Prevalence of Urinary Tract Infection in Children Admitted to Benghazi Children’s Hospital

Abdelnaser Othman  Busba; Jebril   Elabidi; Samia M  Al Ojaly

doi:10.54172/mjsc.v33i4.308

Authors

Abdelnaser Othman Busba Microbiology Department , Benghazi Children’s Hospital
Jebril Elabidi Pediatric Department , Faculty of Medicine , Benghazi University
Samia M Al Ojaly Laboratory Medicine Department, Faculty of Public Health, Benghazi University

DOI:

https://doi.org/10.54172/mjsc.v33i4.308

Keywords:

Urinary tract infection, urine culture, Antibiotic susceptibility

Abstract

Urinary Tract Infections (UTIs) are predictable bacterial infections which occur frequently especially during infancy. The aim of the present study was to evaluate the etiology and antimicrobial resistance patterns among infants and children who approached our hospital for the treatment of UTIs. In this observational study which was carried out from January 2009 to December 2010. Two hundred and six (206) urine samples, which were collected from children admitted to Benghazi Children’s Hospital (Nephrology department) with suspected UTIs, were studied. Demographic characteristics, etiological agents, and antimicrobial resistance were evaluated. 58 patients (28.2%) had a positive urine culture, and the majority of UTIs were occurring in females. The most common presenting symptoms were fever, dysuria, and abdominal pain. The most common isolated pathogen was Escherichia coli (67.2%), followed by Klebsiella pneumonia (20.7%), Pseudomonas aeruginosa (3.4%), Proteus mirabilis (3.4%), Klebsiella oxytoca (1.7%), Enterobacter casseliflavus (1.7%) and Enterobacter cloacae (1.7%). In the current study, most of the infected cases were females, and fever was the most common presenting symptom. All isolated bacteria were highly sensitive to Meropenem (98.1%), Imipenem (96.3%), Amikacin (96.2%), Cefoxitin (81.1%), and Ciproflaxacin (80%) , and had a high resistance rate to Ampecillin (89.1%) and Cephalothin (60.4%). This phenomena may be contributed to the frequent useage and miss-use of antibiotics without medical prescription.

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