Perfil etiológico y susceptibilidad antimicrobiana del primer episodio de infección urinaria febril

Background: Urinary tract infection (UTI) is a common infection in childhood; its diagnosis involves performing a urine culture. Aim: To describe the etiology and bacterial susceptibility of the first episode of UTI in children presenting with fever to the emergency room. Patients and Methods: One hundred and five children (2 months-5 years old) seen at the Hospital Dr. Sotero del Rio in Santiago, between November 2009 and November 2010 were evaluated. A urine specimen was obtained by transurethral catheterization. Urine was cultured and microorganisms were identified and tested for antimicrobial susceptibility. Results: 76.2% (80) of patients were women and 80% (84) were under 18 months. Urine sediment was abnormal in 82.5%. The most frequently isolated microorganism was Escherichia coli (96.1%) showing high susceptibility to aminoglycosides (near 100%), third generation cephalosporins, ciprofloxacin and nitrofurantoin; and low susceptibility to cephalothin (69%) and trimethoprim/sulfamethoxazole (66%). We found one ESBL-producing strain. Conclusion: The most common uropathogen was E. coli with good in vitro susceptibility to aminoglycosides and third generation cephalosporins, which are the recommended initial empirical therapy. E.coli ESBL-producing strains appear as emerging pathogens in community acquired UTIs in children.

Notas

Indexación: Scopus.
Indexación: Scopus.

Palabras clave

Gallegos, Vesicoureteral Reflux, Urinary Tract Infections, Leukocyte Esterase, Antimicrobial susceptibility, Children, Etiology, Urinary tract infection

Citación

Revista Chilena de Infectologia, Volume 30, Issue 5, Pages 474 - 479, October 2013

DOI

0716-1018

URI

https://repositorio.unab.cl/xmlui/handle/ria/48177

Colecciones

FCE - Artículos de Revista

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