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Factores de riesgo de bacteriemia por enterococos en urología: un estudio de cohortes multicéntrico
Pierre-Marie Roger1,2, Agnès Ferre3, Bruno Abram3
1Infectiologie, Clinique Les Fleurs, 332, Ave Frédéric Mistral, Ollioules, 83190, France. roger@elsan.care.
Resumen
La bacteriemia por enterococos (BE) es un riesgo significativo en urología, que afecta predominantemente a los varones. La resección transuretral de la próstata surgió como un factor de riesgo clave para desarrollar BE.
Área de la Ciencia:
- Urología
- Enfermedades Infecciosas
- Microbiología Médica
Sus antecedentes:
- La bacteriemia por enterococos (BE) representa un desafío significativo en los entornos sanitarios.
- La identificación de los factores de riesgo de BE es crucial para estrategias de prevención y manejo eficaces.
Objetivo del estudio:
- Investigar los factores de riesgo asociados con la bacteriemia por enterococos (BE) en una cohorte de pacientes urológicos.
- Determinar la incidencia de BE y otras infecciones del torrente sanguíneo en urología.
Principales métodos:
- Estudio prospectivo realizado durante 18 meses en cinco instituciones.
- Análisis de todos los cultivos sanguíneos positivos (CSP) en los departamentos de urología.
- Análisis de regresión logística para identificar los factores de riesgo independientes de BE.
Principales resultados:
- De 176 cultivos sanguíneos positivos, 32 (18%) se identificaron como BE.
- La bacteriemia por enterococos ocurrió exclusivamente en pacientes varones.
- La resección transuretral de la próstata se asoció significativamente con la BE (AOR [95% CI]: 3,75 [1,30-10,78]).
Conclusiones:
- La resección transuretral de la próstata es un factor de riesgo notable para la bacteriemia por enterococos en urología.
- La aparición exclusiva de BE en varones justifica una mayor investigación.
- Los hallazgos enfatizan la necesidad de medidas preventivas específicas en pacientes urológicos varones sometidos a procedimientos específicos.
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