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El rompecabezas del "síndrome uretral": ¿una posible respuesta?
Lancet (London, England)
|May 19, 1979
Resumen
Las bacterias gram-positivas de crecimiento lento, dependientes de CO2 y aisladas de la orina pueden causar síntomas urinarios en pacientes, particularmente mujeres. El tratamiento con antibióticos resuelve eficazmente los síntomas y elimina las bacterias.
Área de la Ciencia:
- Microbiología Microbiología.
- Urología Urología Urología.
- Enfermedades infecciosas Enfermedades infecciosas.
Sus antecedentes:
- Las infecciones del tracto urinario (ITU) son comunes, pero algunos pacientes presentan síntomas sin agentes etiológicos claros.
- La verdad es que no. La verdad es que no.
- el síndrome de la uretra.
- es un diagnóstico para pacientes con síntomas del tracto urinario inferior y cultivos de orina estériles.
- Los organismos gram-positivos de crecimiento lento, dependientes de CO2, representan una causa potencial y subdiagnosticada de los síntomas urinarios.
Objetivo del estudio:
- Investigar la prevalencia y la importancia clínica de organismos de crecimiento lento, dependientes de CO2, gram-positivos en pacientes con síntomas urinarios.
- Para determinar la asociación entre estos organismos y la piuria o la demografía específica de los pacientes.
- Evaluar la eficacia del tratamiento antibacteriano para las infecciones causadas por estos organismos.
Principales métodos:
- Aislamiento e identificación de organismos de crecimiento lento, dependientes de CO2, gram-positivos a partir de muestras de orina.
- Recopilación de datos clínicos que incluyen la demografía de los pacientes, los síntomas urinarios y la presencia de piruria.
- Evaluación de los resultados del tratamiento después de una terapia antibacteriana adecuada.
Principales resultados:
- Se aislaron ochenta y dos cepas de 82 pacientes (9 hombres, 73 mujeres).
- Un alto porcentaje de pacientes (100% de hombres, 93% de mujeres) exhibió síntomas urinarios.
- La piruria se observó en el 66% de las muestras, lo que sugiere una respuesta inflamatoria.
- La mayoría de los pacientes se volvieron libres de síntomas después de un tratamiento antibacteriano apropiado, con aclaramiento del organismo.
Conclusiones:
- Los organismos de crecimiento lento, dependientes de CO2 y gram-positivos están implicados en los síntomas urinarios, lo que podría explicar los casos de casos de enfermedades urinarias.
- el síndrome de la uretra.
- . . . el tiempo.
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