ABSTRACT
De marzo de 2003 a febrero de 2004 se realizó un estudio prospectivo, transversal y observacional con 204 adultos mayores del grupo geriátrico de la CMF Dr. Ignacio Chávez ISSSTE en Coyoacan, México DF, con el objetivo de reconocer los factores que condicionan una infección de vías urinarias (IVU) y los signos y síntomas clínicos, así como las pruebas de laboratorio que faciliten el diagnóstico. Se utilizó el estadístico de Chi cuadrada, así como los cálculos de sensibilidad y especificidad. Se tuvieron 29% de cultivos positivos, siendo Escherichia coli la más común. Ninguno de los síntomas comúnmente asociados resultó buen predictor, al igual que los parámetros utilizados en una tira reactiva. Los diabéticos con tratamiento farmacológico y los de más de 10 años de evolución tuvieron un riesgo más alto de adquirir una IVU, lo que sugiere una asociación entre la severidad de la diabetes y dicho riesgo
During the period between March 2003 and February 2004, a prospective, transversal, and observational study was carried out with 204 elderly ambulatory patients from the geriatric group of the Medical Center Dr. Ignacio Chavez ISSSTE in Coyoacán, in Mexico City, D.F., Mexico. The objective was to recognize and identify the factors that have an effect in a Urinary Tract Infection (UTI) condition, and its signs and symptoms, as well as the laboratory tests that can facilitate its diagnosis. The statistical Chi-Square was used, as well as the calculations of sensibility and specificity. We obtained a 29% rate of positive culture, being Escherichia coli the predominant pathologic agent. None of the associated symptoms, nor the parameters used in a reactive diagnostic stripe, were good predictors. The diabetic patients with a pharmacological treatment and those with an over ten years evolution had a higher risk to acquire UTI. This suggests a strong association between how severe the diabetes is and the risk to acquire UTI
Subject(s)
Male , Female , Aged , Humans , Bacteriuria/epidemiology , Urinary Tract Infections/diagnosis , Risk Factors , Outpatients/statistics & numerical data , Cross-Sectional Studies , Diabetes Mellitus/complications , Sensitivity and Specificity , Sex DistributionABSTRACT
Vaginal cultures for Ureaplasma urealyticum and confidential questionnaires were obtained from women with signs and symptoms of vaginitis who consulted a physician at a Primary Health Center, Tlalpan, D.F., México. In all 220 women were studied, 50 (22.7%) of whom were colonized with Ureaplasma urealyticum, statistical analysis (X2) showed there was no association between colonization with Ureaplasma urealyticum, and age, pregnancy, and other but there was association between colonization with Ureaplasma urealyticum and the number of pregnancies and no birth control method use.
