Aspect clinique et profil microbiologique des infections urinaires de l'enfant en pediatrie au chu de yopougon-abidjan

Adonis-Koffy, L.; Timite-Konan, A. M.; Faye-Kété∘, H.; Nigué, L.; Ehua-Amangoua, E.; Kouadio, V. Assé; Kouakoussui, Kouakou Alain

doi:10.1016/s0929-693x(99)81776-x

Cited by 2 publications

(10 citation statements)

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“…The low prevalence of the 2 African studies has been explained by faulty diagnosis, and is therefore probably underestimated. 3,4 In contrast, the high prevalence of UTIs in our study can be attributed to easily accessible diagnostics and free care for children under 5.…”

Section: Discussioncontrasting

confidence: 65%

“…For aminopenicillins (Augmentin, ampicillin, and amoxicillin), resistance varied from 70.5 to 100% for E coli and 80 to 100% for K pneumoniae. High resistance was also found by other authors: Adonis-Koffy et al showed the E coli resistance ranged from 68% to 100%, 3 Bourskroui et al demonstrated a range of 58 to 68%, 4 and Ferjani et al discovered a range of 65 to 78%. 14 In 2002, researchers at Kamenge University Hospital found the antibiotic resistance of E coli was 50% for ampicillin and 47% for Augmentin.…”

Section: Discussionsupporting

confidence: 54%

“…In France, Taques et al 5 also found a high prevalence, between 5 to 10%, among the children in their study. Interestingly, Adonis-Koffy et al 3 reported the frequency of 0.8% in children care for in the paediatric service of the Centre Hospitalier et Universitaire de Yopougon in Abidjan, Côte d'Ivoire, and Bourskraoui et al 4 noted the frequency of 1.3% in children cared for in the paediatric services of the Teaching Hospital Mohammed VI in Marrakech, Morocco. The low prevalence of the 2 African studies has been explained by faulty diagnosis, and is therefore probably underestimated.…”

Section: Discussionmentioning

confidence: 99%

“…E coli was the most frequent bacteria isolated, as found in other studies. 3,4,14,15,[18][19][20][21] The predominance of E coli can be attributed to its ability to attach to the urinary tract endothelium. Depending on the sensitivity of the tests, the 2 primary isolated bacteria-E coli and K pneumoniae-had variable rates of resistance to all tested antibiotics.…”

Section: Discussionmentioning

confidence: 99%

“…UTI is one of the most common infection in children, and as many as 2% of children are diagnosed with at least 1 episode by the age of 10 years. 2 Current research shows a range of frequencies of UTI infection in children: Adonis-Koffy et al 3 reported the frequency of 0.77% in Abidjan, Côte d'Ivoire; Bourskraoui et al 4 noted the frequency of 1.33% in Marrakech, Morocco; and Taques et al 5 found a high prevalence between 5 and 10% in France. The prevalence of UTI in children is variable, based largely on sex and age.…”

Section: Introductionmentioning

confidence: 99%

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Frequency of Uropathogens and Antimicrobial Susceptibility in Childhood Urinary Tract Infection at Kamenge University Hospital, Bujumbura, Burundi

Nyandwi

Manirakiza²,

Ndirahisha³

et al. 2017

EAHRJ

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Background: Increasing resistance to antimicrobials is a worldwide problem. The aim of our study was to determine the pathogens and antimicrobial susceptibility of bacteria causing urinary tract infection (UTI) in children. Methods: This is a prospective cohort study conducted over a 10-month period with 101 children hospitalised at Kamenge University Hospital for acute UTI. The infections were confirmed by Kass urinalysis criteria, and culture and susceptibility antibiotic tests were performed for isolated microbial agents. Results: Frequency of UTI in the overall population of children hospitalised at Kamange University Hospital was 8.4%. Of the 101 children with UTIs, 87 (86.1%) were under the age of 24 months. Diagnosis of pyelonephritis (82%) was the most common, followed by cystitis (18%). Escherichia coli (82%) was the most frequent pathogen causing UTI. We found E coli and Klebsiella pneumonia to be resistant to aminopenicillins (100%), cotrimoxazole (98.2%, 100%), Augmentin (amoxicillin/ clavulanic acid) (70.5%, 80%), cefotaxime (45.8%, 28.6%), cefuroxime (36.8 to 45.5%, 50%), fluoroquinolones (33.3 to 53.6%, 28.6 to 50%), gentamicin (27.5%, 20%), and nitrofurantoin (9.3%, 50%). Conclusion: E coli is the main causal agent of UTI in childhood with a high resistance to antibiotics. Appropriate antibiotics for empiric therapy should be based on local circulating bacterial strains and resistance profiles.

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Section: Discussioncontrasting

confidence: 65%