Antimicrobial resistance in pregnant women with urinary tract infections, Las Tunas 2020

Abstract

Background: an appropriate antimicrobial management of urinary tract infections in pregnant women is essential to guarantee treatment success and reduce the possibility of complications in these special group of patients. Objective: to describe the antimicrobial resistance pattern in pregnant patients with urinary tract infections at the Provincial Center of Hygiene, Epidemiology and Microbiology in Las Tunas in 2020. Methods: an observational, descriptive cross-sectional study of urinalysis performed to pregnant in the Microbiology Laboratory for the period declared in the objective. The sample was selected by an intentional non-probabilistic sampling. It was 306 samples. The data were processed according to the descriptive statistics. Results: an 11.67 % of urinalysis were positive, with a predominance of Gram-negative bacterium in 69.30 %. There was an elevated antimicrobial resistance in more than 50 % in case of amoxacillin (83.60 %), nalidixic acid (56.93 %), cefazolin (54.54 %) and doxiciclin (52.88 %). The E.coli was the most frequent isolated microorganism (53.46 %), presenting high resistance to amoxicillin (88.72 %), doxiciclin (74.41 %), nalidixic acid (63.19 %), cefazolin (50 %), gentamicin (44.05 %) and ciprofloxacin (47.13 %). The low resistance to nitrofurantoin with 1.40 % stand out. Conclusions: the antimicrobial resistance pattern was described in pregnant with urinary tract infections included in the study.

Keywords

• mujeres embarazadas
• escherichia coli
• farmacorresistencia bacteriana
• infecciones urinarias