Características y cambios epidemiológicos de los pacientes con infección del tracto urinario en los servicios de urgencias hospitalarios

  1. Gálvez San Román, J. L. 1
  2. Jiménez Hidalgo, C. 1
  3. Portillo Cano, M. M. 1
  4. García Sánchez, M. O. 1
  5. Navarro Bustos, C. 1
  6. Julián-Jiménez, A. 2
  7. Martínez Ortiz de Zarate, M. 3
  8. González del Castillo, J. 4
  1. 1 UGC Urgencias, Hospital Universitario Virgen Macarena, Sevilla, España.
  2. 2 Complejo Hospitalario de Toledo
    info

    Complejo Hospitalario de Toledo

    Toledo, España

    ROR https://ror.org/04q4ppz72

  3. 3 Servicio de Urgencias. Hospital Universitario de Basurto, Bilbao, España.
  4. 4 Servicio de Urgencias. Hospital Universitario Clínico San Carlos, Madrid, España.
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Journal:
Anales del sistema sanitario de Navarra

ISSN: 1137-6627

Year of publication: 2016

Volume: 39

Issue: 1

Pages: 35-46

Type: Article

DOI: 10.4321/S1137-6627/2016000100005 DIALNET GOOGLE SCHOLAR lock_openOpen access editor

More publications in: Anales del sistema sanitario de Navarra

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Abstract

Background. The aim of this paper is to determine both the prevalence of urinary tract infection (UTI) in the emergency department (ED) and the most relevant epidemiological changes in the last decade, as well as the profile and management of these patients.Methods. Descriptive cross-sectional analysis at 49 Spanish ED during 12 months. All patients with infections and UTI diagnosis were included. All patients attended to in ED during the study were recorded as well.Results. The study included 2,517 patients diagnosed with UTI, with a mean age of 55 (SD 23) years, 64.6% of whom were women. These patients represent 22% of infections in the ED and 3.2% of all patients in the ED. Thirty-six per cent were over 70 years old.  Fifty one point nine per cent had some underlying disease (16.5% diabetes mellitus) and 32.7% had some risk factors for multi-resistant strains of bacteria. Eight point three per cent met sepsis criteria. Seventy-one point nine per cent of patients were directly discharged from the ED.Conclusions. UTI are very common infections in ED, with important associated comorbidities, high mean ages and a predominance in women. With respect to a decade before UTI has increased its prevalence (3.2% vs 2.1%) and the patients have a greater age [55.5 (SD 23) vs 52 (SD 22) years], more comorbidities (51.9% vs 40.6%) and clinical severity (8.3% vs 6.5%).Key words. Urinary tract infection. Emergency Department. Epidemiology.

Data source: Dialnet