A Single-Center Experience of Antimicrobial Resistance Patterns in Pediatric Urinary Tract Infection

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SENEL S., KARACAN C. D., Erkek N., GOL N.

MEDICAL PRINCIPLES AND PRACTICE, cilt.19, sa.5, ss.359-363, 2010 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 19 Sayı: 5
  • Basım Tarihi: 2010
  • Doi Numarası: 10.1159/000316373
  • Dergi Adı: MEDICAL PRINCIPLES AND PRACTICE
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.359-363
  • Anahtar Kelimeler: Antimicrobial resistance, Pediatric infections, Resistance patterns, Susceptibility testing, Urinary tract infection, Uropathogens, EMERGING ANTIBIOTIC-RESISTANCE, ESCHERICHIA-COLI, CHILDREN, SUSCEPTIBILITY, PATHOGENS, THERAPY
  • Akdeniz Üniversitesi Adresli: Hayır

Özet

Objective: To assess the prevalence of urinary tract pathogens and their resistance patterns against antimicrobial agents in a single center. Patients and Methods: In children <16 years of age admitted for urinary tract infection (UTI) to the Dr. Sami Ulus Teaching and Training Hospital from January 2004 to December 2008, positive urine cultures were reviewed. Results: A total of 3,485 positive urine cultures were identified, of which 2,379 (68%) were from females and 106 (32%) from males. Their mean age was 63.5 +/- 40.7 months. Escherichia coli was the most common causative agent both in total and among different age groups. Ampicillin had the highest resistance rate from all the pathogens isolated (63.8%), followed by piperacillin (51.8%) and trimethoprim-sulfamethoxazole (TMP-SMX; 48.6%). Cephalotin also had a high resistance rate (32.7%). The least resistance was for imipenem, amikacin, netilmicin and ciprofloxacin (0.13, 1.7, 2.4 and 7.5%, respectively). None of the Klebsiella and Pseudomonas isolates were resistant to imipenem. None of the Staphylococcus aureus isolates were resistant to teicoplanin and vancomycin. Vancomycin-resistant Enterococcus spp. were isolated from two cultures. Conclusion: E. coli was the most common causative agent of UTI in children. Ampicillin, TMP-SMX or cephalothin and piperacillin had the highest resistance rates against urinary tract pathogens in our center. Copyright (C) 2010 S. Karger AG, Basel