Correlación de IVU y procalcitonina como factores de riesgo de parto pretérmino, resultante obstétrica y neonatal, de pacientes que acudieron al hospital de la mujer Alfredo G. Paulson durante el 2018-2019.

Abstract

Infectious conditions in the urinary tract during the gestation period represent one of the most frequently observed morbidities within this care group. Pregnant patients are at high risk of developing health or pregnancy complications in general. The present research work was developed based on the determination of the relationship between elevated levels of procalcitonin and the development of complications. For the research, a patient database provided by the Statistics Department of the Alfredo G. Paulson Women's Hospital in the city of Guayaquil was used. As results, it was obtained that from the 200 cases that were diagnosed with Urinary Tract Infection, 148 had elevated levels of procalcitonin. The predominant pathogenic agent was E. coli, found in 117 cases (58.50%). Preterm delivery was the most frequently found complication with 103 cases (51.50%). Of the 148 cases with elevated procalcitonin levels, 63 cases (42.57%) developed pyelonephritis. It was determined that the majority of cases are related to an increase in procalcitonin levels. E. coli and S. aureus are the most common microorganisms in cases of urinary tract infection, and the most common complications seen in cases of urinary tract infection during pregnancy are the development of preterm labor at the obstetric level and the development of upper urinary tract infection or pyelonephritis at the maternal level.