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Urinary tract infeccion

A Julián-Jiménez, F J Candel, J González-Del Castillo
Between all patients attended in the Emergency Department (ED), 14.3% have an infectious disease diagnosis. Blood cultures (BC) are obtained in 14.6% of patients and have a profitability of 20%, whereas 1% are considered as contaminated and 1-3% of positive cultures correspond to discharge patients ("hidden bacteraemia"). The highest number of confirmed bacteraemias comes from the samples of patients with urinary tract infections, followed by community-acquired pneumonia. The suspicion and detection of bacteraemia have an important diagnostic and prognostic significance and could modify some important making-decisions (admission, BC request, administration of appropriate and early antimicrobial, etc)...
August 2017: Revista Española de Quimioterapia: Publicación Oficial de la Sociedad Española de Quimioterapia
Anna Letícia Miranda, Ana Lúcia Lyrio de Oliveira, Daiana Terra Nacer, Cynthia Adalgisa Mesojedovas Aguiar
OBJECTIVE: to compare the results of urinary tract infection incidence, by means of the rate of indwelling urethral catheter use, and to identify microorganisms in urine cultures and surveillance cultures before and after the implementation of a clinical protocol for intensive care unit patients . METHOD: urinary tract infection is defined as a positive urine culture > 105 CFU/mL, notified by the hospital infection control service, six months before and after the implementation of the protocol...
September 9, 2016: Revista Latino-americana de Enfermagem
L Prieto, M Esteban, J Salinas, J M Adot, S Arlandis, L Peri, J M Cozar
INTRODUCTION: The clinical manifestations of urinary infections, commonly mild and uncomplicated, have resulted in a generally empirical therapeutic decision-making process, which does not help fight resistances to antibacterial agents, thus causing a high rate of recurrence. OBJECTIVE: This study seeks to reduce the clinical variability in the diagnosis and treatment of uncomplicated recurrent urinary tract infections (RUTIs). MATERIAL AND METHOD: The consensus document was developed using a nominal group methodology, using scientific evidence on RUTIs extracted from a systematic (noncomprehensive) literature review, along with the expert judgment of specialists and their experience in clinical practice...
July 2015: Actas Urologicas Españolas
J P Horcajada, E Shaw, B Padilla, V Pintado, E Calbo, N Benito, R Gamallo, M Gozalo, J Rodríguez-Baño
The clinical and microbiological characteristics of community-onset healthcare-associated (HCA) bacteraemia of urinary source are not well defined. We conducted a prospective cohort study at eight tertiary-care hospitals in Spain, from October 2010 to June 2011. All consecutive adult patients hospitalized with bacteraemic urinary tract infection (BUTI) were included. HCA-BUTI episodes were compared with community-acquired (CA) and hospital-acquired (HA) BUTI. A logistic regression analysis was performed to identify 30-day mortality risk factors...
October 2013: Clinical Microbiology and Infection
F Alvarez-Lerma, M P Gracia-Arnillas, M Palomar, P Olaechea, J Insausti, M J López-Pueyo, J J Otal, R Gimeno, I Seijas
OBJECTIVE: To describe trends in national catheter-related urinary tract infection (CRUTI) rates, as well as etiologies and multiresistance markers. DESIGN: An observational, prospective, multicenter voluntary participation study was conducted from 1 April to 30 June in the period between 2005 and 2010. SETTING: Intensive Care Units (ICUs) that participated in the ENVIN-ICU registry during the study period. PATIENTS: We included all patients admitted to the participating ICUs and patients with urinary catheter placement for more than 24 hours (78,863 patients)...
March 2013: Medicina Intensiva
M A García Viejo, A Noguerado Asensio
OBJECTIVES: Analysis of characteristics of patients in internal medicine (IM) hospital wards in Spain with the diagnosis of urinary tract infection (UTI). PATIENTS AND METHODS: Observational, descriptive, retrospective study of a population of inpatients with UTI diagnosis (October-December, 2007). Recorded variables included personal data, risk factors for complicated UTI, diagnosis criteria, microbiological results and antibiotics used. RESULTS: A total of 992 patients (61...
December 2010: Revista Clínica Española
Francisco Javier Martínez-Marcos, José Manuel Lomas-Cabezas, Carmen Hidalgo-Tenorio, Javier de la Torre-Lima, Antonio Plata-Ciézar, José María Reguera-Iglesias, Josefa Ruiz-Morales, Manuel Márquez-Solero, Juan Gálvez-Acebal, Arístides de Alarcón-González
BACKGROUND: Although enterococci occupy the third position among microorganisms producing infectious endocarditis (IE) following streptococci and Staphylococcus aureus, few multicenter studies have provided an in-depth analysis of enterococcal IE. METHODS: Description of the characteristics of 76 cases of enterococcal left-sided infectious endocarditis (LSIE) (native: 59, prosthetic: 17) retrieved from the database of the Cardiovascular Infections Study Group of the Andalusian Society of Infectious Diseases, with emphasis on the comparison with non-enterococcal LSIE...
December 2009: Enfermedades Infecciosas y Microbiología Clínica
Angel Asensio, Rafael Cantón, Josep Vaqué, Francisco Calbo-Torrecillas, Rafael Herruzo, José Luis Arribas, M Carmen Sáenz
INTRODUCTION: This study determines the prevalence of infections by carbapenem-resistant Acinetobacter baumannii (CRAB) in Spain, and identifies trends over time, geographical variations, and factors associated with resistance. METHODS: Yearly prevalence surveys (EPINE, Estudio de Prevalencia de las Infecciones Nosocomiales en España) during 1999 to 2005 were analyzed, including data on the site of infection, culture, and antimicrobial susceptibility, and characteristics of the patients and hospitals...
April 2008: Enfermedades Infecciosas y Microbiología Clínica
Antonio Vallano, Dolores Rodríguez, M Estrella Barceló, Anna López, Angel Cano, Belén Viñado, Eduard Diogene
BACKGROUND AND OBJECTIVE: An increase in the resistance to antimicrobial agents among bacteria causing urinary tract infections (UTI) has been reported. The aim of this study was to relate uropathogen susceptibility to prescribed antibiotics for UTI to the clinical outcome after therapy in primary health care patients. METHODS: A prospective longitudinal study, including 118 women diagnosed with UTI was carried out in primary health care centers. The results of urine culture, antimicrobial susceptibility testing and the prescribed antibiotic treatment were recorded...
August 2006: Enfermedades Infecciosas y Microbiología Clínica
Jesús Rodríguez-Baño, Jose M Cisneros, Felipe Fernández-Cuenca, Anna Ribera, Jordi Vila, Alvaro Pascual, Luis Martínez-Martínez, German Bou, Jerónimo Pachón
OBJECTIVE: To investigate the clinical features and the epidemiology of Acinetobacter baumannii in Spanish hospitals. DESIGN: Prospective multicenter cohort study. SETTING: Twenty-seven general hospitals and one paraplegic center in Spain. METHODS: All cases of A. baumannii colonization or infection detected by clinical samples during November 2000 were included. Isolates were identified using phenotypic and genotypic methods...
October 2004: Infection Control and Hospital Epidemiology
Francisco Alvarez-Lerma, Mercedes Palomar, Cristóbal León, Pedro Olaechea, Enrique Cerdá, Begoña Bermejo
INTRODUCTION: This study investigates the indications for antifungal treatment in patients admitted to intensive care units (ICUs) in Spain and determines the frequency at which each individual drug is prescribed. METHODS: Observational, multicenter study including all patients admitted to 64 ICUs on 23 March, 22 June, and 16 November, 1999. The use of antifungal agents and the criteria for indicating antifungal therapy were assessed. Patients were classified as colonized or infected by fungi...
May 2004: Enfermedades Infecciosas y Microbiología Clínica
Francisco Alvarez Lerma, Mercedes Palomar, Josu Insausti, Pedro Olaechea, Miguel Angel Alcalá, Armando Blanco
BACKGROUND AND OBJECTIVE: To determine the frequency of infections caused by Enterococcus spp. in critically ill patients admitted to ICUs in Spain and to describe the clinical features and outcome of those patients in whom this pathogen was isolated. PATIENTS AND METHOD: Prospective, observational, multicenter study. Patients admitted to the ICUs who participated in the National Surveillance Study of Nosocomial Infections (ENVIN) from 1997 to 2001 were included...
September 13, 2003: Medicina Clínica
A Alvarez Carrera, C Martínez Cantarero, A Vidal Oliveras, M D Saavedra Vílchez, A Iglesias Niubo, X Forga Visa
OBJECTIVE: To find what antibiotics are prescibed for common infections in adult and paediatric primary care patients. DESIGN: Drug utilization (DU) study: cross-sectional and observational design. SETTING: Primary care centres and hospital casualty departments in Bages and Berguedà counties (total population: 198 129 inhabitants). PARTICIPANTS: Adults and children with acute respiratory infection, acute otitis media, acute pharyngitis, acute tonsillitis, or acute bronchitis and flu syndrome; adults only with acute sinusitis, attacks of chronic obstructive pulmonary disease (COPD) or urinary infections...
November 15, 2002: Atencion Primaria
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