Les infections urinaires infantiles au centre hospitalier universitaire Mohammed VI d’Oujda (Maroc)

Maleb, Adil; Lahrache, K.; Lamrabat, S.; Rifai, S El; Rahmani, Nadiah; Bensalah, M.; Oulali, Noureddine; Belahcen, Mohamed; Amrani, R.; Messaoudi, Sofiane; Benajiba, Noufissa; Rkain, Maria; Babakhouya, Abdelmajid; Benaissa, Elmostafa; Lahlou, Yassine Ben; Frikh, Mohammed; Elouennass, Mostafa

doi:10.1016/j.jpp.2019.07.001

Cited by 3 publications

(5 citation statements)

References 21 publications

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“…With an incidence of 75% in the female sex. This is in line with observations in the literature [1,[9][10][11][12]. The proximity of the terminal digestive tract to the urogenital tract and the short urethra explain the predominance of UTI in the female sex.…”

Section: Discussionsupporting

confidence: 92%

“…These results show the important role of these 3 generations of enterobacteria in the etiology of UTI. This is also reported by several national [1,12,14] and international [2,[15][16][17][18][19] studies. In France Moulin & al [20] isolated 59% Escherichia coli, 8% Proteus mirabilis and 5.3% Klebsiella.…”

Section: Discussionsupporting

confidence: 82%

“…It is one of the main reasons for consultation [7]. The frequency of UTIs varies according to the age and sex of the child [1,8]. At pre-school age, girls are more often infected than boys, and by the age of six, 7% of girls and 2% of boys have suffered at least one episode of UTI [3,10].…”

Section: Discussionmentioning

confidence: 99%

“…Urinary tract infection remains a public health problem and is one of the most frequent bacterial infections in paediatrics [1,2]. It is characterised by the multiplication of micro-organisms within the urinary tract, which is responsible for bacteriuria, accompanied by an inflammatory reaction with an influx of leukocytes in the urine: leukocyturia.…”

Section: Introductionmentioning

confidence: 99%

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Ambulatory Management of Urinary Tract Infections in Children: Experience of the Pediatric Medical Emergency Department in Rabat

Ahmed¹,

Mekaoui²,

Dakhama³

et al. 2023

AJPR

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The aim of the study is to describe the clinical epidemiological characteristics and bacteriological profile of UTIs in infants and children, to determine the main risk factors for the occurrence of UTIs, and to identify the causes of UTIs urinary tract infections, to compare the interest of CRP and let procalcitonin assays for the diagnosis of febrile urinary tract infections as well as the interest of imaging (renal scintigraphy and ultrasound of the urinary tree) in the diagnosis of febrile urinary tract infections. This observational study of a cohort of 169 patients (children aged more than 28 days, 119 girls and 40 boys) conducted in the pediatric emergency department of the children's hospital of the university hospital of Rabat over a period of 6 months. The diagnosis of UTIs is based on the detection of germs in the urine, either indirectly by urine dipstick or by urine culture. However, the interpretation of microbiological results can be tricky: an inappropriate urine collection technique, particularly in neonates and young children, is a pitfall that the clinician must take into account to avoid misdiagnosing UTI, usually by over-diagnosis. The location of high UTI involving the renal parenchyma or low UTI limited to the bladder, which determines the morbidity of the infection, the therapeutic management and the imaging work-up, remains a matter of debate. DMSA renal scintigraphy, the reference examination in the case of high UTI, cannot be recommended as a first-line examination because of its cost and the practical difficulties of performing it. Biological markers of inflammation (leucocytosis, CRP, procalcitonin) do not always allow the diagnosis of ANP to be made with certainty.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 82%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Ambulatory Management of Urinary Tract Infections in Children: Experience of the Pediatric Medical Emergency Department in Rabat

Ahmed¹,

Mekaoui²,

Dakhama³

et al. 2023

AJPR

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“…Many authors have noted an increase in the predominance of Escherichia coli, followed by Klebsiella. This is the case for Mokni et al, in Tunisia, Duong et al, in Belgium, and Maleb in Oujda [3,6,7].…”

Section: Discussionmentioning

confidence: 76%

Bacteriological Profile of Paediatric Urinary Tract Infections

Ganhoutode,

Imane,

Zouhdi

et al. 2023

Cross Current Int J Med Biosci

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The aim of this study was to establish the bacteriological profile of UTIs in children. Method: A retrospective cross-sectional study conducted over one year. Urine samples were taken after local disinfection of the urinary meatus. Children who did not meet the criteria for UTI, i.e., leukocyturia greater than or equal to 104 leukocytes/mL, were excluded from our sample. Susceptibility to antibiotics was studied by agar diffusion. Results: Enterobacteriaceae were the most frequently isolated bacterial family in our series (65.65%). Escherichia coli was the most represented bacterial species (49.07%), followed by Klebsiella sp. (14.11%). Gram-positive cocci accounted for 26.38% of germs, including 18.71% Enterococcus sp. and 7.05% coagulase-negative staphylococci. ESBL was observed in 16.74% of enterobacteria. Carbapenem resistance was observed in 6.52% (3/46). Conclusion: E. coli was the germ most frequently isolated in urinary tract infections, with an average rate of resistance to the combination of amoxicillin and clavulanic acid and 3rd generation cephalosporins, but low for ciprofloxacin and cotrimoxazole. ESBL-producing strains.

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Urinary Tract Infection in Pediatric Emergency Department of Mohamed VI Hospital in Marrakech: Epidemiological Profile and Antibiotic Resistance

Laanait,

Elmoussaoui,

Lahmini

et al. 2024

JBM

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Les infections urinaires infantiles au centre hospitalier universitaire Mohammed VI d’Oujda (Maroc)

Cited by 3 publications

References 21 publications

Ambulatory Management of Urinary Tract Infections in Children: Experience of the Pediatric Medical Emergency Department in Rabat

Ambulatory Management of Urinary Tract Infections in Children: Experience of the Pediatric Medical Emergency Department in Rabat

Bacteriological Profile of Paediatric Urinary Tract Infections

Urinary Tract Infection in Pediatric Emergency Department of Mohamed VI Hospital in Marrakech: Epidemiological Profile and Antibiotic Resistance

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