Infección urinaria gestacional
DOI:
https://doi.org/10.18597/rcog.795Palabras clave:
Infección urinaria, embarazo, cistitis, bacteriuria asintomática, pielonefritisResumen
La mujer embarazada, presenta cambios anatomofisiológicos que predisponen a la I.U.G., en sus diferentes modalidades: cistitis, bacteriuria asintomática y pielonefritis. El manejo de las dos primeras es similar, basándose en esquemas de duración variable con penicilinas, cefalosporinas, sulfonamidas y antisépticos urinarios, asegurando la eliminación de la bacteriuria hasta el final de la gestación, con control seriado de uroanálisis.
En caso de piclonefritis, infección urinaria recurrente o anomalía anatomofuncional del tracto genito urinario se indica terapia supresora por lo que resta de la gestación.
Biografía del autor/a
Antonio Lomanto Morán
Director Científico. Caja de Previsión de Santafé de Bogotá, D.C. Profesor. Departamento de Ginecología y Obstetricia. Facultad de Medicina. Universidad Nacional de Colombia.
Marcela Lomanto Cardona
Médico Cirujano. Escuela Colombiana de Medicina.
Jacinto Sánchez Angarita
Profesor. Departamento de Ginecología y Obstetricia. Facultad de Medicina. Universidad Nacional de Colombia.
Referencias bibliográficas
Sanford JP. Urinary tract symptons and infection. Annu. Rev. Med. 1976; 26: 485-498.
Andriole VT. Urinary tract infections in pregnancy. U rol. Clin. North. Am. 1975; 2: 485.
Hodson CJ. Radigraphic kidney size. In: Black Dak, ed. Renal disease. Oxford: Blackwell S.cientific publications, 1968; 136.
Bailey RR., Rolleston GL. Kidney length and ureteric dilatation in the puerperium. J. Obstet. Gynecol. Br. Commonw 1971; 78:55.
Samir NB. Cambios morfológicos en las vías urinarias durante el embarazo. Clin. Obstet. Gynecol. 1985; 2: 307-316.
Sweet RL. Bacteriuria and pyelonephritis during pregnancy. Semin perinatol 1977; 1: 25-40.
Sweet RL., Gibbs RS: Urinary tract intection. lnfectious diseases of the female genitals trae t. Second,edition. 1991; 267-289.
Me Nealey SG. Treatment of urinary tract infection in pregnancy. Clin. Obstet. Gynecol 1988; 31: 480-487.
Lomanto AM., Sánchez JA., Lomanto A C. Bacteriuria Asintomática en el embarazo. Revista Colombiana de Obstetricia y Ginecología. Vol. XLI No. 1, 1988; 13-23.
JO. Turck M., Goffe BS and Petersdorf RG. Bacteriuria of pregnancy. Relation to socioeconomic factors. N. Engl. J. Med. 1962; 266: 857- 860.
Kass EH. The role of asymtomatic bacteriuria in the pathogenesis of pyelonephritis. In Quinn RL, KassEH. (eds). Biology of pyelonephritis. Boston, Little Brown, 1960; 399-412.
Kass EH. Bacteriuria and pyelonephritis of pregnancy. Arch. Intern. Med. 1960; 205: 194-198.
Hooton TM. The epidemiology of urinary tract infection and the concept of significan! bacteriuria. Infection 18 (1990) Supp. 12 pp. 540-543.
Andriole VT., Patterson TF. Epidemiology, natural history, and management of urinary tract infections in pregnancy. Med. Clin. North. Am. Vol. 75, No. 2 March 1991; 359-373.
Kass EH., Finland M. Asymtomatic infections of the urinary tract. Trans. Assoc. Am. Phys. 1956; 69: 56-64.
Stamm WE., Counts GW., Running KR., Fihn S., Turck M., Holmes K K. Diagnosis of coliform infection in acutely dysurit women. N. Engl. J. Med. 1982; 307: 463-468.
Stark RP., Maki DG. Bacteriuria in the cathetherized patient what quantitative leve! of bacteriuria is relevan!? N. Engl. J. Med. 1984; 311: 560-564.
Stamm WE. Measurement of pyuria and its relation to bacteriuria. Am. J. Med. 75 (Suppl. 1 B) 53-58.
N orden CW., Kass EH. Bacteriuria of pregnancy: critical pparaisal. Ann. Rev. Med. 1968; 19: 431.
Lenke RR., Van Dorsten JP. The efficacy of the nitrite test and microscopic urinalisis in predicting urine culture resultA m. J. Obstet. Gynecol. 1981; 140:427.
Hamilton-Miller JMT., Brooks SJP., Brumfitt W et al. Screening for bacteriuria: Microstix and dipslides. Postgrad Med. J. 1977; 53: 248.
Krieger JN . Complications and treatment of urinary tract infections during pregnancy. Urologic Clinics of North American 1986; 13(4): 685-693.
Baird D. The upper urinary tract in pregnancy and the puerperium with special reference to pyelitis of pregnancy. J. Obstet. Gynecol. Br. Emp. 1936; 43: 1-59.
Dodds GH. Bacteriuria in pregnancy, labor and puerperium. J. Obstet. Gynecol. Br. Emt. 1931; 38: 773-787.
Kincaid-Smith-Bullen, M. Bacteriuria in pregnancy. Lancet 1965; 1: 395-399.
Bejar R., Curbelo V., Davis C. Premature labor Il. Bacterial sources of phospholipase. Obstet. Gynecol. 1981 ; 57: 479.
Naeye RL. Causes of the excessive rates of prenatal mortality and prematurity in pregnancies complicated by maternal urinary tract infections. N. Engl. J. Med. 1979; 390: 819.
Schultz R .. Read A W., Straton JA Y et al. Genitourinary tractinfections in pregnancy and low birth weigh : case-control study in Australian Aboriginal women. BMJ 1991 ; 303: 1369-1373.
Patrick MJ: Renal infection in pregnancy. The natural development of bacteriuria in pregnancy. J. Obstet. Gynecol. Br. commonw 1966; 73: 793-796.
Savage WE., Hajj SH., Kass EH. Demographic and prognostic characteristics of bacteriuria in pregnancy. Medicine (Baltimore) 1967; 46: 385-407.
Zhanel GG., Harding GKM., Guay DRP. AsynmptomaticBacteriuria: Which patients should be treated? Arch. 1ntern. Med. 1990; 150: 1389-1396.
Bailey RR. Single-dose antibacterial treatment for bacteriuria in pregnancy. Drugs 1984; 27: 183.
Brumfitt W., Hamilton-Miller JMT., Franklin 1NS. Conventional and two-dose amoxycillin treatment of bacteriuria in pregnancy and recurrent bacteriuria: A comparative study. J. Antimicrob Chemother 1982; 10: 239.
Harris RE., Gilstrp LC., Pretty A. Single-dose antibacterial therapy for asymptomatic bacteriuria during pregnancy. Obstet. Gynecol. 1982: 59: 546.
Clínicas de Ginecología y Obstetricia: Temas actuales. Urología ginecológica. 1989: 4: 892-91 O.
Summary of a workshop on Maternal Genitourinary Tnfections and the Outcome ofPregnancy. The Journal of Infectious Diseases 1983; 147(3).
Pedersen ES., Blakstad M., Bergan T. Bacteriuria in the puerperium. Am. J. Obste!. Gynecol. 1990; 162: 792-797
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