DESCRIPCIÓN CLÍNICA DE LOS LACTANTES QUE INGRESAN A PROTOCOLO DE TRATAMIENTO AMBULATORIO DE INFECCIÓN DEL TRACTO URINARIO FEBRIL, EN LA UNIDAD DE EMERGENCIA DEL HOSPITAL DE NIÑOS DR. ROBERTO DEL RÍO, 2018-2019.
Arancibia M. V. 1, Borck C. S 1, Contardo P. V.2
1 Facultad de Medicina, Universidad de Chile, Egresado Pediatría Hospital de niños Dr. Roberto del Río
2 Facultad de Medicina, Universidad de Chile, Pediatra Infectóloga, Profesor Asistente, Hospital de niños Dr. Roberto del Río
Resumen |Abstract | Texto completo | Descargar cuerpo en pdf |
Introduction: Urinary tract infection (UTI) is common in pediatrics. To avoid hospitalization of infants with febrile UTI, and outpatient treatment protocol was created in the Emergency Unit, which consists of daily administration of intravenous amikacin until adjustment to oral antibiotics according to an antibiogram. The aim of this study is to describe the characteristics of the infants who were treated according to this protocol, and the reasons for failure of this management.
Methods: Retrospective descriptive study, through review of emergency care data and clinical records, of infants between 3 and 24 months of age, admitted to the ambulatory management protocol of febrile UTI, confirmed by urine culture, in the Emergency Unit of the Children’s Hospital Dr. Roberto del Río, between January 2018 and December 2019. Clinical, laboratory and microbiological characteristics were studied, and the reasons for failure of this management were recorded.
Results: 455 patients were included in this study, their median age was 10,09 months, 70,55% female. 424 patients completed the protocol with treatment adjustment according to antibiogram. 31 patients (6.8%) required hospitalization, either for treatment failure or for not having effective oral antibiotics. E. coli was the most commonly isolated microorganism (91.6%). A 6.8% of antibiotic resistance given by extended spectrum beta-lactamases was found. Only 7 patients abandoned the protocol.
Conclusion: The implemented protocol ensures timely clinical control and optimizes antibiotic management, favoring the option of outpatient treatment of these patients.
Keywords: urinary tract infection, pediatrics, emergency room, antibiotics |
