RESUMO
El presente trabajo tiene como objetivo determinar la sensibilidad y especificidad del análisis microscópico del sedimento urinario y de la cinta reactiva comparándolos con el urocultivo en pacientes pediátricos. En forma prospectiva, se estudiaron 50 niños menores de 12 años de edad en el Hospital Militar "Dr. Carlos Arvelo", desde agosto hasta octubre de 1993, con enfermedad febril de causa desconocida y/o síntomas de infección del tracto urinario. Obtuvimos una mayor sensibilidad (100 por ciento) de la esterasa leucocitaria sobre los nítritos (88 por ciento) y el de leucocitos en sedimento urinario (96 por ciento). La especificidad fue mayor (96 por ciento) para los nítritos y el contaje de leucocitos en sedimento urinario contra 92 por ciento para esterasa leucocitaria. El valor predictivo positivo fue 96 por ciento para el contaje de leucocitos en sedimento urinario, comparado con 95 por ciento y 92 por ciento para nítritos y esterasa leucocitaria respectivamente. Se concluye que, aunque ninguna prueba urinaria puede sustituir al urocultivo, el test de la cinta reactiva aunado al sedimento urinario son una alternativa razonable para el manejo inicial del paciente
Assuntos
Humanos , Masculino , Feminino , Pediatria , Bacteriúria/diagnóstico , Bacteriúria/terapia , Infecções Urinárias/diagnóstico , Infecções Urinárias/etiologia , Infecções Urinárias/terapia , Urina/citologia , Febre , Sedimentação , VenezuelaRESUMO
La infección del tracto urinario es una enfermedad importante en los ancianos. Su prevalencia, etiología, manifestaciones clínicas y manejo se diferencian sifnificativamente de la infección observada en la población general. La bacteriuria es un problema serio de los pacientes añosos que residen en las Instituciones geriátricas. El tratamiento de la bacteriuria asintomática no tiene ningún beneficio potencial y, por lo tanto, no se recomienda
Assuntos
Humanos , Masculino , Feminino , Idoso , Bacteriúria/diagnóstico , Bacteriúria/epidemiologia , Bacteriúria/etiologia , Bacteriúria/terapia , Infecções Urinárias/diagnóstico , Infecções Urinárias/epidemiologia , Infecções Urinárias/etiologia , Infecções Urinárias/terapia , IdosoRESUMO
La infección del tracto urinario es una enfermedad importante en los ancianos. Su prevalencia, etiología, manifestaciones clínicas y manejo se diferencian sifnificativamente de la infección observada en la población general. La bacteriuria es un problema serio de los pacientes añosos que residen en las Instituciones geriátricas. El tratamiento de la bacteriuria asintomática no tiene ningún beneficio potencial y, por lo tanto, no se recomienda
Assuntos
Humanos , Masculino , Feminino , Idoso , Estudo Comparativo , Bacteriúria/diagnóstico , Bacteriúria/etiologia , Bacteriúria/terapia , Bacteriúria/epidemiologia , Infecções Urinárias/diagnóstico , Infecções Urinárias/etiologia , Infecções Urinárias/terapia , Infecções Urinárias/epidemiologia , IdosoRESUMO
Significant bacteriuria in pregnancy, particularly when asymptomatic remains a major problem due to the many complications that have been associated with this condition. In this study, 457 samples of midstream urine from pregnant women attending the UWI-ANC and the CHC-ANC and 164 from non-pregnant women attending the Freezone clinic were collected between March 18 and April 11, 1994. Laboratory investigations to determine significant bacteriuria, the distribution of isolates and their antimicrobial susceptibility were performed. Population characteristics such as age, parity, socio-economic status and gestational age as well as the presence of symptoms consistent with urinary tract infection and choice of treatment were ascertained via the use of a questionnaire. The level of contamination among the samples was compared with that found in the Microbiology Laboratory UWI within the same period. While the prevalence of significant bacteriuria in pregnancy was 19.6 percent, that of asymptomatic bacteriuria was 13.3 percent compared with 7.3 percent among non-pregnant women. This difference was of statistical significance (p < 0.01). Statistical significant association existed between bacteriuria and the presence of symptoms, pyuria, gestational age. None was found with age, parity and socio-economic status. The three most common isolates were Streptococcus group B, Streptococcus faecalis and Staphylococcus aureus. Resistance to Ampicillin was high (37.8 percent) while resistance to Bactrim was low (3.3 percent). The level of contamination of samples from pregnant women was 4.2 percent compared to 11.5 percent found in the laboratory. This study highlighhts the problem of asymptomatic bacteriuria and suggests the need for further studies using larger samples to confirm these interesting findings (AU)
Assuntos
Gravidez , Adolescente , Adulto , Pessoa de Meia-Idade , Humanos , FENALE , Bacteriúria/epidemiologia , Bacteriúria/terapia , Urina/microbiologiaRESUMO
Se analiza la epidemiologia, diagnostico, manejo y pronostico de la Bacteriuria Asintomatica en las pacientes que asistieron a control prenatal en el Instituto Materno Infantil de Bogota y Clinica Hospital Fray Bartolome de las Casas, desde el 1 de mayo de 1987 hasta el 30 de abril de 1988. La frecuencia de Bacteriuria Asintomatica en la mujer embarazada fue del 3%. El 80% de las pacientes estaban entre los 20 y 35 anos. El 60% eran multiparas; la totalidad de raza blanca y mestiza y el 97% de nivel socioeconomico bajo y medio. El 33% tenian factores de riesgo como anemia, preeclampsia, enfermedad renal cronica y flujo gential. En el 64% se hizo el diagnostico en el primero y segundo trimestre, siendo el E. Coli el genero mas frecuente (73%) y el tratamiento se hizo de acuerdo con el antibiograma, teniendo en cuenta las drogas que se pueden utilizar durante el embarazo, con una persistencia del 4% y una recidiva del 4.1% y ninguna paciente presento pielonefritis. La morbilidad materna fue del 26%. Amenaza del parto pretermino, preeclampsia y RPM. La morbilidad perinatal fue del 23%: pretermino y retardo del crecimiento intrauterino.
Assuntos
Humanos , Masculino , Feminino , Gravidez , Adulto , Bacteriúria , Bacteriúria/complicações , Bacteriúria/diagnóstico , Bacteriúria/sangue , Bacteriúria/terapia , Bacteriúria/epidemiologia , ColômbiaAssuntos
Humanos , Feminino , Gravidez , Bacteriúria/terapia , Cistite , Gravidez , Pielonefrite , Infecções Urinárias/diagnósticoAssuntos
Humanos , Masculino , Feminino , Gravidez , Adolescente , Adulto , Idoso , Recidiva , Infecções Urinárias/epidemiologia , Infecções Urinárias/classificação , Infecções Urinárias/tratamento farmacológico , Bacteriúria/classificação , Bacteriúria/epidemiologia , Bacteriúria/terapia , CausalidadeAssuntos
Humanos , Masculino , Feminino , Gravidez , Adolescente , Adulto , Idoso , Recidiva , Infecções Urinárias/epidemiologia , Infecções Urinárias/classificação , Infecções Urinárias/tratamento farmacológico , Bacteriúria/classificação , Bacteriúria/epidemiologia , Bacteriúria/terapia , CausalidadeAssuntos
Humanos , Masculino , Feminino , Gravidez , Adolescente , Adulto , Idoso , Recidiva , Infecções Urinárias/epidemiologia , Bacteriúria/classificação , Bacteriúria/terapia , Bacteriúria/epidemiologia , Infecções Urinárias/classificação , Infecções Urinárias/tratamento farmacológico , CausalidadeRESUMO
A 3-year follow-up of 116 schoolgirls with asymptomatic bacteriuria, treated or untreated is reported. It is concluded that bacteria isolated from girls with asymptomatic bacteriuria do not commonly cause symptomatic pyelonephritis and that the risk of developing renal damage as a result of asymptomatic bacteriuria in a schoolgirl with a roentgenographically normal urinary tract seems to be small. It is also suggested that for the majority of these patients therapy is not necessary.
Assuntos
Bacteriúria/terapia , Adolescente , Bacteriúria/complicações , Bacteriúria/tratamento farmacológico , Criança , Infecções por Escherichia coli/tratamento farmacológico , Infecções por Escherichia coli/terapia , Feminino , Seguimentos , Humanos , Nitrofurantoína/uso terapêutico , Pielonefrite/complicações , Recidiva , Refluxo Vesicoureteral/complicaçõesRESUMO
A screening programme involving approximately 6,000 pregnant negro females has revealed the incidence of bacteriuria to be three per cent in Jamaica. Asymptomatic bacteriuria was shown to be associated with a higher incidence of pyelonephritis, prematurity, pre-eclamptic toxaemia and other hypertensive disorders of pregnancy (Stuart et al, 1965, Brit. Med. J., 1, 554). Present study was undertaken, in order to eradicate bacteriuria and study the results of this. One hundred and fifty bacteriurics were treated with nitro-furantoin (100 mg. twice daily) and a matching placebo on a double blind basis. In distinction to long-term therapy (Kincaid-Smith, P., 1965, International symposium on Progress in Pyelonephritis, Ed. by E. H. Kass, p. 11, Davis, Philadelphia a short three-week course was found sufficient to keep approximately 80 per cent patients bacteria-free for the rest of the pregnancy. All relapses except one cleared on a repeat course. Approximately 60 per cent of subjects on placebo therapy remained positive to delivery. Clinical pyelonephritis occurred in 30 per cent of untreated or unsuccessfully treated bacteriurics. Early foetal loss, prematurity and relatively small size of babies were twice as common in persistent bacteriurics as compared with successfully treated group. The offspring of the treated and persistent bacteriurics were studied for rates of growth in the first four months of life. No clearcut difference has emerged as yet. Twenty treated and untreated patients have been subjected to renal function tests. The tests include urinalysis, blood urea, electrolytes, dehydrated osmolaity, water concentration test, creatinine clearance test and intravenous pyelogram by the infusion technique. No gross abnormality has been demonstrated although the results in successfully treated groups seem to be superior to those in untreated groups (AU)