title: [Bacteriology and resistance in ambulatory urinary infections].
abstract: OBJECTIVE
  To discover the bacteriological profile of urinary tract infections (UTI) in our out-clinic environment and their resistance to the most common antibiotics.
  
  
  METHODS
  A descriptive, retrospective study.
  
  
  METHODS
  Ciudad Real Health Area (300,000 inhabitants).
  
  
  METHODS
  All the urine samples from the out-clinics referred to the microbiology lab for possible UTI in 1994 were included.
  
  
  RESULTS
  3,522 cultures were studied, of which 241 were contaminated (7%), 2,870 negative (81%) and 409 positive (12%). Breakdown of bacteria: E. coli (248; 60%), enterococci (38; 9%), P. mirabilis (25; 6%), K. pneumoniae (20; 5%), S. epidermidis (11;3%), S. saprophyticus (8; 2%) and 61 others (15%). We found high sensitivity in the Gram-negatives to cephuroxim and amoxicillin-clavulanic. We observed widespread resistance, especially by E. coli, to quinolones, pipemidic acid and nitrofurantoin.
  
  
  CONCLUSIONS
  E. coli is the micro-organism which most often causes UTI in our environment. We found enterococci were isolated more and S. saprophyticus less than in the series consulted. We found a considerable increase in resistance to some antibiotics often used in out-clinics for UTI treatment.
authors.affiliation: Unidad Docente de Medicina Familiar y Communitaria de Ciudad Real.
authors.forename: J
authors.initials: J
authors.lastname: Villar Gil
authors.forename: J E
authors.initials: JE
authors.lastname: Baeza Berruti
authors.forename: D
authors.initials: D
authors.lastname: de Diego Sierra
authors.forename: A
authors.initials: A
authors.lastname: Ruiz-Poveda García-Rojo
authors.forename: J C
authors.initials: JC
authors.lastname: González Rodríguez
authors.forename: I
authors.initials: I
authors.lastname: Barba Ferreras
mesh_terms: D017714:Community-Acquired Infections / Q000382:microbiology; D006801:Humans; D008826:Microbial Sensitivity Tests; D012189:Retrospective Studies; D013030:Spain; D014552:Urinary Tract Infections / Q000382:microbiology*