Urine culture and partial urinalysis in the diagnosis of urinary tract infections

<p style="margin-bottom: 0cm; line-height: 100%;" align="justify"><span style="font-family: Verdana, sans-serif;"><span style="font-size: small;"><span lang="en-US"><strong>Background</strong></span></span...

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Bibliographic Details
Main Authors: MIlagros de la Caridad Milá-Pascual, Leonor Aties-López, Ismael Torres-Milá
Format: Article
Language:Spanish
Published: Universidad de Ciencias Médicas de Las Tunas 2020-01-01
Series:Revista Electrónica Dr. Zoilo E. Marinello Vidaurreta
Subjects:
Online Access:http://revzoilomarinello.sld.cu/index.php/zmv/article/view/2038
Description
Summary:<p style="margin-bottom: 0cm; line-height: 100%;" align="justify"><span style="font-family: Verdana, sans-serif;"><span style="font-size: small;"><span lang="en-US"><strong>Background</strong></span></span></span><span style="font-family: Verdana, sans-serif;"><span style="font-size: small;"><span lang="en-US">:</span></span></span><span style="font-family: Verdana, sans-serif;"><span style="font-size: small;"><span lang="en-US"> urinary tract infections are one of the most frequent causes of infectious disease in the medical practice.</span></span></span></p><p style="margin-bottom: 0cm; line-height: 100%;" align="justify"><span style="font-family: Verdana, sans-serif;"><span style="font-size: small;"><span lang="en-US"><strong>Objective</strong></span></span></span><span style="font-family: Verdana, sans-serif;"><span style="font-size: small;"><span lang="en-US">:</span></span></span><span style="font-family: Verdana, sans-serif;"><span style="font-size: small;"><span lang="en-US"> to describe the results of the sample processing of urine culture and partial urinalysis for the diagnosis of urinary tract infections, at the microbiology laboratory of the “Dr. Ambrosio Grillo Portuondo” Clinical-Surgical Hospital of Santiago de Cuba, in the period January-June 2018.</span></span></span></p><p style="margin-bottom: 0cm; line-height: 100%;" align="justify"><span style="font-family: Verdana, sans-serif;"><span style="font-size: small;"><span lang="en-US"><strong>Methods</strong></span></span></span><span style="font-family: Verdana, sans-serif;"><span style="font-size: small;"><span lang="en-US">:</span></span></span><span style="font-family: Verdana, sans-serif;"><span style="font-size: small;"><span lang="en-US"> an observational, descriptive, retrospective study was carried out at the laboratory and during the period herein declared. 91 samples of positive urine cultures and 65 partial urinalyses were included in the study. The following variables were assessed: age, sex, isolated microorganisms, antibiotic sensitivity test, and in the partial urinalysis, appearance, leukocyte count and presence of bacteria.</span></span></span></p><p style="margin-bottom: 0cm; line-height: 100%;" align="justify"><span style="font-family: Verdana, sans-serif;"><span style="font-size: small;"><span lang="en-US"><strong>Results</strong></span></span></span><span style="font-family: Verdana, sans-serif;"><span style="font-size: small;"><span lang="en-US">:</span></span></span><span style="font-family: Verdana, sans-serif;"><span style="font-size: small;"><span lang="en-US"> the female sex in the 31 to 50 age group prevailed, 34,1 % of the samples. The most isolated pathogens were: </span></span></span><span style="font-family: Verdana, sans-serif;"><span style="font-size: small;"><span lang="en-US"><em>Escherichia coli</em></span></span></span><span style="font-family: Verdana, sans-serif;"><span style="font-size: small;"><span lang="en-US"> for both sexes (female 67,6 % and male 61,5 %), followed by </span></span></span><span style="font-family: Verdana, sans-serif;"><span style="font-size: small;"><span lang="en-US"><em>Enterobacter spp </em></span></span></span><span style="font-family: Verdana, sans-serif;"><span style="font-size: small;"><span lang="en-US">(10,7 % and 11,5 %) and for male sex </span></span></span><span style="font-family: Verdana, sans-serif;"><span style="font-size: small;"><span lang="en-US"><em>Klebsiella spp</em></span></span></span><span style="font-family: Verdana, sans-serif;"><span style="font-size: small;"><span lang="en-US"> (11,5 %). Bacterial resistance was higher for carbenicillin, in more than 90 %; amikacin was the most sensitive antibiotic, with a resistance of less than 30 %. In the partial urinalysis a higher percentage of very cloudy sample was observed, accompanied by countless leukocytes, as well as a greater amount of bacteria.</span></span></span></p><p style="margin-bottom: 0.1cm; line-height: 100%;" align="justify"><span style="font-family: Verdana, sans-serif;"><span style="font-size: small;"><span lang="en-US"><strong>Conclusions</strong></span></span></span><span style="font-family: Verdana, sans-serif;"><span style="font-size: small;"><span lang="en-US">:</span></span></span><span style="font-family: Verdana, sans-serif;"><span style="font-size: small;"><span lang="en-US"> there was a correlation between the physical-chemical and microscopic parameters of partial urinalysis and positive urine culture, with a close positive association.</span></span></span></p>
ISSN:1029-3027