Paediatric Uti: Points Of Concern: A Clinicobacteriological Analysis In A Tertiary Care Hospital
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Date
2019-07
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Publisher
World Wide Journals
Abstract
Paediatric UTI is a matter of grave concern particularly at less than two years of age due to predisposition to serious future complications and limited treatment options resulting from ever-increasing antibiotic resistance. This study included 392 established cases of paediatric UTI. Gram negative bacteria were isolated in 68.9% cases, predominated by Escherichia coli(34.7%). It was followed by Klebsiella species(27.3%), Enterococcus faecalis(12.2%), Acinetobacter species(7.4%), Pseudomonas aeruginosa(4.3%), and other GNB. Staphylococcus saprophyticus(4.1%) and Staphylococcus aureus(3.1%) were less common. Antibiograms of the isolates showed very low sensitivity to all commonly prescribed antibiotics, namely, ampicillin, amoxyclav, ceftriaxone, cefotaxime, gentamicin, cotrimoxazole, nitrofurantoin, ciprofloxacin and levofloxacin- making them practically irrational to choose. Most of the GNB were susceptible to imipenem, whereas, gram positive cocci were uniformly susceptible to vancomycin and linezolid
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Keywords
Paediatric UTI, Bacterial Aetiology, Uropathogens, Antibiotic Resistance
Citation
Mukherjee Purba, Kumar Atindra, Roy Sudeb. Paediatric Uti: Points Of Concern: A Clinicobacteriological Analysis In A Tertiary Care Hospital. International Journal of Scientific Research. 2019 Jul; 8(7): 43558