Bacteriological Profile of Paediatric Urinary Tract Infections

Abstract

The aim of this study was to establish the bacteriological profile of UTIs in children. Method: A retrospective cross-sectional study conducted over one year. Urine samples were taken after local disinfection of the urinary meatus. Children who did not meet the criteria for UTI, i.e., leukocyturia greater than or equal to 104 leukocytes/mL, were excluded from our sample. Susceptibility to antibiotics was studied by agar diffusion. Results: Enterobacteriaceae were the most frequently isolated bacterial family in our series (65.65%). Escherichia coli was the most represented bacterial species (49.07%), followed by Klebsiella sp. (14.11%). Gram-positive cocci accounted for 26.38% of germs, including 18.71% Enterococcus sp. and 7.05% coagulase-negative staphylococci. ESBL was observed in 16.74% of enterobacteria. Carbapenem resistance was observed in 6.52% (3/46). Conclusion: E. coli was the germ most frequently isolated in urinary tract infections, with an average rate of resistance to the combination of amoxicillin and clavulanic acid and 3rd generation cephalosporins, but low for ciprofloxacin and cotrimoxazole. ESBL-producing strains.