RESUMEN
AIM: The incidence of urinary tract infection (UTI) in pregnant women may vary from 5-10% and depends on parity, race, socioeconomic status and anatomical and functional changes in pregnancy. In Mexico, preterm birth accounts for 75% of perinatal deaths and 50% of the neurological sequelae attributable directly to prematurity. The objective of the present study is to describe maternal and perinatal complications in pregnant women with UTI caused by Escherichia coli and to find out the antimicrobial susceptibility pattern. METHODS: A descriptive and longitudinal study of pregnant women admitted to the Women's Hospital in Culiacan, Sinaloa, Mexico, was carried out from January 2013 to December 2014. Patients with E. coli infection were included, and infections caused by other microorganisms were excluded. The sociodemographic variables, causes of hospitalization and the type of maternal and perinatal complications were determined. RESULTS: The causes of admission to the hospital were threatened preterm labor, and fever and threatened abortion. Of 38 patients with threatened preterm labor, 33 went on to delivery, four were preterm births and two were neonatal deaths. E. coli was sensitive to over 90% of piperacillin-tazobactam, amikacin, nitrofurantoin and carbapenems. CONCLUSION: According to this study in a Mexican population, the number one admission diagnosis in women with UTI due to E. coli was threatened preterm labor, and fever and threatened abortion. E. coli was sensitive to more than 90% of piperacillin-tazobactam, amikacin, nitrofurantoin and carbapenems.
Asunto(s)
Amenaza de Aborto/etiología , Infecciones por Escherichia coli/complicaciones , Fiebre/etiología , Trabajo de Parto Prematuro/etiología , Muerte Perinatal/etiología , Complicaciones Infecciosas del Embarazo , Infecciones Urinarias/complicaciones , Amenaza de Aborto/epidemiología , Adolescente , Adulto , Infecciones por Escherichia coli/epidemiología , Femenino , Fiebre/epidemiología , Humanos , Recién Nacido , México/epidemiología , Trabajo de Parto Prematuro/epidemiología , Embarazo , Complicaciones Infecciosas del Embarazo/epidemiología , Infecciones Urinarias/epidemiología , Adulto JovenRESUMEN
We report the case of a 17 year old patient with partial molar pregnancy and coexistent live fetus of 13 gestational weeks diagnosed by ultrasound, which required the termination of pregnancy for maternal decompensation.
Asunto(s)
Mola Hidatiforme/cirugía , Neoplasias Uterinas/cirugía , Aborto Terapéutico , Amenaza de Aborto/etiología , Adolescente , Femenino , Humanos , Mola Hidatiforme/diagnóstico por imagen , Masculino , Embarazo , Embarazo Múltiple , Ultrasonografía , Hemorragia Uterina/etiología , Neoplasias Uterinas/diagnóstico por imagenAsunto(s)
Amenaza de Aborto/terapia , Obstetricia/historia , Aborto Habitual/etiología , Aborto Habitual/terapia , Amenaza de Aborto/etiología , Adulto , Incompatibilidad de Grupos Sanguíneos/complicaciones , Anomalías Congénitas/embriología , Femenino , Historia del Siglo XX , Hormonas/uso terapéutico , Humanos , Desnutrición/complicaciones , Enfermedades Placentarias , Embarazo , Complicaciones del Embarazo , Enfermedades Uterinas/complicacionesRESUMEN
To know the situation of the toxoplasmosis in Comitán Chiapas, we made a serological indirect inmunofluorecent antibody test (IFA) to the population of this city and to fifty women with abortion in evolution. The results show us that around five percent of the population in general have positive title of antitoxoplasma gondii antibiodies, and 18% in the women with abortion evolution case. The statistics concluded that seropositive for this parasitic disease is real higher between cases of abortion than population in general (P < 0.006), as well as it is significantly higher in abortion cases than women of the general population of Comitán Chiapas (P < 0.01).
Asunto(s)
Aborto Habitual/etiología , Amenaza de Aborto/etiología , Toxoplasmosis/complicaciones , Aborto Habitual/inmunología , Amenaza de Aborto/inmunología , Adolescente , Adulto , Animales , Anticuerpos Antiprotozoarios/inmunología , Femenino , Humanos , Persona de Mediana Edad , Embarazo , Toxoplasma/inmunología , Toxoplasmosis/inmunología , Toxoplasmosis/parasitologíaRESUMEN
A case of anaphylaxis following skin tests for airborne allergens in a 25-year-old female patient diagnosed with bronchial asthma and allergic rhinitis, is presented. The purpose of this paper is to alert against severe systemic reactions related to skin tests. The reaction occurred 15 minutes after administration of various airborne allergens (pollens, air molds, and house dust), and the symptoms were: hypogastric pain, transvaginal bleeding, generalized urticaria, and bronchospasm. Immediate treatment consisted of antihistamines, bronchodilatators and steroids; the symptoms subsided in 12 hours. We conclude that skin testing can give rise to severe systemic reactions which should be identified and treated immediately by trained physicians and ancillary personnel, and that these tests should be avoided when pregnancy is suspected.