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857 results on '"Zugaib M"'

1. Urinary Bacterial Profile and Antibiotic Susceptibility in Pregnant Adolescents and Pregnant Low Obstetric Risk Adult Women

Author

Diorio de Souza H, Hase EA, Knippel Galletta MA, Rodrigues Mota Diorio G, Lippi Waissman A, Pulcineli Vieira Francisco R, and Zugaib M

Subjects
pregnant women, bacteriuria, pregnancy in adolescence, anti-bacterial agents, drug resistance, bacterial, microbial sensitivity tests, Infectious and parasitic diseases, RC109-216
Abstract

Henrique Diorio de Souza,1,2 Eliane Azeka Hase,3 Marco Aurelio Knippel Galletta,1 Giselle Rodrigues Mota Diorio,2 Adriana Lippi Waissman,3 Rossana Pulcineli Vieira Francisco,1 Marcelo Zugaib1 1Disciplina de Obstetrícia, Departamento de Obstetrícia e Ginecologia, Faculdade de Medicina FMUSP, Universidade de São Paulo, São Paulo, Brazil; 2Faculdade de Medicina, Universidade Federal de Juiz de Fora, Juiz de Fora, Minas Gerais, Brazil; 3Divisão de Clínica Obstétrica, Hospital das Clínicas HCFMUSP, Faculdade de Medicina, Universidade de São Paulo, São Paulo, BrazilCorrespondence: Marco Aurelio Knippel GallettaDepartmento de Obstetrícia e Ginecologia, Universidade de São Paulo, Avenida Doutor Enéas de Carvalho Aguiar, 155, São Paulo, 05403-000, SP Tel +55 11 2661-6445Email marco.galletta@fm.usp.brIntroduction: Significant bacteriuria is associated with clinical and obstetric complications. The existing studies on the profile of urinary pathogens in pregnant women have widely divergent results and they hardly include data on pregnant adolescents.Methods: This observational retrospective study was conducted in a tertiary hospital in the city of São Paulo with 388 pregnant adolescents and 2547 pregnant low-risk obstetric care adults who began prenatal care between January 2010 and January 2016. They were compared in terms of urine sediment, urine culture, and antibiogram results.Results: The prevalence of bacteriuria was 17.01% (66/388) among adolescents and 10.13% (258/2547) among adults. Adolescence was a risk factor for bacteriuria in pregnancy (OR=1.82, CI95%=1.35– 2.44, p=0.08). The most frequently isolated pathogen in urine culture was Escherichia coli, both in adolescents (49%) and in adults (42.18%). In positive urine cultures, urinary leukocytes were present in greater numbers in adolescents than in adults (p< 0.001). Resistance to quinolones in general was more frequent among adults (OR=5.86, CI95%=0.78– 44.20, p< 0.001), but the tendency was not statistically significant.Conclusion: Escherichia coli and the less frequent Streptococcus agalactiae were the etiologic agents most often found in the urine cultures both of adolescents and adults. Higher rates of bacteriuria and of abnormal urine sediments prevailed among adolescents.Keywords: pregnant women, bacteriuria, pregnancy in adolescence, anti-bacterial agents, drug resistance, bacterial, microbial sensitivity tests

Published
2021

47. Research Brief: Sexual Communication and Knowledge Among Mexican Parents and Their Adolescent Children

Author

Allanise Cloete, Esther C. Gallegos, Rogério Dias, Michael W. Ross, N. Henda, Zugaib M, Fernandes Ff, Melo Co, Fernando Frei, Moreira S, Roudi-Fahimi F, Bittar Re, Antonia M. Villarruel, Risser J, Bortolini Ga, Sharma, Kessie G, de Azevedo Gd, Yan Zhou, Ferguson J, Seth C. Kalichman, D.S. Dias, Richard M. Grimes, Bio E, Nintachan P, Leickness C. Simbayi, Onofre Dj, Anna Strebel, Tomaz G, Moon Mw, Sieving Re, Bearinger Lh, Marco Vinicio Gomez, Vitolo Mr, W.P. Modotte, Adu-Oppong A, and Boscaini C

Subjects
Advanced and Specialized Nursing, education.field_of_study, business.industry, media_common.quotation_subject, Population, Developing country, Social issues, medicine.disease, Denial, Acquired immunodeficiency syndrome (AIDS), Family planning, Environmental health, medicine, education, business, media_common, Reproductive health, Adolescent health
Abstract

The number of people living with HIV/AIDS in the Middle East and North Africa (MEAN) region increased from 87000 in 2003 to 152000 in 2005 according to United Nations estimates. While these numbers may look small compared to about 40 million people who are living with HIV worldwide the number of infections appears to be increasing rapidly in the region. More important the low number of HIV infections does not mean low risk. MEANs conservative culture--in which sexual relationships outside marriage are forbidden--has been partly responsible for keeping the rates of HIV infection relatively low. The same conservative norms however often contribute to a general attitude of denial combined with strong stigmatization and social ostracism of people living with HIV/AIDS. Because HIV infection is concentrated for now among people who are often perceived as socially deviant the AIDS epidemic has been shrouded in ignorance--and that ignorance does not help prevent the spread of the infection. Thepurpose of this policy brief is to raise awareness among MEANs decision-makers and opinion leaders about the urgent need for action by presenting some of the warning signs risks and vulnerabilities that face the region. The current low rates of HIV infection and concentration among specific groups in MEAN offer the opportunity to develop policies and programs to prevent an epidemic that could have far-reaching social and economic implications. (excerpt)

Published
2007

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