Prevalencia de IVU recurrentes asociado a Streptococo agalactiae en gestantes que cursan II-III trimestre de embarazo atendidas en el área de Materno Infantil del Hospital Teodoro Maldonado Carbo en el periodo de enero 2012 a diciembre 2016.

Abstract

Introduction: Colonization by Streptococcus Agalactiae in newborns occurs during childbirth, from the colonized maternal genital tract, or in the uterus, ascending, with the vertical transmission rate being 50%, which is why, Knowing the prevalence of this pathology in the pregnant population will allow us to take adequate therapeutic measures to avoid complications in the newborn and in the mother. Objective: To determine the prevalence of recurrent urinary tract infection associated with Streptococcus Agalactiae in pregnant women who are in the II-III trimester of pregnancies attended in the maternal and infant area of the Hospital Teodoro Maldonado Carbo in the period from January 2012 to December 2016. Materials and Methods: This is a cross-section Prevalence study with an observational and retrospective descriptive design, in which the necessary data were collected by reviewing the Clinical Histories of the patients who had attended the Maternity and Children's Area of the Teodoro Maldonado Specialties Hospital Carbo in the period from January 2012 to December 2016. Results: The prevalence of recurrent UTIs associated with Streptococcus Agalactiae in pregnant women who are in the second trimester of pregnancy in the present study was 56.2% and the remaining 43.48% were going through the III trimester of the gestation period, it was determined that the age that was more frequent in these cases was 18 years of age, determining a relatively low average age during pregnancy in terms of the development of urinary tract infections. With regard to the number of prenatal check-ups performed by the patients prior to the diagnosis of urinary tract infection, a greater number of cases were found in patients who had undergone more than 5 previous controls, equivalent to 66.66% of the cases and the number of cases was established where the colony forming units were greater than 100,000 per field, being in 66.66% of the cases. An association was determined between the presence of S. agalactiae and the development of urinary tract infection in both the second and third trimesters of pregnancy, where they occupied more than 50% of the cases, respectively. Conclusions: The prevalence of recurrent UTI associated with Streptococcus Agalactiae was more than 50%, being the highest risk of suffering this infection at the age between 18 and 25 years which indicates a higher rate of infection by this microorganism during the gestation period.