Urinary Tract Infections in Children: A Hospital-Based Study

Objectives: Estimate the incidence of UTI as well as antibiogram patterns of UTI in kids. Result: In 90 patients, the overall incidence of UTIs was (30%), female was (87%) and males were (13%). (56%) were less than 5 years old while (54%) were found more than 5. Urine was collected in (67%) by clean catch method and (33%) by catheterization. (7%) were circumcised and (16%) were uncircumcised meanwhile in (67%), the status was not known. (20%) patients had underlying renal structural anomalies while (14%) of patients had underlying neurodevelopmental anomalies. Children who showed positive culture, E. coli (86%) was the most common organism with ESBL (19%), Klebsiella Pneumonia (3.6%) Pseudomonas (6.6%) and Enterobacter species (3.3%). All bugs were sensitive to amikacin, gentamycin, meropenum, tazocin, fosfomycin and nitrofurantoin. (72%) and (39%) were sensitive to third-generation cephalosporins and Augmentin groups respectively. Conclusion: UTI is very common in pediatric patients, we can use cephalosporins initially if not responding then amikacin or gentamycin can be added. For ESBL E. coli we can use initially amikacin/gentamycin plus fosfomycin/ nitrofurantoin if not responding then we can use meropenem and tazocin