PYELONEPHRITIS ACUTE AND PREGNANCY

• Autores: Siu, Alejandro, Chung Joo, Beatriz
• Formato: artículo
• Fecha de Publicación: 2015
• Institución: Sociedad Peruana de Obstetricia y Ginecología
• Repositorio: Revista Peruana de Ginecología y Obstetricia
• Lenguaje: español
• OAI Identifier: oai:ojs.pkp.sfu.ca:article/493
• Enlace del recurso: http://51.222.106.123/index.php/RPGO/article/view/493
• Nivel de acceso: acceso abierto

Objetive: To determine pyelonephritis incidence in pregnant women and to identify the most frequent microorganisms and their sensitivity to antibiotics. Design: Transversal, observational study. Setting. Arzobispo Loayza Hospital. Results: Pyelonephritis was present in 2,1 % of pregnant women, 58% occurred in the third trimester of gestation; all of them presented fever and pyuria, lumbalgia 92% and positive urine culture 79%; Escherichia coli grew in 87% of positive cultures. Most frequently used antibiotics as initial therapy were gentamycin (54%) and cephalotine (36%). Though, sensitivity was 100% for ceftriaxone, 96% for amikacine, 87% for nitrofurantoin, 83% for gentamycin and only 63% for cephalotine. Most frequent complications were both threatened abortion and threatened premature delivery, but there was only one abortion. Following treatment fever lasted 2 days and hospitalization 5 days. Conclusions: Incidence of pyelonephritis at Arzobispo Loayza Hospital is similar to other institutions and the most frequent microorganism cultured was Escherichia coli.