Perfil de resistencia antimicrobiana en líquido peritoneal de pacientes hospitalizados por peritonitis en el Hospital General del Norte de Guayaquil Los Ceibos durante el período del 2017 a 2021.

Abstract

Intra-abdominal infections are mostly a consequence of a perforation or due to inflammation of the intestinal wall, thus producing generalized peritonitis or sometimes localized collections such as abscesses. The clinical picture can be mild that starts from fever, anorexia, to progress to a severe picture of sepsis, with the consequent multiple organ failure, septic shock and even cause death. The objective was to determine the profile of antimicrobial resistance in the peritoneal fluid in the period 2017 to 2021. Method: Retrospective, cross-sectional and descriptive observational study, all patients with a diagnosis of intra-abdominal infection and positive peritoneal fluid culture were studied. Results: 82 patients were included, the most frequent age was between 31 to 45 years, men were the most affected with 64% of cases. The most frequently isolated bacterium was Escherichia coli (47%), with a mortality from this condition of 30%. It was also found that the most sensitive antimicrobials were carbapenems and aminoglycosides, while the most resistant were ampicillin, sulbactam and ciprofloxacin.