Screening of febrile children on Hospital admission for urinary tract infections (UTI)

Adedoyin, OT; Oyeyemi, Bashir O.; Aiyedehin, O.V.

doi:10.4314/ajcem.v4i1.7325

Cited by 7 publications

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“…The antimicrobial sensitivity of the isolated organism to quinolone and the third generation antibiotics agrees with findings of other workers who are discovering increasing efficacy of the quinolones and third generation antibiotics in the treatment of UTI. 13,14 Our findings indicate that these drugs can also be useful in children with AGN and NS who develop UTI just like in the general population that developed UTI.…”

Section: Discussionmentioning

confidence: 71%

Urinary Tract Infections in Children with Primary Nephrotic Syndrome and Acute Glomerulonephritis

Adedoyin

Ojuawo²,

Odimayo³

et al. 2011

West African Journal of Medicine

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Section: Discussionmentioning

confidence: 71%

Urinary Tract Infections in Children with Primary Nephrotic Syndrome and Acute Glomerulonephritis

Adedoyin

Ojuawo²,

Odimayo³

et al. 2011

West African Journal of Medicine

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“…[13–6] This being a retrospective study, some cases may have been missed either due to under diagnosis or incomplete records. The other possible reason for the difference may be because of the difference in patients’ selection, while this study presents the prevalence of UTI among children presenting in the hospital; Adedoyin et al .…”

Section: Discussionmentioning

confidence: 99%

“…[1] However, diagnosis remains a difficult task probably because its presentation is non-specific and similar to other common illnesses. This makes it easy to miss children with UTI.…”

Section: Introductionmentioning

confidence: 99%

“…[3] In 75 to 90% of female children with UTI, the incriminating organism is usually Escherichia coli followed by Klebsiella and Proteus while in the males older than 1 year, Proteus is as common as E. coli as a bacterial cause of UTI. [12]…”

Section: Introductionmentioning

confidence: 99%

“…[4] Recent reports in Nigeria had highlighted the changing pattern of antibiotic sensitivity to the bacterial isolates with increasing resistance to first line antibiotics. [135–7] Most of these reports were from the South West and Northern Nigeria. However, there is paucity of literature on the prevalence, common etiological factors, and susceptibility of the causative organisms to commonly available antibiotics among children with UTI in the South Eastern Nigeria, and there is no previous study in Abakaliki.…”

Section: Introductionmentioning

confidence: 99%

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Childhood urinary tract infection in Abakaliki: Etiological organisms and antibiotic sensitivity pattern

Muoneke¹,

Ibekwe²,

Ibekwe³

2012

Ann Med Health Sci Res

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Background:Urinary tract infection (UTI) is a common childhood infection in the Tropics which causes significant illness and is frequently missed, probably because of its non-specific presentation and similarity with other common illnesses.Objectives:To determine the prevalence, common etiological agents, and the susceptibility of these pathogens to the commonly available antimicrobial agents in this center.Materials and Methods:This was a retrospective study carried out at the Children's Outpatient Clinic and Children's Emergency Ward of Ebonyi State University Teaching Hospital Abakaliki (EBSUTH). The study was carried out between January 1, 2007 and December 31, 2009.Results:One hundred ten subjects of the 3625 children seen in the center during the period of study had UTI giving a case prevalence rate of 3.0%. Majority of the patients (59, 53.6%) were less than 2 years of age with a male:female ratio of 1:1.3. Fever was the commonest presenting symptom and the commonest organisms isolated in urine were Klebsiella (27, 24.5%), and Staphylococcus aureus (24, 21.8%). The drugs that were most sensitive to these organisms were Gentamicin (50, 45.5%), Ceftriaxone (49, 44.5%), and Ciprofloxacin (36, 32.7%).Conclusion:The study revealed a high prevalence of UTI among children. Klebsiella was the commonest causative organism isolated in the urine. Gentamicin, Ceftriaxone, and Ciprofloxacin were the antimicrobials with the highest sensitivity to all the isolated microorganisms.

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Prevalence and Antimicrobial Susceptibility of Bacterial Uropathogens Isolated from Pediatric Patients at Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia

Duffa

Kitila

Gebretsadik

et al. 2018

International Journal of Microbiology

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Background Urinary tract infection (UTI) is considered as the most common bacterial infection seen among the pediatric patients. Objective This study was carried out in order to determine the prevalence of urinary tract infection in pediatric patients, identify bacterial uropathogens responsible for the infection, and study the antibiotic sensitivity patterns of bacterial isolates. Materials and Methods A cross-sectional study designed and conducted from January to April 2014. Clean-voided midstream urine specimens were obtained from 384 pediatric patients less than or equal to 15 years in sterile universal bottles. Urine collected from each patient was inoculated onto CLED and blood agar plates using a calibrated inoculating loop with a capacity of 0.001 ml. Inoculated plates were incubated for 24–48 hours at 37°C at inverted position aerobically. Bacterial isolates were indentified and characterized by Gram stain and by using an array of standard routine biochemical tests. The antimicrobial susceptibility test was carried out by using the Kirby–Bauer disc diffusion method. Frequency distribution tables were used to describe the findings. Logistical regression was also used to estimate crude odds ratio (COR) with 95% confidence interval (CI) of positive responses to the different variables, and P values less than 0.05 were taken as statistically significant. Result In this study, a total of 384 patients (199 males and 185 females) aged less than or equal to 15 years from whom urine samples were collected were enrolled. Of these patients, 61 (15.9%) had significant bacteriuria. Of the 185 females, 36 (19.5%) came up with positive cultures, while 25 (12.6%) of the 199 males had significant bacteriuria, and the largest number of study subjects were below the age of 3 years, and the largest positive culture was obtained from this age group, accounting for 35 (57.4%.) out of 61 positive cultures. Bacterial species belonging to six genera were isolated and identified from 61 positive cultures, and the genera were Escherichia, Klebsiella, Staphylococcus, Proteus, Acinetobacter, and Enterococcus. E. coli was isolated in 28 cases (49.5 %), followed by Klebsiella spp. in 17 cases (27.9%), Staphylococcus spp. in 5 patients (8.2%.) (S. aureus in one and coagulase-negative staphylococci in 4 cases), Enterococcus in 7 cases (11.5%), Proteus spp. in 3 cases (4.9%), and Acinetobacter in one case (1.6%). Of the bacterial isolates, E. coli was found out to be the most common pathogen followed by Klebsiella spp. Furthermore, E. coli and Klebsiella spp. were the most common pathogens in female patients accounting for 71.4% and 64.7%, respectively. Regarding susceptibility tests, E. coli and Klebsiella spp. were not 100% susceptible to any of the 11 antibiotics tested. Acinetobacter spp. had 100% resistance to three antibiotics: gentamicin (GN), trimethoprim-sulfamethoxazole (SXM), and augmentin (AMP). But they were 100% susceptible to ciprofloxacin (CIP), cefuroxime (CXM), norfloxacin (NOR), and ceftazidime (CAZ). On the contrary, ...

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Screening of febrile children on Hospital admission for urinary tract infections (UTI)

Cited by 7 publications

References 0 publications

Urinary Tract Infections in Children with Primary Nephrotic Syndrome and Acute Glomerulonephritis

Urinary Tract Infections in Children with Primary Nephrotic Syndrome and Acute Glomerulonephritis

Childhood urinary tract infection in Abakaliki: Etiological organisms and antibiotic sensitivity pattern

Prevalence and Antimicrobial Susceptibility of Bacterial Uropathogens Isolated from Pediatric Patients at Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia

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