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Revista del Instituto de Medicina Tropical

Print version ISSN 1996-3696


MARIN, Carmen; TABOADA, Aurelia  and  BENITEZ, Gustavo. Indications and Clinical Evaluation of Urine culture and Stool. Rev. Inst. Med. Trop. [online]. 2015, vol.10, n.1, pp.37-47. ISSN 1996-3696.

Abstract Aim: Evaluate the relevance of the urine culture and stool culture in common clinical practice. Search strategy and selection of studies: We performed a literature review on databases online Elsevier-Doyma and PubMed, articles and clinical practice guidelines published on this subject prioritizing work in Latin America. Study selection and data: The review included guides Infectious Diseases Society of America (IDSA), manuals and guides the Spanish Society of Infectious Diseases, and the last original published articles on this topic in the region. Results: Escherichia coli remains the most prevalent in both urine culture and coprocultivo causal agent. In our hospital, they have increased significantly the resistance to antibiotics especially quinolones. Conclusions: Most of the antibiotics used as first-line empiric therapy have high percentages of resistance. In our Hospital empirical antibiotic of choice in urinary tract infections was 34.4% levofloxacin and ciprofloxacin by 42%. Regarding coprocultivo presents greater resistance to erythromycin and Levofloxacin 87.5%, followed by 76% Ampicillin resistance

Keywords : urinary tract infection; asymptomatic bacteriuria; empirical treatment ; extended-spectrum beta-lactamase.

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