina positivas, foram incluídas infecções urinárias (ITU) em mulheres com idade ≥18 anos, sem fatores de risco para ITUs complicadas, excluindo bacteriúria assintomática.
Resultados: Foram identificados 610 episódios de ITU-NoC, 382 (63%) em <50 anos. 73,3% da UIT-noC corresponderam a cistite, sendo mais frequente em mulheres acima de 50 anos. Escherichia coli e 4,2% de Staphylococcus coagulase negativo foram isolados em 89,2% das ITUs. Em relação a E. coli, sua resistência à ciprofloxacina foi de 18,8%, ceftriaxona 4,4% e nitrofurantoína 1,8%. Foi observada alta resistência à ampicilina, trimetoprim-sulfametoxazol e ampicilina-sulbactam.
Conclusões: Em conclusão, o microrganismo isolado com mais frequência foi E. coli, de acordo com a epidemiologia global, apresentando resistência inferior a 20% à ciprofloxacina, ceftriaxona e nitrofurantoína.
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