Urinary Tract Infection in Children With Bronchiolitis: Is It Worth Testing Everyone?

Edun, Tasnim R; Aldibasi, Omar; Jamil, Syed Furrukh

doi:10.7759/cureus.15485

Cited by 2 publications

(3 citation statements)

References 20 publications

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“…Nonetheless, bacterial coinfections are infrequent in children with bronchiolitis, occurring in approximately 1-2% of cases, including urinary infections. The incidence increases in patients requiring mechanical ventilation [23,24], but it remained uncommon in our series and generally in bronchiolitis cases. Among our patients treated with antibiotics, only 0.1% had a positive blood culture, and 5% had a positive urinary culture.…”

Section: Discussionmentioning

confidence: 55%

Antibiotic Utilization in Hospitalized Children with Bronchiolitis: A Prospective Study Investigating Clinical and Epidemiological Characteristics at a Secondary Hospital in Madrid (2004–2022)

García-García,

Alcolea,

Alonso-López

et al. 2023

Pathogens

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Bronchiolitis is a viral respiratory infection, with respiratory syncytial virus (RSV) being the most frequent agent, requiring hospitalization in 1% of affected children. However, there continues to be a noteworthy incidence of antibiotic prescription in this setting, further exacerbating the global issue of antibiotic resistance. This study, conducted at Severo Ochoa Hospital in Madrid, Spain, focused on antibiotic usage in children under 2 years of age who were hospitalized for bronchiolitis between 2004 and 2022. In that time, 5438 children were admitted with acute respiratory infection, and 1715 infants (31.5%) with acute bronchiolitis were included. In total, 1470 (87%) had a positive viral identification (66% RSV, 32% HRV). Initially, antibiotics were prescribed to 13.4% of infants, but this percentage decreased to 7% during the COVID-19 pandemic thanks to adherence to guidelines and the implementation of rapid and precise viral diagnostic methods in the hospital. HBoV- and HAdV-infected children and those with viral coinfections were more likely to receive antibiotics in the univariate analysis. A multivariate logistic regression analysis revealed a statistically independent association between antibiotic prescription and fever > 38 °C (p < 0.001), abnormal chest-X ray (p < 0.001), ICU admission (p = 0.015), and serum CRP (p < 0.001). In conclusion, following guidelines and the availability of rapid and reliable viral diagnostic methods dramatically reduces the unnecessary use of antibiotics in infants with severe bronchiolitis.

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Section: Discussionmentioning

confidence: 55%

Antibiotic Utilization in Hospitalized Children with Bronchiolitis: A Prospective Study Investigating Clinical and Epidemiological Characteristics at a Secondary Hospital in Madrid (2004–2022)

García-García,

Alcolea,

Alonso-López

et al. 2023

Pathogens

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“…Albarrak et al 10.3389/fped.2023.1163103 female sex (P = 0.025) and age >2 months (P = 0.006) (Table 1) (14). In another study of bronchiolitis, the youngest patients (<3 months) were more likely to be tested for a UTI (P < 0.0001) (31). Following cardiac surgery, 7.0% of patients had UTIs (all catheter-associated) (17).…”

Section: Risk Factors Associated With Pediatric Utis In the Gcc Count...mentioning

confidence: 98%

“…UTI among patients with acute bronchiolitis was associated with female sex ( P = 0.025) and age >2 months ( P = 0.006) ( Table 1 ) ( 14 ). In another study of bronchiolitis, the youngest patients (<3 months) were more likely to be tested for a UTI ( P < 0.0001) ( 31 ).…”

Section: Epidemiology Of Pediatric Utis In the Gcc Countriesmentioning

confidence: 99%

Urinary tract infections in children from the Gulf Cooperation Council countries: a literature review (2011–2022)

et al. 2023

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Urinary tract infections (UTIs) are common healthcare-associated and community-acquired bacterial infections in children. Data on pediatric UTIs in the Gulf Cooperation Council (GCC) region (Bahrain, Kuwait, Oman, Qatar, Saudi Arabia, and the United Arab Emirates) have not been collated. Our aim is to review the published literature on the risk factors, etiology, antimicrobial susceptibility, and treatment of pediatric (aged <18 years) UTIs from healthcare and community settings in the GCC countries.

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Urinary Tract Infection in Children With Bronchiolitis: Is It Worth Testing Everyone?

Cited by 2 publications

References 20 publications

Antibiotic Utilization in Hospitalized Children with Bronchiolitis: A Prospective Study Investigating Clinical and Epidemiological Characteristics at a Secondary Hospital in Madrid (2004–2022)

Antibiotic Utilization in Hospitalized Children with Bronchiolitis: A Prospective Study Investigating Clinical and Epidemiological Characteristics at a Secondary Hospital in Madrid (2004–2022)

Urinary tract infections in children from the Gulf Cooperation Council countries: a literature review (2011–2022)

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