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Aplicación de la actividad antimicrobiana residual en urocultivos

Authors: Diana Aurora Carmona Cortés; Gabriela Chacón Vázquez; Cirenia Hernández Trejo; Sergio Arturo González Ortiz;

Aplicación de la actividad antimicrobiana residual en urocultivos

Abstract

Introducción. El uso inadecuado de antimicrobianos ha favorecido la aparición de microorganismos resistentes a múltiples fármacos. La prueba de detección de actividad antimicrobiana residual (A.A.R.) evita la emisión de falsos negativos en los resultados de Urocultivos y ayuda a evidenciar la efectividad del tratamiento. Objetivo: Detectar la actividad antimicrobiana residual en Urocultivos. Materiales y métodos: Estudio observacional, descriptivo, transversal, prospectivo. Se realizó un muestreo no probabilístico por conveniencia en un total de 30 muestras en el periodo septiembre-octubre de 2019 para ejecutar la detección de A.A.R. en agar Müeller Hinton. Resultados: En el 43.3% de las muestras estudiadas se obtuvo un crecimiento microbiano. En el 69.3% de los Urocultivos positivos el agente causal identificado fue Escherichia coli; en el 23.0% Klebsiella pneumoniae y en el 7.7 % Proteus mirabilis. En cuanto a la detección de A.A.R., el 36.7 % presentó actividad antimicrobiana residual positiva identificando en un 72.7% a Escherichia coli, en18.2% a Klebsiella pneumoniae, y en 9.1 % a Proteus mirabilis. Conclusión: La detección de A.A.R. puede contribuir al control del uso de antibióticos; detectar A.A.R. en un Urocultivo positivo puede revelar resistencia antimicrobiana; así mismo, la presencia de A.A.R. en un Urocultivo negativo puede ser indicativo de un falso negativo. Application of the residual antimicrobial activity in urocultives Abstract Introduction. The overuse of antibiotics is related with the antimicrobial resistance. Interestingly, the residual antimicrobial activity (R A A) is an effective test to identify the false negative results in urine cultures. Furthermore, this test is efficient to demonstrate the effectiveness of the treatment. Objective: identify the residual antimicrobial activity in urine cultures. Materials and methods: Observational, descriptive, cross-sectional, prospective study. A non-probability sampling was applicated for convenience and 30 samples were analyzed in in the period of September - October 2019 to detect RAA on Müeller Hinton agar. Results: our findings demonstrate that the microbial growth was observed in the 43.3% of total samples. Interestingly, the Escherichia coli was identified in the 69.3% of positive urine cultures. Meanwhile, Klebsiella pneumoniae (23.0%) and Proteus mirabilis (7.7%) were also identify. Similarly, the detection of RAA showed a 36.7% of positive residual antimicrobial activity and the microorganisms detected were: Escherichia coli (72.7%); Klebsiella pneumoniae (18.2%) and Proteus mirabilis (9.1%). Conclusion: The detection of RAA is effective to control the use of antibiotics. In a similar way, the detect of RAA in a positive urine culture is indicative of antimicrobial resistance.

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
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