Distrubution of Antibiotic Resistance in Urinary Tract Infections in Children; a Five-Year Evaluation

Bozkurt, Hayrunnisa Bekis; Balkan, Çiğdem Eda

doi:10.5578/ced.202049

Cited by 2 publications

(3 citation statements)

References 13 publications

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“…Urinary tract infection (UTI) is the common, bacterial infection in childhood 13,14 , recurrent infections affect up to 30 percent of babies and children. 15 Although normal architecture is common, UTIs may have been the sentinel event indicating underlying kidney abnormalities.…”

Section: Discussionmentioning

confidence: 99%

“…The research included patients aged 3 to 14 years old, of either gender, who had a fever of more than 37.5 degrees Celsius for less than two weeks. 14,15 Exclusion Criteria Patients who were in life threatening conditions, chronically ill, received antibiotics within 48 hours or had basic abnormalities of urinary tract like posterior ureteral valves, congenital vesicoureteral reflex, pelviuretric junction obstruction, children with renal failure were excluded. 14,15 The doctor explained purpose, process, risks and benefits of the study to the parents.…”

Section: Inclusion Criteriamentioning

confidence: 99%

“…14,15 Exclusion Criteria Patients who were in life threatening conditions, chronically ill, received antibiotics within 48 hours or had basic abnormalities of urinary tract like posterior ureteral valves, congenital vesicoureteral reflex, pelviuretric junction obstruction, children with renal failure were excluded. 14,15 The doctor explained purpose, process, risks and benefits of the study to the parents. Parents were also being ensured for the confidentiality of the information obtained from them.…”

Section: Inclusion Criteriamentioning

confidence: 99%

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Frequency of culture positive urinary tract infection in febrile children.

Rani¹,

Mahar²,

Khoso³

et al. 2022

TPMJ

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Objective: To determine prevalence, causative organisms and sensitivity patterns of urinary1tract infections in febrile children. Study Design: Cross Sectional study. Setting: National Institute of Child Health, Karachi. Period: Jan 2019 to July 2019. Material & Methods: Patients from 3.0 to 14.0 years of age of either sex with complain of fever of >37.5 C for less than 2.0 weeks were included. Patients who have life threatening conditions, chronically ill, received antibiotics within 48 hours or had structural abnormalities of urinary tract like posterior ureteral valves and children with renal failure were excluded from study. Urinary sample was collected following aseptic measures of febrile children ad was sent to lab for culture and sensitivity within one hour of its collection. Sensitivity pattern was measured in lab via disc diffusion method. Data was analyzed using SPSS version 22. Results: The mean age was 8.6±3.3 years out of which 115 (65.7%) were male and 60 (34.3%) were females, mean duration of illness was 8.7±3.1 days. The frequency of culture positive UTI in febrile children was 21 (12%) cases. The common pathogen isolated from the urine culture was E. coli found in 10 cases followed by Klebsiella oxytoca. Overall 70% of E. coli are sensitive to. gentamicin and amikacin, 50% were sensitive to third generation cephalosporin, 60% of Klebsiella are sensitive to third generation cephalosporin, 60% resistant to gentamicin and amikacin and 80% were resistant to ampicillin. Conclusion: It was concluded from this study that the frequency of culture positive urinary tract infections in febrile children was 12% and common pathogen was E.coli followed by klebsilla oxytoca.

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Section: Discussionmentioning

confidence: 99%

Section: Inclusion Criteriamentioning

confidence: 99%

Section: Inclusion Criteriamentioning

confidence: 99%

See 1 more Smart Citation

Frequency of culture positive urinary tract infection in febrile children.

Rani¹,

Mahar²,

Khoso³

et al. 2022

TPMJ

View full text Add to dashboard Cite

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Evaluation of Urinary Tract Infections in Pediatric Patients Admitted to the Emergency Department

et al. 2023

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Background/Aim: Urinary tract infections (UTIs) are among the most common infections in children and one of the important reasons for presentation to the pediatric emergency department. This study aimed to determine demographic characteristics, complaints, microorganisms isolated in urine culture analysis, and antibiotic resistance rates in pediatric patients diagnosed with UTIs. Material and Method: The data of patients aged under 18 years, who presented to our hospital from January 1, 2020, through December 31, 2020 with a preliminary diagnosis of UTIs and underwent urine culture analysis, were retrospectively screened from the computer registry system. The patients’ demographic characteristics, complaints, microorganisms isolated in urine culture analysis, and antibiotic resistance were evaluated. Results: The mean age of the 286 patients included in the study was 75.5±57.65 months, and 238 (83.2%) were girls. The most common complaint at presentation was dysuria (39.9%), followed by fever (35.3%) and abdominal pain (26.9%). In urine culture analysis, the most frequently detected microorganisms were Escherichia coli (n=242, 84.6%), Proteus spp. (n=21, 7.3%), and Klebsiella spp. (n=16, 5.6%). The highest antibiotic resistance was observed in ampicillin (54.9%) and the lowest in amikacin (6.6%). Conclusion: Inappropriate treatment choices in UTIs are important in terms of complications that may occur in future. Therefore, healthcare centers should evaluate their own infectious agents and antibiotic susceptibility at certain intervals and determine appropriate empirical treatment choices. Empirically initiated treatments should be re-evaluated according to urine culture and sensitivity results.

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Distrubution of Antibiotic Resistance in Urinary Tract Infections in Children; a Five-Year Evaluation

Cited by 2 publications

References 13 publications

Frequency of culture positive urinary tract infection in febrile children.

Frequency of culture positive urinary tract infection in febrile children.

Evaluation of Urinary Tract Infections in Pediatric Patients Admitted to the Emergency Department

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