Urinary tract infections in children and pathogen resistance to antimicrobial drugs

Boban Stolić ,
Boban Stolić
Radoslav Katanić ,
Radoslav Katanić
Nataša Katanić ,
Nataša Katanić
Dragica Odalović ,
Dragica Odalović
Jelena Pribaković-Aritonović ,
Jelena Pribaković-Aritonović
Andrijana Odalović ,
Andrijana Odalović
Aleksandar Stolić ,
Aleksandar Stolić
Danica Radomirović ,
Danica Radomirović
Mirjana Vujačić ,
Mirjana Vujačić
Vanja Ilić
Vanja Ilić

Published: 01.12.2017.

Volume 47, Issue 1 (2018)

pp. 49-52;

https://doi.org/10.5937/pramed1802049s

Abstract

INTRODUCTION: Urinary tract infections are one of the most common infections in young children. Febrile conditions in young children, without specific clinical signs and symptoms are often the result of ITU. Usually later diagnosed and treated. The most common cause of ITU is Escherichia coli. The main problem in the treatment of ITU is increasing resistance to antibiotics. AIM: To point out all the frequent resistance to antibiotics and to compare the frequency of the experimental periods. MATERIAL AND METHODS: We performed a retrospective study in the period of 2010-2015. Urine samples for microbiological examination were taken before switching on antibiotics. Statistical analysis was performed in SPSS software. RESULTS: In our study found 183 patients with a diagnosis of ITU. Somewhat higher percentage were present, patients were female. The highest resistance to ampicillin was found in our results in the time period is 5 years, found a drop resistance Amoxicilin and Amoksiklav. DISCUSSION: Our results showed a strong similarity with the works on the same theme, which is Escherichia coli, the most common cause of ITU in young children. ITU are represented within the female population. CONCLUSION: It is important to continuously monitor the representation of urinary tract infections as well as their sensitivity to antimicrobial drugs, because of the increasing presence of the bacterial resistance to existing antibiotics.

Keywords

References

1.
Elder JS. Urinary Tract Infections. Nelson Textbook of Pediatrics. 2011. p. 1829-1834.e1.
2.
Chang SL, Shortliffe LD. Pediatric Urinary Tract Infections. Pediatric Clinics of North America. 2006;53(3):379–400.
3.
Hellerstein S. Acute urinary tract infection – evaluation and treatment. Current Opinion in Pediatrics. 2006;18(2):134–8.
4.
Chakupurakal R, Ahmed M, Sobithadevi DN, Chinnappan S, Reynolds T. Urinary tract pathogens and resistance pattern. Journal of Clinical Pathology. 2010;63(7):652–4.
5.
Swerkersson S, Jodal U, Åhrén C, Hansson S. Urinary tract infection in small outpatient children: the influence of age and gender on resistance to oral antimicrobials. European Journal of Pediatrics. 2014;173(8):1075–81.
6.
Pobiega M, Maciag J, Pomorska-Wesolowska M, Chmielarczyk A, Romaniszyn D, Ziolkowski G, et al. Urinary tract infections caused by Pseudomonas aeruginosa among children in Southern Poland: Virulence factors and antibiotic resistance. Journal of Pediatric Urology. 2016;12(1):36.e1-36.e6.
7.
Wu CT, Lee HY, Chen CL, Tuan PL, Chiu CH. High prevalence and antimicrobial resistance of urinary tract infection isolates in febrile young children without localizing signs in Taiwan. Journal of Microbiology, Immunology and Infection. 2016;49(2):243–8.
8.
Fasugba O, Mitchell BG, Mnatzaganian G, Das A, Collignon P, Gardner A. Five-Year Antimicrobial Resistance Patterns of Urinary Escherichia coli at an Australian Tertiary Hospital: Time Series Analyses of Prevalence Data. PLOS ONE. 11(10):e0164306.
9.
Yilmaz Y, Tekkanat Tazegun Z, Aydin E, Dulger M. Bacterial Uropathogens Causing Urinary Tract Infection and Their Resistance Patterns Among Children in Turkey. Iranian Red Crescent Medical Journal. 18(6).
10.
Yoon JE, Kim WK, Lee JS, Shin KS, Ha TS. Antibiotic susceptibility and imaging findings of the causative microorganisms responsible for acute urinary tract infection in children: a five-year single center study. Korean Journal of Pediatrics. 2011;54(2):79.
11.
Ahmed MN, Vannoy D, Frederick A, Chang S, Lawler E. First-Line Antimicrobial Resistance Patterns ofEscherichia coliin Children With Urinary Tract Infection in Emergency Department and Primary Care Clinics. Clinical Pediatrics. 2016;55(1):19–28.

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