ESPOCH Congresses: The Ecuadorian Journal of S.T.E.A.M.
ISSN: 2789-5009
Leading Ecuadorian research in science, technology, engineering, arts, and mathematics.
Management of Urinary Tract Infection in Pregnancy
Published date: Nov 09 2023
Journal Title: ESPOCH Congresses: The Ecuadorian Journal of S.T.E.A.M.
Issue title: Volume 3 Issue 1
Pages: 16–33
Authors:
Abstract:
Urinary tract infection is a frequent occurrence in pregnancy that can increase the risk of complications; therefore, it is essential to investigate it at the first prenatal consultation. It is classified as asymptomatic bacteriuria, cystitis, and pyelonephritis. This research aims to determine the most appropriate treatment for urinary tract infections during pregnancy according to the best available evidence. The methodology implemented a clinical question: What is the best treatment for urinary tract infections during pregnancy? The PICO format helped search for scientific information, such as the pregnant women’s population with urinary tract infections, whether the intervention received was an antibiotic treatment, was the comparison a no antibiotic treatment, and the result of preventing complications during pregnancy. The databases consulted were PubMed, Cochrane Library, the ACCESSSS search engine, Epistemonikos, DynaMed, and UpToDate. As a result of the information search process, 305 articles were obtained, of which 255 were discarded for not being within the inclusion criteria and 51 were used in this investigation. Of these 50 articles, 15 were eliminated because they were duplicates and 37 were used in this review. In conclusion, urinary tract infection causes increased perinatal maternal morbidity and mortality; therefore, it is essential to investigate and treat it.
Keywords: urinary tract infections, pregnancy, drug therapy.
Resumen
La infección del trato urinario es una afectación frecuente en el embarazo que puede aumentar el riego de complicaciones, por lo tanto, es fundamental investigarla desde la primera consulta prenatal, se clasifica en bacteriuria asintomática, cistitis y pielonefritis. El objetivo de esta investigación es determinar el tratamiento más adecuado para los cuadros de infección del tracto urinario durante el embarazo de acuerdo a la mejor evidencia disponible. En la metodología se implementó como pregunta clínica ¿cuál es el mejor tratamiento para la infección del tracto urinario durante el embarazo? bajo el formato PICO que ayudó en la búsqueda de información científica, la población son las mujeres gestantes con infección del tracto urinario, la intervención es el tratamiento antibiótico recibido, la comparación fue el no tratamiento antibiótico y el resultado la prevención de complicaciones durante el embarazo. Las bases de datos consultadas fueron PubMed, Cochrane Library, el buscador ACCESSSS, Epistemonikos, DynaMed y UpToDate. En el resultado del proceso de búsqueda de la información se obtuvo 305 artículos de los cuales se descartaron 255 por no estar dentro de los criterios de inclusión y se utilizaron 51 artículos que se servirán en esta investigación; de estos 50 se eliminan 15 artículos por estar duplicados y finalmente 37 artículos se utilizarán para la elaboración de esta revisión. Como principales conclusiones tenemos que la infección del tracto urinario causa aumento de la morbimortalidad materno perinatal, por lo tanto, es fundamental investigarla y tratarla.
Palabras Clave: infecciones urinarias, embarazo, quimioterapia.
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