<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0120-0011</journal-id>
<journal-title><![CDATA[Revista de la Facultad de Medicina]]></journal-title>
<abbrev-journal-title><![CDATA[rev.fac.med.]]></abbrev-journal-title>
<issn>0120-0011</issn>
<publisher>
<publisher-name><![CDATA[Universidad Nacional de Colombia]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0120-00112021000200201</article-id>
<article-id pub-id-type="doi">10.15446/revfacmed.v69n2.77949</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Prevalence and characterization of urinary tract infection in socially vulnerable pregnant women in Bucaramanga, Colombia]]></article-title>
<article-title xml:lang="es"><![CDATA[Prevalencia y caracterización de la infección del tracto urinario en mujeres gestantes en condiciones de vulnerabilidad social de Bucaramanga, Colombia]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ruiz-Rodríguez]]></surname>
<given-names><![CDATA[Myriam]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sánchez-Martínez]]></surname>
<given-names><![CDATA[Yuri]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Suárez-Cadena]]></surname>
<given-names><![CDATA[Fabio Camilo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García-Ramírez]]></surname>
<given-names><![CDATA[Jenny Carolina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Industrial de Santander Department of Public Health Faculty of Health - School of Medicine]]></institution>
<addr-line><![CDATA[Bucaramanga ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2021</year>
</pub-date>
<volume>69</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0120-00112021000200201&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0120-00112021000200201&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0120-00112021000200201&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: Urinary tract infection (UTI) is the most common medical complication during pregnancy and is associated with adverse maternal and perinatal outcomes.  Objectives: To determine the prevalence of UTI in socially vulnerable pregnant women in Bucaramanga, Colombia, and to characterize these cases. Also, to identify the factors associated with the development of this complication and the antibiotic resistance profile of the microorganisms causing the infection.  Materials and methods: Secondary analysis of the data obtained in a main study conducted on 838 pregnant women treated by the public healthcare network of Bucaramanga. The prevalence of UTI was estimated considering the number of pregnant women with a urine culture report (n=648). A descriptive analysis of the sample characteristics and a bivariate analysis were performed to evaluate the differences in the diagnosis of UTI. Finally, factors associated with UTI were estimated using a binomial logistic regression model.  Results: The prevalence of UTI during pregnancy was 14.51% (n=94). For each year that maternal age increased, a 6% reduction in the prevalence of UTI (PR: 0.94 95% CI: 0.90-0.98, p&lt;0.001) was observed. Moreover, an association was found between having a history of UTI and developing this complication during pregnancy (PR: 3.6 95% CI: 1.81-7.08, p= 0.005). The most common pathogens isolated were E. Coli (75.53%) and Klebsiella spp (17.02%).  Conclusion: About 15% of the participants had UTI, so it is necessary to implement health education strategies aimed at socially vulnerable pregnant women, mainly the youngest and those with a history of UTI, to reduce its occurrence and possible consequences for maternal-fetal health. Furthermore, the data reported herein may help develop public policies to improve prevention and care of UTI in this population.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción. La infección del tracto urinario (ITU) es la complicación médica más frecuente durante el embarazo y se asocia con desenlaces materno-perinatales negativos.  Objetivos. Determinar la prevalencia de ITU en gestantes en condiciones de vulnerabilidad social de Bucaramanga, Colombia, y realizar una caracterización de los casos de ITU. Además, identificar los factores asociados al desarrollo de esta complicación y el perfil de resistencia antibiótica de los microorganismos causantes de la infección.  Materiales y métodos. Se llevó a cabo un análisis secundario de los datos obtenidos en un estudio principal que incluyó 838 gestantes atendidas en la red pública de atención de Bucaramanga. La prevalencia de ITU se estimó considerando el número de gestantes con reporte de urocultivo (n=648). Se realizó un análisis descriptivo de las características de la muestra y un análisis bivariado para evaluar las diferencias en el diagnóstico de ITU. Finalmente, se estimaron los factores asociados a ITU mediante un modelo de regresión log binomial.  Resultados. La prevalencia de ITU durante el embarazo fue del 14.51% (n = 94). Se observó que por cada año de aumento en la edad materna hubo una reducción del 6% en la prevalencia de ITU (RP: 0.94, IC95%: 0.90-0.98, p=0.005); además, se encontró una asociación entre tener antecedentes de ITU y desarrollar esta complicación durante la gestación (RP: 3.6, IC95%: 1.81-7.08, p&lt;0.001). Los patógenos aislados más frecuentes fueron Escherichia Coli (75.53%) y Klebsiella spp (17.02%).  Conclusión. Cerca del 15% de las participantes tuvieron ITU, por lo que se requiere implementar estrategias de educación en salud dirigidas a las gestantes socialmente vulnerables, principalmente a las más jóvenes y aquellas con antecedentes de ITU, con el fin de reducir su ocurrencia y sus posibles consecuencias para la salud materno-fetal. Igualmente, los datos reportados aquí pueden ayudar al desarrollo de políticas públicas que busquen mejorar la prevención y atención de dicha complicación en esta población.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Urinary Tract Infections]]></kwd>
<kwd lng="en"><![CDATA[Pregnancy]]></kwd>
<kwd lng="en"><![CDATA[Vulnerable Populations]]></kwd>
<kwd lng="en"><![CDATA[Primary Health Care (MeSH)]]></kwd>
<kwd lng="es"><![CDATA[Infecciones urinarias]]></kwd>
<kwd lng="es"><![CDATA[Embarazo]]></kwd>
<kwd lng="es"><![CDATA[Poblaciones vulnerables]]></kwd>
<kwd lng="es"><![CDATA[Atención primaria de salud (DeCS)]]></kwd>
</kwd-group>
</article-meta>
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