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Estudio y tratamiento de la pareja en ITU poscoital de la mujer
Study and treatment of the couple in post-coital urinary tract infection in women
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failure caused by tubular intersticial intersticial nephropathy with Fanconi syndrome after treatment with zoledronic acid" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1506 "Ancho" => 1658 "Tamanyo" => 174015 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Evolución analítica.</p> <p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">FE AU: fracción de excreción de ácido úrico (en %).</p> <p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Creatinina, ácido úrico, fosforemia y proteinuria en mg/dl.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "M. 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"apellidos" => "Martín Navarro" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2013251417301803" "doi" => "10.1016/j.nefroe.2017.10.011" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2013251417301803?idApp=UINPBA000064" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0211699517300644?idApp=UINPBA000064" "url" => "/02116995/0000003700000006/v2_201712010640/S0211699517300644/v2_201712010640/es/main.assets" ] "es" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Carta al Director</span>" "titulo" => "Estudio y tratamiento de la pareja en ITU poscoital de la mujer" "tieneTextoCompleto" => true "saludo" => "<span class="elsevierStyleItalic">Sr. Director:</span>" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "662" "paginaFinal" => "663" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Mario A. Pavone, Abelardo Aguilera Peralta" "autores" => array:2 [ 0 => array:4 [ "nombre" => "Mario A." "apellidos" => "Pavone" "email" => array:2 [ 0 => "mpavone@asef.es" 1 => "mpavone68@gmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Abelardo" "apellidos" => "Aguilera Peralta" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Nefrología, Hospital Can Misses, Ibiza, España" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Nefrología, Hospital Universitario La Princesa, Madrid, España" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Autor para correspondencia." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Study and treatment of the couple in post-coital urinary tract infection in women" ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Las Las infecciones del tracto urinario (ITU) recurrentes no complicadas son comunes entre las mujeres jóvenes y sanas<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">1</span></a>. En algunas existe una clara relación con las relaciones sexuales, tan es así, que la frecuencia de las relaciones sexuales está descrita como un importante factor favorecedor e, incluso, las mujeres con relaciones sexuales diarias tienen un riesgo 9 veces superior<a class="elsevierStyleCrossRefs" href="#bib0030"><span class="elsevierStyleSup">2–4</span></a>. Aunque el cambio de pareja sexual en el último año es un factor de riesgo conocido, es raro que se estudie a la pareja.</p><p id="par0010" class="elsevierStylePara elsevierViewall">Presentamos el caso de una mujer de 39 años con pareja estable, sin antecedentes patológicos de interés ni ITU de repetición, sin toma de anticonceptivos orales ni uso de espermicidas que presentó síndrome miccional poscoital. Se recobró en cultivo <span class="elsevierStyleItalic">Escherichia coli</span>, por lo que recibió tratamiento con ciprofloxacino y quedó asintomática. Dos meses más tarde presentó nuevamente síndrome miccional poscoital; se recobró en ese momento <span class="elsevierStyleItalic">Citrobacter koseri</span>. Recibió tratamiento con fosfomicina y medidas higienicodietéticas que incluían la micción poscoital. Tras 10 meses asintomática presentó nuevamente síndrome miccional poscoital, de nuevo con cultivo de <span class="elsevierStyleItalic">Citrobacter koseri</span>, por lo que inició nuevo curso de antibiótico con fosfomicina y se recalcó el cumplimento de las medidas higiénicas.</p><p id="par0015" class="elsevierStylePara elsevierViewall">Tres meses más tarde, al repetirse un nuevo síndrome miccional, se pidió nuevo cultivo y se estudió a la pareja, que estaba asintomática, con un hisopado de glande. El cultivo del varón mostró 2<span class="elsevierStyleHsp" style=""></span>gérmenes, <span class="elsevierStyleItalic">Escherichia coli</span> y <span class="elsevierStyleItalic">Citrobacter</span>, con idéntica sensibilidad que los de la paciente (<a class="elsevierStyleCrossRefs" href="#tbl0005">tablas 1 y 2</a>). Se inició tratamiento en ambos con fosfomicina monodosis, sin repetición de nuevas infecciones.</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><p id="par0020" class="elsevierStylePara elsevierViewall">El estudio y tratamiento de la pareja de mujeres con ITU poscoital puede ser de utilidad en el manejo de la ITU recurrente.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:2 [ 0 => array:8 [ "identificador" => "tbl0005" "etiqueta" => "Tabla 1" "tipo" => "MULTIMEDIATABLA" "mostrarFloat" => true "mostrarDisplay" => false "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at1" "detalle" => "Tabla " "rol" => "short" ] ] "tabla" => array:1 [ "tablatextoimagen" => array:1 [ 0 => array:2 [ "tabla" => array:1 [ 0 => """ <table border="0" frame="\n \t\t\t\t\tvoid\n \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Fecha \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">18/11/2013 \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">27/01/2014 \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">13/11/2014 \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">22/02/2015 \t\t\t\t\t\t\n \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Microorganismo</span> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top"><span class="elsevierStyleItalic">Escherichia coli</span> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top"><span class="elsevierStyleItalic">Citrobacter koseri</span> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top"><span class="elsevierStyleItalic">Citrobacter koseri</span> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top"><span class="elsevierStyleItalic">Citrobacter koseri</span> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " colspan="5" align="left" valign="top"><span class="elsevierStyleItalic">Marcador de resistencia</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Gentamicina \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Sensible<span class="elsevierStyleHsp" style=""></span>≤<span class="elsevierStyleHsp" style=""></span>1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Sensible<span class="elsevierStyleHsp" style=""></span>≤<span class="elsevierStyleHsp" style=""></span>1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Sensible<span class="elsevierStyleHsp" style=""></span>≤<span class="elsevierStyleHsp" style=""></span>1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Sensible<span class="elsevierStyleHsp" style=""></span>≤3<span class="elsevierStyleHsp" style=""></span>1 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Cefalotina \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Sensible 16 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Sensible 4 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Sensible 8 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Sensible 4 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Cefuroxima \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Sensible 4 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Sensible 4 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Sensible 4 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Sensible 4 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Nitrofurantoina \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Sensible<span class="elsevierStyleHsp" style=""></span>≤<span class="elsevierStyleHsp" style=""></span>16 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Sensible<span class="elsevierStyleHsp" style=""></span>≤16 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Sensible 32 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Sensible 32 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Amoxicilin/clav \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Sensible 8 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Sensible<span class="elsevierStyleHsp" style=""></span>≤<span class="elsevierStyleHsp" style=""></span>2 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Sensible 4 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Sensible 4 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Ampicilina \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Resistente<span class="elsevierStyleHsp" style=""></span>≥<span class="elsevierStyleHsp" style=""></span>32 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Resistente<span class="elsevierStyleHsp" style=""></span>≥<span class="elsevierStyleHsp" style=""></span>32 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Resistente<span class="elsevierStyleHsp" style=""></span>≥<span class="elsevierStyleHsp" style=""></span>32 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Resistente<span class="elsevierStyleHsp" style=""></span>≥<span class="elsevierStyleHsp" style=""></span>32 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Ác. nalidíxico \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Sensible<span class="elsevierStyleHsp" style=""></span>≤<span class="elsevierStyleHsp" style=""></span>2 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Sensible<span class="elsevierStyleHsp" style=""></span>≤<span class="elsevierStyleHsp" style=""></span>2 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Sensible<span class="elsevierStyleHsp" style=""></span>≤<span class="elsevierStyleHsp" style=""></span>2 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Sensible<span class="elsevierStyleHsp" style=""></span>≤<span class="elsevierStyleHsp" style=""></span>2 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Ciprofloxacino \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Sensible<span class="elsevierStyleHsp" style=""></span>≤<span class="elsevierStyleHsp" style=""></span>0,25 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Sensible<span class="elsevierStyleHsp" style=""></span>≤<span class="elsevierStyleHsp" style=""></span>0,25 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Sensible<span class="elsevierStyleHsp" style=""></span>≤<span class="elsevierStyleHsp" style=""></span>0,25 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Sensible<span class="elsevierStyleHsp" style=""></span>≤<span class="elsevierStyleHsp" style=""></span>0,25 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Trime/sulfam \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Sensible<span class="elsevierStyleHsp" style=""></span>≤<span class="elsevierStyleHsp" style=""></span>20 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Sensible<span class="elsevierStyleHsp" style=""></span>≤<span class="elsevierStyleHsp" style=""></span>20 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Sensible<span class="elsevierStyleHsp" style=""></span>≤<span class="elsevierStyleHsp" style=""></span>20 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Sensible<span class="elsevierStyleHsp" style=""></span>≤<span class="elsevierStyleHsp" style=""></span>20 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Fosfomicina \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Sensible<span class="elsevierStyleHsp" style=""></span>≤<span class="elsevierStyleHsp" style=""></span>16 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Sensible<span class="elsevierStyleHsp" style=""></span>≤<span class="elsevierStyleHsp" style=""></span>16 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Sensible<span class="elsevierStyleHsp" style=""></span>≤<span class="elsevierStyleHsp" style=""></span>16 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Sensible<span class="elsevierStyleHsp" style=""></span>≤<span class="elsevierStyleHsp" style=""></span>16 \t\t\t\t\t\t\n \t\t\t\t</td></tr></tbody></table> """ ] "imagenFichero" => array:1 [ 0 => "xTab1607977.png" ] ] ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Bacterias en urocultivos de la mujer</p>" ] ] 1 => array:8 [ "identificador" => "tbl0010" "etiqueta" => "Tabla 2" "tipo" => "MULTIMEDIATABLA" "mostrarFloat" => true "mostrarDisplay" => false "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at2" "detalle" => "Tabla " "rol" => "short" ] ] "tabla" => array:1 [ "tablatextoimagen" => array:1 [ 0 => array:2 [ "tabla" => array:1 [ 0 => """ <table border="0" frame="\n \t\t\t\t\tvoid\n \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Fecha \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">02/03/2015 \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">02/03/2015 \t\t\t\t\t\t\n \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleItalic">Microorganismo</span> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top"><span class="elsevierStyleItalic">Escherichia coli</span> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top"><span class="elsevierStyleItalic">Citrobacter koseri</span> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " colspan="3" align="left" valign="top"><span class="elsevierStyleItalic">Marcador de resistencia</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Gentamicina \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Sensible<span class="elsevierStyleHsp" style=""></span>≤<span class="elsevierStyleHsp" style=""></span>1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Sensible<span class="elsevierStyleHsp" style=""></span>≤<span class="elsevierStyleHsp" style=""></span>1 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Cefalotina \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Sensible 16 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Sensible 4 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Cefuroxima \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Sensible 4 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Sensible 4 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Nitrofurantoina \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Sensible<span class="elsevierStyleHsp" style=""></span>≤<span class="elsevierStyleHsp" style=""></span>16 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Sensible<span class="elsevierStyleHsp" style=""></span>≤<span class="elsevierStyleHsp" style=""></span>16 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Amoxicilin/clav \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Sensible 8 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Sensible<span class="elsevierStyleHsp" style=""></span>≤<span class="elsevierStyleHsp" style=""></span>2 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Ampicilina \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Resistente<span class="elsevierStyleHsp" style=""></span>≥<span class="elsevierStyleHsp" style=""></span>32 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Resistente<span class="elsevierStyleHsp" style=""></span>≥<span class="elsevierStyleHsp" style=""></span>32 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Ác. nalidíxico \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Sensible<span class="elsevierStyleHsp" style=""></span>≤<span class="elsevierStyleHsp" style=""></span>2 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Sensible<span class="elsevierStyleHsp" style=""></span>≤<span class="elsevierStyleHsp" style=""></span>2 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Ciprofloxacino \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Sensible<span class="elsevierStyleHsp" style=""></span>≤<span class="elsevierStyleHsp" style=""></span>0,25 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Sensible<span class="elsevierStyleHsp" style=""></span>≤<span class="elsevierStyleHsp" style=""></span>0,25 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Trime/sulfam \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Sensible<span class="elsevierStyleHsp" style=""></span>≤<span class="elsevierStyleHsp" style=""></span>20 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Sensible<span class="elsevierStyleHsp" style=""></span>≤<span class="elsevierStyleHsp" style=""></span>20 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Fosfomicina \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Sensible<span class="elsevierStyleHsp" style=""></span>≤<span class="elsevierStyleHsp" style=""></span>16 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="left" valign="top">Sensible<span class="elsevierStyleHsp" style=""></span>≤<span class="elsevierStyleHsp" style=""></span>16 \t\t\t\t\t\t\n \t\t\t\t</td></tr></tbody></table> """ ] "imagenFichero" => array:1 [ 0 => "xTab1607978.png" ] ] ] ] "descripcion" => array:1 [ "es" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Cultivo de hisopado de glande del varón</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:4 [ 0 => array:3 [ "identificador" => "bib0025" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:3 [ "comentario" => "doi:10.1136/bmj.c199" "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Effectiveness of five different approaches in management ofurinary tract infection: Randomised controlled trial" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "P. Little" 1 => "M.V. Moore" 2 => "S. Turner" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "BMJ" "fecha" => "2010" "volumen" => "340" "paginaInicial" => "c19" "itemHostRev" => array:3 [ "pii" => "S1569199315000582" "estado" => "S300" "issn" => "15691993" ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0030" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Tratamiento y prevención de las infecciones urinarias de repetición" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "C. Llor" 1 => "A. Moragas" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "FMC." "fecha" => "2011" "volumen" => "18" "paginaInicial" => "146" "paginaFinal" => "155" ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0035" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "A prospective study of risk factors for symptomatic urinary tract infection in young women" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "T.M. Hooton" 1 => "D. Scholes" 2 => "J.P. Hughes" 3 => "C. Winter" 4 => "P.L. Roberts" 5 => "A.E. Stapleton" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1056/NEJM199608153350703" "Revista" => array:6 [ "tituloSerie" => "N Engl J Med." "fecha" => "1996" "volumen" => "335" "paginaInicial" => "468" "paginaFinal" => "474" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8672152" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0040" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Risk factors for recurrent urinary tract infection in young women" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "D. Scholes" 1 => "T.M. Hooton" 2 => "P.L. Roberts" 3 => "A.E. Stapleton" 4 => "K. Gupta" 5 => "W.E. Stamm" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1086/315827" "Revista" => array:6 [ "tituloSerie" => "J Infect Dis." "fecha" => "2000" "volumen" => "182" "paginaInicial" => "1177" "paginaFinal" => "1182" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10979915" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/02116995/0000003700000006/v2_201712010640/S0211699517300632/v2_201712010640/es/main.assets" "Apartado" => array:4 [ "identificador" => "48186" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Cartas al Director" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/02116995/0000003700000006/v2_201712010640/S0211699517300632/v2_201712010640/es/main.pdf?idApp=UINPBA000064&text.app=https://revistanefrologia.com/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0211699517300632?idApp=UINPBA000064" ]
| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Noviembre | 182 | 13 | 195 |
| 2024 Octubre | 1799 | 96 | 1895 |
| 2024 Septiembre | 1536 | 58 | 1594 |
| 2024 Agosto | 1757 | 96 | 1853 |
| 2024 Julio | 1833 | 92 | 1925 |
| 2024 Junio | 1542 | 101 | 1643 |
| 2024 Mayo | 1549 | 74 | 1623 |
| 2024 Abril | 1560 | 101 | 1661 |
| 2024 Marzo | 1469 | 49 | 1518 |
| 2024 Febrero | 1436 | 73 | 1509 |
| 2024 Enero | 1348 | 52 | 1400 |
| 2023 Diciembre | 1281 | 64 | 1345 |
| 2023 Noviembre | 1539 | 103 | 1642 |
| 2023 Octubre | 1854 | 100 | 1954 |
| 2023 Septiembre | 1600 | 74 | 1674 |
| 2023 Agosto | 1674 | 69 | 1743 |
| 2023 Julio | 1799 | 73 | 1872 |
| 2023 Junio | 1956 | 46 | 2002 |
| 2023 Mayo | 2003 | 85 | 2088 |
| 2023 Abril | 1665 | 47 | 1712 |
| 2023 Marzo | 1505 | 54 | 1559 |
| 2023 Febrero | 1430 | 44 | 1474 |
| 2023 Enero | 1165 | 55 | 1220 |
| 2022 Diciembre | 940 | 64 | 1004 |
| 2022 Noviembre | 1834 | 73 | 1907 |
| 2022 Octubre | 1796 | 84 | 1880 |
| 2022 Septiembre | 2071 | 87 | 2158 |
| 2022 Agosto | 2029 | 98 | 2127 |
| 2022 Julio | 1710 | 74 | 1784 |
| 2022 Junio | 1406 | 96 | 1502 |
| 2022 Mayo | 1511 | 85 | 1596 |
| 2022 Abril | 1353 | 95 | 1448 |
| 2022 Marzo | 1593 | 81 | 1674 |
| 2022 Febrero | 1480 | 84 | 1564 |
| 2022 Enero | 1506 | 65 | 1571 |
| 2021 Diciembre | 1603 | 95 | 1698 |
| 2021 Noviembre | 1678 | 90 | 1768 |
| 2021 Octubre | 1877 | 103 | 1980 |
| 2021 Septiembre | 1682 | 61 | 1743 |
| 2021 Agosto | 1786 | 80 | 1866 |
| 2021 Julio | 1902 | 75 | 1977 |
| 2021 Junio | 1791 | 84 | 1875 |
| 2021 Mayo | 1813 | 107 | 1920 |
| 2021 Abril | 3538 | 154 | 3692 |
| 2021 Marzo | 1976 | 101 | 2077 |
| 2021 Febrero | 1426 | 71 | 1497 |
| 2021 Enero | 1396 | 70 | 1466 |
| 2020 Diciembre | 1324 | 52 | 1376 |
| 2020 Noviembre | 1378 | 43 | 1421 |
| 2020 Octubre | 1327 | 70 | 1397 |
| 2020 Septiembre | 1643 | 76 | 1719 |
| 2020 Agosto | 1600 | 62 | 1662 |
| 2020 Julio | 1746 | 50 | 1796 |
| 2020 Junio | 1841 | 56 | 1897 |
| 2020 Mayo | 1731 | 71 | 1802 |
| 2020 Abril | 1762 | 47 | 1809 |
| 2020 Marzo | 1910 | 58 | 1968 |
| 2020 Febrero | 2080 | 80 | 2160 |
| 2020 Enero | 2145 | 91 | 2236 |
| 2019 Diciembre | 1893 | 65 | 1958 |
| 2019 Noviembre | 2226 | 76 | 2302 |
| 2019 Octubre | 2519 | 72 | 2591 |
| 2019 Septiembre | 2406 | 73 | 2479 |
| 2019 Agosto | 2035 | 93 | 2128 |
| 2019 Julio | 2095 | 82 | 2177 |
| 2019 Junio | 1785 | 68 | 1853 |
| 2019 Mayo | 1647 | 94 | 1741 |
| 2019 Abril | 1109 | 73 | 1182 |
| 2019 Marzo | 769 | 63 | 832 |
| 2019 Febrero | 515 | 45 | 560 |
| 2019 Enero | 513 | 34 | 547 |
| 2018 Diciembre | 426 | 53 | 479 |
| 2018 Noviembre | 651 | 23 | 674 |
| 2018 Octubre | 383 | 17 | 400 |
| 2018 Septiembre | 229 | 19 | 248 |
| 2018 Agosto | 192 | 7 | 199 |
| 2018 Julio | 136 | 18 | 154 |
| 2018 Junio | 123 | 14 | 137 |
| 2018 Mayo | 120 | 16 | 136 |
| 2018 Abril | 96 | 15 | 111 |
| 2018 Marzo | 92 | 16 | 108 |
| 2018 Febrero | 69 | 6 | 75 |
| 2018 Enero | 136 | 18 | 154 |
| 2017 Diciembre | 122 | 5 | 127 |
| 2017 Noviembre | 185 | 16 | 201 |
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