Incidente of urinary tract infection in pregnant women and its complications

espanolObjetivos: Estimar la incidencia de ITU en embarazadas de un centro de salud urbano que fueron estudiadas entre enero 2017 y junio 2018, detectando el germen mas frecuentemente implicado y distinguiendo entre persistencia/recurrencia. Conocer las complicaciones en embarazadas derivadas de haber sufrido algun episodio de ITU. Material y metodo: Estudio observacional retrospectivo que se llevo a cabo en centro de salud urbano. Muestra: 79 mujeres embarazadas que tuvieron un seguimiento completo de su gestacion en el centro de salud y en el periodo de tiempo indicado. Variables: Seguimiento correcto del proceso, urocultivos positivos, germen implicado, episodios de persistencia/recurrencia y complicaciones tanto no obstetricas (pielonefritis aguda (PNA)) como obstetricas (bajo peso al nacer, parto pretermino y mortalidad perinatal). Resultados: Seguimiento correcto del proceso en un 96,2 % de embarazos. Incidencia de ITU del 14%. Germen implicado mas frecuente: Escherichia coli con una incidencia mayor del 45% y Klebiella con un 27%. Aparece un episodio de persistencia de Streptococo agalactiae y una recurrencia. Un episodio de PNA, lo que supone un 9% de complicaciones. Conclusiones: Encontramos una incidencia de ITU mayor a la descrita en la literatura. Germen implicado con mayor frecuencia: Escherichia coli. Aparece una complicacion por PNA sin darse complicaciones obstetricas. EnglishObjectives: To estimate the incidence of UTI in pregnant women from an urban health center who were studied between January 2017 and June 2018, detecting the germ most frequently involved and distinguishing between persistence / recurrence. To know the complications in pregnant women derived from having suffered an episode of UTI. Material and method: Retrospective observational study that took place in an urban health center. Sample: 79 pregnant women who had a complete follow-up of their pregnancy in the health center and in the period of time indicated. Variables: Correct follow-up of the process, positive urine cultures, germ implicated, episodes of persistence / recurrence and both non-obstetric complications (acute pyelonephritis (PNA)) and obstetric (low birth weight, preterm delivery and perinatal mortality). Results: Correct follow-up of the process in 96.2% of pregnancies. ITU incidence of 14%. The most frequent implicated germ: Escherichia coli with an incidence higher than 45% and Klebiella with 27%. An episode of Streptococcus agalactiae persistence and recurrence appears. An episode of ANP, which represents 9% complications. Conclusions: An incidence of UTI greater than that described in the literature was found. Germ most frequently implicated: Escherichia coli. A complication appears for PNA without obstetric complications.