Pediatric - specific Antimicrobial Resistance Patterns of Urinary Tract Infections:  A Single - Centre Experience from Turkey

Yasar KANDUR; Sevinc OZDEN; Bahar BUYUKKARAGOZ

Article Details

Pediatric - specific Antimicrobial Resistance Patterns of Urinary Tract Infections: A Single - Centre Experience from Turkey

Authors:

Yasar KANDUR | Sevinc OZDEN | Bahar BUYUKKARAGOZ

Publisher:

Dicle University

Journal:

Dicle Medical Journal 2016 Vol.43 Issue 4, pp.508-514

Document Type:

Article

Publication Date:

12/2016

Document Language:

Turkish

Document ID (Org No.):

2000947008

Frequency:

Quarterly

eISSN:

1308-9889

pISSN:

1300-2945

Keywords:

Abstract:

 


	Objectives: Antimicrobial resistance of the causative 
microorganisms of pediatric urinary tract infection (UTI) is a growing 
problem. The aim of this study is to determine the changing pattern of 
antibiotic susceptibility in UTIs in an outpatient setting.

	Methods: We retrospectively reviewed the medical 
records of pediatric patients with UTI who were followed-up in our 
center between January-2014 and May-2015.

	Results: One hundred and seventy-one patients (M/F= 
53/118; mean age 56 ± 47.2 months) with UTI were enrolled in this study.
 A total of 231 urinary pathogens were isolated from UTI episodes. The 
most common causative agent was Escherichia coli (E. coli) (70.6%) 
followed by Klebsiella spp. (16.5%), Proteus spp. (6.5%). One point 
eight percent of E. coli isolates were resistant to amikacin, 17.8% to 
gentamicin, 60.7% to TMP-SMX, 66,9% to ampicillin, 52.1% to cefixime, 
46% to ceftriaxone, 54.6% to cefuroxime and 4.9% to nitrofurantoin.

	Conclusions: TMP-SMX and nitrofurantoin are poor 
empirical choices for pediatric patients due high resistance rates and 
gastrointestinal side effects, respectively. Second and third 
-generation cephalosporins (cefixime) may not be considered as 
appropriate empiric antibiotic alternatives anymore given their high 
resistance rates in the next few years. Physicians who work in the 
primary health care should be encouraged for the selection of more 
appropriate antibiotics.

.

Article Details

Pediatric - specific Antimicrobial Resistance Patterns of Urinary Tract Infections: A Single - Centre Experience from Turkey

Authors:

Yasar KANDUR | Sevinc OZDEN | Bahar BUYUKKARAGOZ

Publisher:

Dicle University

Journal:

Dicle Medical Journal 2016 Vol.43 Issue 4, pp.508-514

Document Type:

Article

Publication Date:

12/2016

Document Language:

Turkish

Document ID (Org No.):

2000947008

Frequency:

Quarterly

eISSN:

1308-9889

pISSN:

1300-2945

Urinary tract infection

antimicrobial resistance

Issues

Article Details

Pediatric - specific Antimicrobial Resistance Patterns of Urinary Tract Infections: A Single - Centre Experience from Turkey

Authors: Yasar KANDUR | Sevinc OZDEN | Bahar BUYUKKARAGOZ

Publisher: Dicle University

Journal: Dicle Medical Journal 2016 Vol.43 Issue 4, pp.508-514

Document Type: Article

Publication Date: 12/2016

Document Language: Turkish

Document ID (Org No.): 2000947008

Frequency: Quarterly

eISSN: 1308-9889

pISSN: 1300-2945

Urinary tract infection

antimicrobial resistance

Issues

Authors:

Yasar KANDUR | Sevinc OZDEN | Bahar BUYUKKARAGOZ

Publisher:

Dicle University

Journal:

Dicle Medical Journal 2016 Vol.43 Issue 4, pp.508-514

Document Type:

Article

Publication Date:

12/2016

Document Language:

Turkish

Document ID (Org No.):

2000947008

Frequency:

Quarterly

eISSN:

1308-9889

pISSN:

1300-2945