Aislamiento bacteriano en urocultivos a pacientes con vejiga neurogénica en el Hospital Roberto Gilbert Elizalde en el período abril 2019 a abril 2020.

Abstract

Introduction The main morbidity associated with neurogenic bladder is urinary tract infections, which occur with an incidence of 50% within the first 15 months of life, and 44% will present at least 5 similar events up to 15 years of age. The prevalence of urinary tract infections in these patients, can be frequently confused with chronic ureteral inflammation that produces elements such as pyocytes, as well as high incidences of asymptomatic bacteriuria for which they frequently receive chemoprophylaxis. Methods This is a retrospective, cross-sectional and descriptive study carried out in patients with neurogenic bladder and bacterial isolation in urine culturesduring the period April 2019- April 2020 attended at the Roberto Gilbert Elizalde Hospital. Results There were 76 patients, the most affected age group was the adolescent group (31.6%), followed by schoolchildren (29%), and the female sex predominated. Among the most frequent isolated microorganisms were Escherichia coli (40%), ESBL-producing E. coli (28.4%), Klebsiella pneumoniae (7.69%), ESBL-producing K. pneumoniae (6.15%) and Enterococcus faecalis (3.85%). Conclusions E. coli is the most common etiological agent of both asymptomatic bacteriuria and urinary tract infection, followed by Klebsiella pneumoniae. ESBL-producing E. coli was themain agent causing hospitalization in patients with neurogenic bladder.