Introduction. Urinary tract infections (UTI) represent a common health problem. In Peru Escherichia coli resistance rates to ciprofloxacin vary from 31% to 69.8%. Objectives. To determine the frequency and characteristics associated with community-acquired ciprofloxacinresistant E. coli upper urinary tract infection (cUTI). Design. Cross-sectional study. Setting. Emergency Department, Edgardo Rebagliati Martins Hospital, Lima, Peru. Participants. Patients diagnosed with cUTI in 2010. Interventions. Medical records of patients with cUTI and urine cultures positive for E. coli were reviewed. Descriptive analysis (mean, frequency) and bivariate analysis (chi-square test or Fisher test) were used with p <0.05 significance. Main outcomes measures. Sociodemographic variables, clinical presentation, comorbidities and resistance to other antibiotics. Results. Eighty-one patients with cUTI wer...

Se realizó un estudio en el Hospital Nacional Edgardo Rebagliati Martins, en Lima, Perú, revisando los registros de historias clínicas a partir de reportes de exámenes auxiliares registrados en el Laboratorio de Emergencia. Se identificaron 450 registros de exámenes auxiliares en el año 2010. De estos registros se evidenció una tasa de pérdida de 63,8% correspondiente a historias clínicas incompletas (147; 32,7%) y a historias clínicas no encontradas (140; 31,1%). De esta forma, la pérdida de información en los registros clínicos no se debe sólo a dificultades en la consignación de datos en las historias clínicas, sino a la pérdida material de ésta en los registros materiales de las respectivas historias clínicas. Se indica las ventajas de la implementación de un registro electrónico de información clínica que no sólo repercutirían en la producción científica, ...

BACKGROUND: In 2015, the Ministry of Health (MINSA) of Peru inaugurated the first national center for electrophysiology studies in a public tertiary referral hospital with the purpose to provide healthcare access to the most underserved population. This study aims to describe the rate of success and complications of catheter ablation in this center since its inception, as well as the demographic characteristics of these patients. METHODS: This study is descriptive and retrospective. We used the medical record of the patients who underwent catheter ablation (first-time and re-do procedure) in the center from July 2015 to February 2018. RESULTS: 55 catheter ablations were performed in 53 patients, who were 35 (±15) years old and 47% male. 63.6% had a full MINSA health coverage, while 16.4% and 20% had partial MINSA coverage and no health coverage, respectively. Atrio-ventricular reentrant...