SciELO - Scientific Electronic Library Online

vol.8 issue1Progressive multifocal leukoencephalopathy in a woman with AIDSMandibular actinomycosis author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand




  • Have no cited articlesCited by SciELO

Related links

  • Have no similar articlesSimilars in SciELO


Revista Virtual de la Sociedad Paraguaya de Medicina Interna

On-line version ISSN 2312-3893


MERINO MORALES, Miguel; MORALES OJEDA, Ismael; BADILLA BADILLA, José  and  VALLEJOS MEDINA, Cecilia. Antimicrobial resistance in urinary tract infection with bacteriuria in the emergency service of a community hospital in the Ñuble region, Chile. Rev. virtual Soc. Parag. Med. Int. [online]. 2021, vol.8, n.1, pp.117-125. ISSN 2312-3893.


Urinary tract infection is one of the infectious diseases with a high incidence in adults and the second with the highest incidence in children. Its treatment is initially empirical and is fundamentally based on epidemiology and local susceptibility.


To identify the causative microorganisms, antimicrobial resistance and the empirically prescribed treatment to patients consulting for urinary tract infections with associated bacteriuria in the emergency unit of the Community Hospital of Bulnes, Chile, between January and June 2019.


A retrospective descriptive study was carried out. The data were obtained from the records of the Community Hospital of Bulnes, Chile, using the ICD-10 code: N39.0, from which the results of the examinations, clinical data, and the biodemographic profile of the sample were obtained using an instrument constructed by the authors.


The most frequently isolated microorganism was Escherichia coli, in this bacterium the highest percentage of resistance is associated with ampicillin and ciprofloxacin. The antibiotics used for the empirical treatment of these infections were mainly cefadroxil and ciprofloxacin. The start of treatment was mostly without urine culture results and without changes after the result.


In the Community Hospital of the Ñuble region, urinary infection had a high incidence in women, with a clinical picture characterized by dysuria, not excluding other symptoms. The preponderant bacterium was E. coli, which showed a high percentage of resistance to one or more antimicrobials, and ampicillin and ciprofloxacin were the most frequent antibiotics in this regard. It was not possible to show errors in continuity in the clinical management.

Keywords : microbial drug resistance; antibacterial agents; urinary tract infections; Escherichia coli.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )