Prevalence of urinary tract infections and antibiotics susceptibility pattern among infants and young children in Erbil city

Abstract

Medical research centre, Hawler medical university, Erbil, Iraq.

Antimicrobial Susceptibility Pattern of Pathogenic Bacteria Causing Urinary Tract Infections at Azadi Hospital In Duhok City\Kurdistan Region of Iraq

“…coli as the commonest uropathogen isolated showed high resistance to amoxicillin/clavlanicacid (83.1%). Similar results were found in a study in Hawler city showing percentage of E. coli resistance to amoxiclav (85.4%) (Saeed et al, 2015).An increased resistance of E. colireported against Fluoroquinolones as one of commonly used antibiotics, ciprofloxacin (55.7%), Levofloxacin (52.4%) and norfloxacin (59.1%). A higher rate of resistance compared to other studies such as that conducted in Turkey (Kayaş et al, 2011).…”

Bacteriological Pattern and Antibiotic Resistance in Children with Urinary Tract Infection in Ulin General Hospital Banjarmasin, Indonesia

“…This is in accordance with the research of Sharma et al 3 and Saeed et al 13 . Girls tend to suffer from UTI because anatomically, the female urethra is shorter and closer to the anus making it easier to get infections in the urinary tract.…”

“…Antibiotics with the highest sensitivity to E. coli in this study were tigecycline and amikacin. This is like the study conducted by Rai et al 7 and Saeed et al 13 that amikacin is the most sensitive antibiotic to E. coli. In addition, the Oscarson 17 study also mentions that tigecycline and amikacin are the most sensitive antibiotics to E.coli.…”

“…This is because in smaller children are still not trained properly to urinate and have not been able to maintain the genital area hygiene so that tends to experience UTI. 7,13 The two most common causes of UTI in children obtained in this study were Klebsiella pneumoniae (28%) and Escherichia coli (16.8%), these results differed from those obtained in several studies conducted in different countries such as Kayas et al 6 in Turkey and Aryal et al 14 in Nepal, indicating that Escherichia coli is the most common cause of UTI. Ashoka et al 10 received Escherichia coli followed by Klebsiella pneumoniae as the commonest bacteria found in childhood UTI.…”

“…12 The pattern of bacterial sensitivity to antibiotics is rapidly changing over time, especially in developing countries, so proper selection of antibiotics is essential in UTI therapy. 6,13 The presence of different pattern of bacteria causing UTI in children in each region as well as the increasing number of antibiotic resistance to pathogenic bacteria causing UTI so it needs to be updated data periodically.…”