RESUMEN
Ectopic of the ureter into the cervix is a rare case in the clinical practice of pediatric urologists around the world. This paper presents an observation of congenital urinary incontinence in a 13-year-old girl who underwent an annual examination in a hospital at the place of residence.
Asunto(s)
Uréter , Incontinencia Urinaria , Adolescente , Niño , Femenino , Humanos , Riñón , NefrectomíaRESUMEN
The data on antibiotic resistance of the main uropathogens isolated from patients with urinary tract infection in an urologic department (319 isolates) and outpatient and diagnostic units (360 isolates) are presented. It was shown that by the antibiotic resistance the Escherichia coli isolates from the urologic department patients and outpatients did not practically differ: 44.1 and 47.8% of the isolates were resistant to ampicillin, 26.7 and 23.4% were resistant to amoxycillin/clavulanate, 28.9 and 24.9% were resistant to co-trimoxazole and 26.5% was resistance to cefuroxime (outpatients). The basic differences referred to Pseudomonas aeruginosa: resistance to ceftazidime in 38.5% of the isolates and resistance to gentamicin in 36.2% of the isolates. The activity against P. aeruginosa could be arranged as follows in the decreasing order: amikacin = meropenem > imipenem > cefepime = cefoperazone/sulbactam > gentamicin = ceftazidime. Resistance of P. aeruginosa to fluoroquinolones (ciprofloxacin and levofloxacin) remained low (7.4 and 8.0% respectively). No ampicillin resistance was revealed in the isolates of Enterococcus faecalis.
Asunto(s)
Antibacterianos/farmacología , Escherichia coli/efectos de los fármacos , Pseudomonas aeruginosa/efectos de los fármacos , Infecciones Urinarias/microbiología , Niño , Farmacorresistencia Bacteriana , Enterococcus faecalis/efectos de los fármacos , Enterococcus faecalis/aislamiento & purificación , Escherichia coli/aislamiento & purificación , Hospitalización , Humanos , Pacientes Ambulatorios , Pseudomonas aeruginosa/aislamiento & purificación , Infecciones Urinarias/tratamiento farmacológicoAsunto(s)
Escherichia coli/enzimología , Escherichia coli/patogenicidad , Hemaglutininas/análisis , Infecciones Urinarias/microbiología , Bacteriuria/microbiología , Niño , Escherichia coli/clasificación , Escherichia coli/aislamiento & purificación , Heces/microbiología , Humanos , SerotipificaciónRESUMEN
A total of 117 children with chronic pyelonephritis (CP) aged 4-14 were examined and treated. 57 of them having attendant cystitis received multimodality treatment comprising local intravesicular instillations of chigain controlled by clinical findings, urinalysis, cystoscopy and urinary secretory immunoglobulins SIg A1, SIg A2 and IgG. The drug chigain capable of immune replacement was found to initiate clinical response, positive trends in urinalysis and cystoscopy data, in the levels of secretory urine immunoglobulins. The findings show the need of immune replacement therapy in the complex of modalities to treat children with CP combined with cystitis.