{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,18]],"date-time":"2026-07-18T09:38:05Z","timestamp":1784367485338,"version":"3.55.0"},"reference-count":22,"publisher":"Federacion Colombiana de Obstetricia y Ginecologia","issue":"4","license":[{"start":{"date-parts":[[2019,12,30]],"date-time":"2019-12-30T00:00:00Z","timestamp":1577664000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Colomb. Obstet. Ginecol."],"abstract":"<jats:p>Objetivo: determinar la prevalencia de infecci\u00f3n del tracto urinario (ITU), el perfil microbiol\u00f3gico y la resistencia a los antibi\u00f3ticos en mujeres gestantes con sospecha de infecci\u00f3n del tracto urinario. Materiales y m\u00e9todos: estudio de corte transversal. Ingresaron gestantes con sospecha de infecci\u00f3n del tracto urinario adquirida en la comunidad, remitidas a consulta externa desde su control prenatal o atenci\u00f3n por urgencias, y hospitalizadas entre agosto de 2013 y septiembre de 2015 en un hospital universitario de referencia ubicado en Medell\u00edn, Colombia. Se excluyeron gestantes que hubieran recibido antibi\u00f3ticos el d\u00eda anterior a la admisi\u00f3n. Muestreo aleatorio simple. Variables medidas: sociodemogr\u00e1ficas, cl\u00ednicas y bacteriol\u00f3gicos. Se aplic\u00f3 estad\u00edstica descriptiva. Resultados: la prevalencia de infecci\u00f3n del tracto urinario fue del 29 %. Predominaron los aislamientos de bacterias Gram negativas, principalmente E. coli y K. pneumoniae en un 57,7 y 11,4 % respectivamente. Se observ\u00f3 resistencia a trimetoprim-sulfametoxazol en el 19,5 % y ampicilina-sulbactam en el 17,5 % de los aislamientos. Conclusiones: se requieren estudios de base poblacional para una mejor aproximaci\u00f3n a la resistencia de las bacterias causantes de la ITU en la comunidad. Por otra parte, la alta resistencia observada podr\u00eda sugerir que algunos antibi\u00f3ticos expuestos no sean incluidos en las gu\u00edas locales de manejo de la ITU.<\/jats:p>","DOI":"10.18597\/rcog.3332","type":"journal-article","created":{"date-parts":[[2020,2,3]],"date-time":"2020-02-03T15:11:24Z","timestamp":1580742684000},"page":"243-252","source":"Crossref","is-referenced-by-count":5,"title":["Prevalencia etiol\u00f3gica de infecci\u00f3n del tracto urinario en gestantes sintom\u00e1ticas, en un hospital de alta complejidad de Medell\u00edn, Colombia, 2013-2015"],"prefix":"10.18597","volume":"70","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2067-2504","authenticated-orcid":false,"given":"Daniel","family":"San\u00edn-Ram\u00edrez","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristian","family":"Calle-Meneses","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carolina","family":"Jaramillo-Mesa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juli\u00e1n Alfredo","family":"Nieto-Restrepo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4715-8388","authenticated-orcid":false,"given":"Diana Marcela","family":"Mar\u00edn-Pineda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3979-2282","authenticated-orcid":false,"given":"Mar\u00eda Nazareth","family":"Campo-Campo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"7913","published-online":{"date-parts":[[2019,12,30]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"Geerlings SE. 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