Community-acquired urinary tract infection in hospitalized children: etiology and antimicrobial resistance. A comparison between first episode and recurrent infection
| Autor: | Waheeb Sakran, Ariel Koren, Vladislav Smolkin, Ahmad Odetalla, Raphael Halevy |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Male
medicine.disease_cause Microbiology Antibiotic resistance Recurrence Risk Factors Drug Resistance Multiple Bacterial Cefazolin medicine Escherichia coli Humans Israel Pathogen Retrospective Studies First episode Cefuroxime Pseudomonas aeruginosa business.industry Infant bacterial infections and mycoses Anti-Bacterial Agents Community-Acquired Infections Child Preschool Pediatrics Perinatology and Child Health Urinary Tract Infections Etiology Gentamicin Female Gentamicins business Child Hospitalized medicine.drug |
| Zdroj: | Clinical pediatrics. 54(5) |
| ISSN: | 1938-2707 |
| Popis: | Urinary tract infection (UTI) is common in infants and children, and Escherichia coli is the leading pathogen. The aims of this study were to compare first episode of UTI with recurrent infection, reveal organisms that cause UTI, uropathogen resistance, and presence of bacteria producing extended-spectrum β-lactamase (ESBL). The first-UTI group included 456 children. E coli was the leading pathogen (80.5%), and Pseudomonas aeruginosa was found in 1.5%. The uropathogens were resistant to gentamicin (3.41%) and cefuroxime (5.71%), and highly resistant to cefamezin (37.39%). The recurrent-infection group included 106 children. E coli was also the leading pathogen, but 7.5% of the isolates were P aeruginosa ( P = .002 compared with first-episode group); 6.6% were ESBL-producing bacteria compared with 1.1% in the first-episode group ( P = .002). E coli is the leading pathogen in both groups. P aeruginosa and ESBL-producing bacteria were more common in the recurrent infection group. |
| Databáze: | OpenAIRE |
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