Fiebre sin foco y su relación con la presencia de infección del tracto urinario en niños de 1 a 36 meses del servicio de pediatría (Hospital Isidro Ayora, agosto 2013-enero 2014).

Fever is frequent reason for consultation in pediatrics. A special group is under 36 months who present with high fever, which after a careful history and physical examination can not determine the cause of the fever, it is called fever of unknown origin (FSF). The urinary tract infection (UTI) is t...

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Detalles Bibliográficos
Autor: Cuenca Aguilar, María Cecibel.
Tipo de recurso: tesis de maestría
Estado:Versión publicada
Fecha de publicación:2014
País:Ecuador
Institución:Universidad Nacional de Loja
Repositorio:Repositorio Universidad Nacional de Loja
Idioma:español
OAI Identifier:oai:dspace.unl.edu.ec:123456789/18926
Acceso en línea:http://dspace.unl.edu.ec/jspui/handle/123456789/18926
Access Level:acceso abierto
Palabra clave:FIEBRE
TRACTO URINARIO
Descripción
Sumario:Fever is frequent reason for consultation in pediatrics. A special group is under 36 months who present with high fever, which after a careful history and physical examination can not determine the cause of the fever, it is called fever of unknown origin (FSF). The urinary tract infection (UTI) is the most common cause of serious bacterial infection in children under 36 months with FSF. The present study sought to establish the relationship without Fever Outbreak - Urinary Tract Infection in Children between 1-36 months in the service of Pediatric Hospital Isidro Ayora. This was a descriptive, analytical, quality-quantitative cross-sectional cohort study. The population consisted of all hospitalized patients 1 to 36 months. The sample, patients with FSF 1 to 36 months, who were later diagnosed with UTI. Age, gender, nutritional status, phimosis, urinary tract malformations, constipation and symptoms: Using a template data charts of 102 patients, tabulated in SPSS, identifying variables were collected. The following results were obtained: the ITU occurred in 46.1 % of patients, most often between 13 to 25 months (55.3 %) and in females (78.7 %). 68.1% with adequate nutritional status. 10 male patients, 60 % had phimosis. 17 % had urinary tract malformations. The 8.5 % had constipation. The symptoms most commonly anorexia and irritability. Escherichia coli is the bacterium responsible for the largest number of urinary tract infections (66.0%). High bacterial sensitivity to Amikacin, followed by Cephalexin, Cefepime and Gentamicin was found. We found bacterial resistance to ampicillin, followed by trimethoprim - sulfamethoxazole, Amoxicillin and Amoxicillin + Clavulanic Acid Keywords: Fever without Focus, Urinary Tract Infection, gender, nutritional status, phimosis, urinary tract malformations, constipation, symptoms presented, bacterial sensitivity bacterial resistance.