Prevalence of bacterial agents causing urinary tract infections in children below 5 years of age and their antibiotic sensitivity

Authors

  • Jasim Mohammed Hashim Pediatrics Department, College of Medicine, Kufa University
  • Talib Abduljalil Al-Madani Pediatrics Department, College of Medicine, Kufa University
  • Dhafer Shams-Al-Deen Pediatrics Department Al-Zahraa Hospitals

Keywords:

urinary tract, antibiotics

Abstract

Urinary tract infection (UTI) is a common childhood problem, if not diagnosed and treated promptly may lead to serious problems like renal scarring and renal failure. This study was conducted to assess the most common bacterial agents responsible for UTI and the most effective antibiotics. Four hundred eighty five (485) cases included in this study selected according to certain criteria. One hundred thirty patients (26.8%) had positive cultures for UTI. Most common bacterial agent was E. coli responsible for (30.7%) of cases. Amikacin and Gentamycin were found to be the most commonly effective antimicrobial agents against these bacteria. The study showed a significant sex preponderance in infantile age group (male: female 1.8:1) while UTI predominated in females beyond infancy (3.2-3.5:1). The study showed clearly the importance of testing antibiotics sensitivity of these bacteria for successful management of UTI.

References

Hoberman A, Chao HP, Keller DM, Hicky R.Davis HW: Prevalence of urinary tract infection in febrile infants. pediatr. 1993: 123 17-25.

Urinary tract infection. Nelson Textbook of Pediatrics, 17th edition, 2004 chapter 530 page 1785 .

Jack S.Elder: Urological disorder in infants and children. Nelson Textbook of Pediatrics, 16th edition, 2000. chapter 546 page 1621.

Urinary tract infection. Nelson Textbook of Pediatrics, 17th edition, 2004 chapter 530 page 1787.

Jodal, U. (1987): The natural history of bacteruria in childhood. Infectious disease clinic of North America 713 -729.

Dick, P.T. and Feldman, W (1990). Routine diagnostic imaging for childhood urinary tract infections: a systemic overview. Journal of Pediatrics 120 ,15 -22.

Larcombe, J. (1999) Urinary tract infections in children.British Medical Journal 319:1173-1175.

Gorelick, M.H. and Shaw, K.N. (1999) Screening tests for urinary tract infections in children: a meta –analysis. Pediatrics 104, 54.

Grain EF, Gershel JC. Urinary tract infection in febrile infants younger than 8 weeks of age. Pediatrics 1990 :86:363-367.

Kathy N. Shaw, Marc Gorelick, Karin L. McGowan, Noreen McDaniel Yakscoe, and J. Sanford Schwartz: Prevalence of Urinary Tract Infection in Febrile Young Children in the Emergency Department. PEDIATRICS Vol. 102 No. 2 August 1998, p. e16.

American Academy of Pediatrics Committee on Quality Improvement, subcommittee on urinary tract infection. Practice parameters: the diagnosis, treatment and evaluation of the initial urinary tract infections in febrile infants and young children, Pediatrics, 1999, 103:843-852.

Newman TP, Bernzwerg JA, Takayaw J: Urine testing and urinary tract infection in febrile infant seen in office setting. The Pediatrics Research in office setting. Febrile infants study. Arch Pediatr Adolesc Med 2002 , 156 , 44-54.

Jhan, Bapat SK: A study of sensitivity and resistance of pathogenic micro-organisms causing UTI in Kathmandu Valley Kathmandu university medical journal (2005).vol. 3, No. 2, issue 10, 123-129.

Uri Alen MD, Menucha Pery, MD, Giora Davidai, MD and Moshe Berant,MD: U/S in the radiological evaluation of children with UTI.

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Published

2021-10-30

Issue

Vol. 1 No. 1 (2007)

Section

Articles