Abstract:
OBJECTIVE:The increase of isolation of beta-lactamase resistant Escherichia coli (BREC) strains makes treatment difficult. The objective of this study is to evaluate the situation in our environment. METHODS:Retrospective study including patients who presented positive urine cultures for E. coli in the Department of Health of Castellon between January 2012 and December 2015. We analyzed variables such as age, gender, patient`s origin (outpatient or hospital) and other risk factors. We performed a descriptive analysis to study the prevalence of BREC. RESULTS:9113 cultures were positive for E Coli, 273(2.9%) of them were BREC. The annual percentage of BREC ranged from 1.7% to 3,4% with no increase over the last years. Mean age was 70 years, without gender differences. 247 cultures came from outpatient patients (90%), being 96% of them women. The factors most frequently associated with BREC were to present UTI over the last year and have received antibiotic treatment the previous 3 months; 50% of these received a beta lactam. CONCLUSIONS:In our environment, the isolation of BREC is similar to other series. Most patients come from the outpatient environment, were previously treated with antibiotics and had recurrent UTIs. OBJETIVO:El aumento de aislamiento de cepas Escherichia coli resistentes a las betalactamasas (ECRB) dificulta su tratamiento. El objetivo de este estudio es evaluar la situación en nuestro entorno. MATERIAL Y MÉTODO: Estudio retrospectivo entre enero 2012 y diciembre de 2015, incluyendo pacientes que presentaban cultivos de orina positivos para E. coli en el Departamento de Salud de Castellón. Analizamos variables como: edad, sexo, procedencia del paciente (medio ambulatorio u hospitalario) y otros factores de riesgo. Se ha realizado un análisis descriptivo para estudiar la prevalencia de ECRB. RESULTADOS: Se obtuvieron 9113 cultivos positivos para E. coli, de estos 273 (2,9%) fueron ECRB. El porcentaje por año de ECRB fue entre un 1,7% y un 3,4% sin observarse incremento en los últimos años. La edad media fue 70 años, sin diferencias entre sexos. 247 cultivos procedían de pacientes ambulatorios (90%), correspondiendo el 96% de estos a mujeres. Los factores de riesgo más asociados a ECBR fueron presentar ITU el último año y haber recibido tratamiento antibiótico en los 3 meses previos, de estos un 50% recibió un betalactámico. CONCLUSIONES: En nuestro medio el aislamiento de ECRB es similar a otras series. La mayoría de pacientes fueron procedentes de medio ambulatorio, tratados previamente con antibióticos y con episodios de ITU recurrentes.
journal_name
Arch Esp Uroljournal_title
Archivos espanoles de urologiaauthors
Barrios-Arnau L,Sanchez-Llopis A,Di Capua-Sacoto C,Ponce-Blasco P,Gomila Sard B,Rodrigo-Aliaga Msubject
Has Abstractpub_date
2019-07-01 00:00:00pages
560-563issue
6eissn
0004-0614issn
1576-8260pii
2019-72-6-928fc5d83a2701463252e60aa98547328700f1dbjournal_volume
72pub_type
杂志文章abstract:OBJECTIVES:The VUR is one of the most frequent pathologies in pediatric urology. Classically it has been managed with medical or surgical treatment depending on age, grade, and other variables. Over the last years, urologists have started to perform endoscopic treatment with various substances, surgery but minimally in...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:10.4321/s0004-06142008000200028
更新日期:2008-03-01 00:00:00
abstract:OBJECTIVE:To describe our experience with bladder endometriosis at the Department of Urology of Complejo Hospitalario Universitario de Santiago de Compostela. METHODS:We performed a retrospective analysis of the cases of bladder endometriosis diagnosed during the last 11 years in our hospital, from January 2000 to Dec...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:2014-09-01 00:00:00
abstract:OBJECTIVES:The epidermoid cyst of the testis is a rare benign tumor. It accounts for approximately 1% of all testicular tumors. Generally, the testis has a palpable, painless mass with tumor markers (AFP, BHCG, and LDH) within normal ranges. Pathology reveals a cavity consisting of squamous epithelial cells containing ...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:2004-07-01 00:00:00
abstract:OBJECTIVE:To report an uncommon case of idiopathic calcinosis of the scrotum. METHODS/RESULTS:A case of idiopathic scrotal calcinosis in a 50-year-old male who presented with multiple hard masses in the scrotum is described. Cytological (fine needle aspiration) and histological (biopsy and resection) analyses of these...
journal_title:Archivos espanoles de urologia
pub_type: 历史文章,杂志文章
doi:
更新日期:1997-11-01 00:00:00
abstract:OBJECTIVES:To show the beginning of the General Hospital of Madrid, its localization, economical problems and medical protagonists, mainly the first medical director: Dr. Perez de Herrera. Also, to show its scientific and health-care contributions to the people of Madrid and other cities, coming in the search for train...
journal_title:Archivos espanoles de urologia
pub_type: 历史文章,杂志文章
doi:10.4321/s0004-06142006000700001
更新日期:2006-09-01 00:00:00
abstract::Six patients diagnosed as having urothelial carcinoma with varying degrees of squamous features are described. Four had pure squamous carcinoma. Two had transitional cell carcinoma (1 with squamous areas and the other had carcinoma in situ). The histological analyses of specimens were performed using immunohistochemic...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1990-11-01 00:00:00
abstract::Cisplatin has been the cornerstone of germ cell testicular tumors therapy since its introduction more tan 30 years ago, and a basic part of the schemes given to multiple ovarian, lung, head and neck, and bladder tumors among others. Some tumors present primary resistance to this drug, others will develop it despite go...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:2013-06-01 00:00:00
abstract:OBJECTIVES:The objective of this work is to evaluate the current role of conventional transrectal ultrasound guided biopsy of the prostate in the diagnosis of cancer. With this aim we review its indications, the various techniques, associated complications and limitations of this test. METHODS:We performed a bibliogra...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:2015-04-01 00:00:00
abstract:OBJECTIVES:To review the influence of various intravesical treatments on superficial bladder cancer recurrence. METHODS:We retrospectively reviewed 473 superficial bladder neoplasias. Based on diagnosis and transurethral resection of bladder tumor (TUR BT), and depending on pathology, we proposed different adjuvant tr...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2007-01-01 00:00:00
abstract::A patient with a tumor in the right pelvic ureter is described herein. Following diagnosis by ureteroscopy, the patient underwent TUR utilizing a ureteroresectoscope. No short- or long-term complications were observed. The scant number of cases in the literature and the advantages afforded by this technique (noninvasi...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1990-07-01 00:00:00
abstract:OBJECTIVES:To evaluate the current role of PSA as a diagnostic method for prostate cancer, as well as to analyze possible new markers. METHODS:We perform a bibliographic review for PSA, and its molecular forms, as a marker to define the presence of prostate cancer. We review the factors related to PSA modifications, p...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:10.4321/s0004-06142006001000014
更新日期:2006-12-01 00:00:00
abstract:OBJECTIVE:To report a rare case of testicular metastasis secondary to an infiltrative transitional cell carcinoma years after radical surgery. METHODS: CASE REPORT:71-year-old male patient with history of infiltrative bladder tumor, status post radical cystoprostatectomy with urethrectomy. Seven years after surgery h...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:10.4321/s0004-06142007000100016
更新日期:2007-01-01 00:00:00
abstract:OBJECTIVE:To describe a new procedure for surgical correction of primary hypospadias with chordee. METHODS:The design of the urethral plate divide it in two flaps. Chordee must be resected in order to straighten the penis. Ventral side of neourethra is made with preputial skin or Mathieu procedure. This method has bee...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2003-03-01 00:00:00
abstract::A case of polyorchism is described and the literature reviewed, highlighting the rarity of this pathological condition. To our knowledge, only 70 cases have been reported in the world literature. Similarly, Nocks' embryological development theory is discussed herein. The present case was diagnosed intraoperatively. No...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:1991-04-01 00:00:00
abstract:OBJECTIVE:A case of epididymal leiomyoma is presented. This lesion is uncommon and sometimes misdiagnosed. The literature is briefly reviewed. METHODS/RESULTS:A 29-year-old patient presented with a tumor in the tail of the right epididymis that was initially diagnosed as scrotal hematoma or complex cyst in the tail of...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:2001-10-01 00:00:00
abstract:OBJECTIVE:This paper describes our initial experience with laparoscopic ureteroneocystostomy in two patients with distal ureter lesions following gynaecological surgery (hysterectomy). Furthermore, we review the evidence on the incidence, prevention, and management of urinary tract injuries that occur during laparoscop...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:2019-05-01 00:00:00
abstract:OBJECTIVE:Although urine cytology plays an important role in the diagnosis of lower urinary tract neoplasias, it should be complemented with other diagnostic tests for the diagnosis of upper urinary tract tumors. METHODS:We present one case of synchronic transitional cell carcinoma of the ureter and bladder papilary n...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:10.4321/s0004-06142007001000011
更新日期:2007-12-01 00:00:00
abstract:OBJECTIVE:This study presents the first Spanish case of a spontaneous knot in the catheter of a suprapubic cystostomy and review the national and international literature. METHODS:The case of an 87-year-old patient who was diagnosed with adenocarcinoma of the prostate is presented. A suprapubic vesical puncture for ur...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2013-03-01 00:00:00
abstract::The psoas bladder hitch is an invaluable surgical procedure in the treatment of lesions of the lower ureteral third and transplantation with short ureters. We briefly review this procedure and describe an illustrative case of ureteroneocystostomy of the right lumbar ureter. ...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1994-06-01 00:00:00
abstract:OBJECTIVES:To report our experience with one case of penile silicone granuloma, that has clinical interest for its unfrequent presentation. METHODS/RESULTS:We report the case of a patient with sexual dysfunction secondary to subcutaneous injection of liquid silicone in the penis resulting in a penile granuloma and mig...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:10.4321/s0004-06142005000500013
更新日期:2005-06-01 00:00:00
abstract::The authors reviewed treatments performed worldwide using extracorporeal shock wave lithotripsy since its introduction in West Germany in 1980 to determine the efficacy of this treatment modality and its potential risks. The prevention of complications related to patients or shock wave energy are discussed, as well as...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:1989-01-01 00:00:00
abstract:OBJECTIVES:To evaluate the prognostic significance of the 2002 TNM tumor classification for renal cell carcinoma, as well as other factors intervening in its survival. METHODS:Retrospective chart review of 316 renal carcinomas operated between 1970 and 2003. Twenty-five prognostic variables were analyzed. RESULTS:The...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:10.4321/s0004-06142007000200004
更新日期:2007-03-01 00:00:00
abstract:OBJECTIVES:To analyze the incidence of tumoral satellite nodules in renal carcinoma, study the main features of the primary tumor and establish an approach to determine the risk of multicentricity. METHODS:We analyzed 286 radical nephrectomies due to renal carcinoma. Twenty-nine cases (10.13%) that had intrarenal tumo...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1996-07-01 00:00:00
abstract::The present study was conducted to determine the reversibility of the seminal alterations following experimental unilateral cryptorchidism in relation to the time orchiopexy is performed. Two groups of 45 Wistar rats were subjected to mechanical unilateral cryptorchidism followed by prepubertal, early and late orchiop...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1994-04-01 00:00:00
abstract:OBJECTIVE:We report the case of a 61-year-old male with the incidental diagnosis of intrathoracic renal ectopia during the workup study for a possible lung mass. METHODS:We performed a bibliographic review on the incidence, origin, clinical presentation and diagnosis of this type of renal ectopia. RESULTS:Chest x-ray...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:10.4321/s0004-06142008000500011
更新日期:2008-06-01 00:00:00
abstract:OBJECTIVE:To report one case of metastatic prostatic carcinoma with a gaudy presentation as a lump which resulted to be a cutaneous metastasis. METHODS:We describe the debut in a patient, who thanks to the pathologic analysis of a lesion mimicking a lipoma, which was reported as adenocarcinoma, was worked up for prost...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2009-01-01 00:00:00
abstract::Introduction of retrograde flexible ureteroscopy represented a leap forward in upper urinary tract endourology. Nowadays, areas of the pyelocaliceal system accessible otherwise only by percutaneous or open surgery, can be approached in a retrograde fashion, using the anatomical pathways. The flexible ureteroscopes evo...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:2011-01-01 00:00:00
abstract::Urology is defined as the medical-surgical specialty that includes the study, diagnosis and treatment of medical conditions of the urinary system. It is well specified by the National Commission of Specialties that we must know the medical pathology that concerns us. However, on occasions, resident training focuses on...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2018-01-01 00:00:00
abstract:OBJECTIVES:To assess the usefulness of multiparametric magnetic resonance imaging (MRI) in the staging of patients with localized prostate cancer (PC) and high risk of extracapsular disease (ECD). METHODS:Retrospective study including 30 patients with localized PC and high risk of ECD. Pathologist and radiologist esta...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2013-12-01 00:00:00
abstract:OBJECTIVES:Studying the psychosocial sphere of patients who undergo any treatment allows to have more information about its repercussion and can help the choice of an appropriate and personalized treatment. Due to the absence of specific instruments at present, the objective is to design and validate a health questionn...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2019-01-01 00:00:00