Community-acquired urinary tract infections in children: pathogens, antibiotic susceptibility and seasonal changes

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dc.contributor.authorYolbas, I.
dc.contributor.authorTekin, R.
dc.contributor.authorKelekci, S.
dc.contributor.authorTekin, A.
dc.contributor.authorOkur, M. H.
dc.contributor.authorEce, A.
dc.contributor.authorGunes, A.
dc.date.accessioned2024-04-24T17:33:22Z
dc.date.available2024-04-24T17:33:22Z
dc.date.issued2013
dc.departmentDicle Üniversitesien_US
dc.description.abstractAIM: Urinary tract infections (UTIs) are common infections affecting children. The aim of our study is to determine microorganisms that cause community-acquired urinary tract infections and their antibiotic susceptibility in children. MATERIALS AND METHODS: Our investigation includes 150 cases which has positive urine culture. The cases are detected at Pediatric Polyclinics of Dicle University between June 2010 and June 2011. RESULTS: The study included 118 (78.7%) female and 32 (21.3%) male children. Urinary tract infections were seen in autumn 10.7% (n = 16), summer 35.3% (n = 53), winter 30.7% (n = 46) and spring 23.3% (n = 35). The culture results indicated 75.3% (n = 113) Escherichia coli; 20.7% (n = 31) Klebsiella; 2.7% (n = 4) Proteus and % 1.3 (n = 2) Pseudomonas. The antibiotic resistance against Escherichia coli was found out is amikacin (3%), ertapenem (7%), imipenem (0%), meropenem (0%), nitrofurantoin (9%), trimethoprim/sulfamethoxazole (58%), piperacillin (83%), amoxicillin/clavulanate (50%), ampicillin/sulbactam (65%), cefazolin (54%), cefotaxime (51%), cefuroxime sodium (51%) and tetracycline (68%). The resistance ratios of Klebsiella are amikacin (0%), imipenem (0%), levofloxacin (0%), meropenem (0%), amoxicillin/clavulanate (57%), ampicillin/sulbactam (79%), ceftriaxone (68%), cefuroxime sodium (74%) and trimethoprim/sulfamethoxazole (61%). CONCLUSIONS: The results represent the increasing antibiotic resistance against microorganisms among the community-acquired UTI patients in a developing country such as Turkey. So, the physicians should consider resistance status of the infectious agent and choose effective antibiotics which are nitrofurantoin and cefoxitin for their empirical antibiotic treatment. Furthermore, they should be trained about selection of more effective antibiotics and check the regional studies regularly.en_US
dc.identifier.endpage976en_US
dc.identifier.issn1128-3602
dc.identifier.issue7en_US
dc.identifier.pmid23640446
dc.identifier.scopus2-s2.0-84878566483
dc.identifier.scopusqualityQ2
dc.identifier.startpage971en_US
dc.identifier.urihttps://hdl.handle.net/11468/20642
dc.identifier.volume17en_US
dc.identifier.wosWOS:000325207600016
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherVerduci Publisheren_US
dc.relation.ispartofEuropean Review For Medical and Pharmacological Sciences
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectUrinary Tract Infectionsen_US
dc.subjectChildrenen_US
dc.subjectSeasonen_US
dc.subjectAntibiotics Resistanceen_US
dc.titleCommunity-acquired urinary tract infections in children: pathogens, antibiotic susceptibility and seasonal changesen_US
dc.titleCommunity-acquired urinary tract infections in children: pathogens, antibiotic susceptibility and seasonal changes
dc.typeArticleen_US

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