Also available in: Español
Rev Mex Urol. 2018 November-December;78(6):425-32 DOI: https://doi.org/10.24245/revmexurol.v78i6.2111
Alan Johan Chavolla-Canal,1 Mirna Gisel González-Mercado2
1 Urology Service, Hospital General Regional 46 (IMSS) de Guadalajara, Jalisco, Chief of Surgery at the Hospital San Javier, Nuevo Vallarta, Nayarit.
2 Biotechnology and Health Division, Tecnológico de Monterrey, Guadalajara, Jalisco.
BACKGROUND: The recent appearance of pandrug resistance due to superbugs has become relevant in patients with urinary tract infections. Some risk factors have been described, but there are few studies published on the topic.
AIM: To analyze the risk factors related to urinary tract infections due to superbugs in the Mexican population.
MATERIALS AND METHODS: In a descriptive, retrospective study, the medical records of patients that had urine cultures within the time frame of January 2007 to June 2015 were analyzed. The study variables were: sex, age, place of treatment, related diseases, prior surgeries, service in charge of the patient, reason for hospitalization, transfusion, treatment, indwelling urinary catheter, control culture, and death. Descriptive statistics were used for the data analysis.
RESULTS: Thirty-one patients with superbug urinary infections were registered in the study. The most frequently isolated microorganism was Pseudomonas aeruginosa, predominating in men and advanced-age patients. Diabetes and high blood pressure were the most prevalent diseases. A history of transfusions and urinary catheter placement were risk factors associated with infection and mortality. Cephalosporins were the most widely prescribed antibiotics and the general mortality rate was 38.7%.
CONCLUSION: More research is needed on this topic, given the worldwide impact of infections that are resistant to the majority of drugs on antibiotic panels. The present study provided valuable information on the risk factors associated with the devastating phenomenon of pandrug resistant infection caused by superbugs.
KEYWORDS: Risk factors; Control urine culture; Superbugs; Pseudomonas aeruginosa.
Alan Johan Chavolla Canal