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

Abstract

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.

Bacterial Uropathogens Isolates and Antibiograms in Children Under 5 Years of Age

“…Similar findings from Tanzania reported that E. coli is the dominant organism as a cause of UTIs in children under-fives, and it is sensitive to fluoroquinolones and resistant to third- and fourth-generation cephalosporin’s (1). Similar studies were concluded in Marrakech [30] and in Kashmir (31) concluded that Escherichia coli were the most predominant isolate, followed by Klebsiellapneumoniae and Pseudomonas aeruginosa. However, they differ in the antibiotic sensitivity pattern, in Marrakech third generation cephalosporin’s and aminosides kept their effectiveness on the majority of isolates were the most effective treatment while, in the latter study, E. coli isolates were fully sensitive to ofloxacin, and cefuroxime.…”

Etiología y perfil de resistencia antimicrobiana en infección del tracto urinario en niños, Valdivia 2012

“…La infección del tracto urinario (ITU) es la segunda causa más frecuente de infección bacteriana en niños 1 . Su tratamiento inicial es frecuentemente empírico, por lo que la elección del antimicrobiano se basa en la epidemiología y patrones de susceptibilidad locales.…”