Bacterial Aetiology and Antibiotic Resistance Pattern of Community-Acquired Urinary Tract Infections in Children in a Tertiary Care Hospital in Bangladesh

Authors

  • Lazina Sharmin Assistant Professor, Department of Paediatrics, Enam Medical College & Hospital, Savar, Dhaka
  • Shaheen Akter Professor, Department of Paediatrics, Enam Medical College & Hospital, Savar, Dhaka

DOI:

https://doi.org/10.3329/jemc.v7i3.34072

Keywords:

UTI, Community acquired, Children, Esch. coli, Multi-drug resistance

Abstract

Background: Urinary tract infections (UTIs) in children are among the most common bacterial infections. Community-acquired urinary tract infections (CAUTI) are often treated empirically with broad-spectrum antibiotics. Pattern of aetiologic agents and their antibiotic sensitivity may vary according to geographical and regional location. So, knowledge of antibiotic resistance trends is important for improving evidence-based recommendations for empirical treatment of UTIs.

Objectives: To determine the common bacterial aetiologies of CAUTIs and their antibiotic resistance patterns in a tertiary care hospital, Savar.

Materials and Methods: This cross-sectional descriptive study was conducted at Enam Medical College Hospital, Savar from May 2016 to April 2017. We collected clean-catch mid-stream urine samples from 257 patients having clinical diagnosis of UTI and submitted to the clinical microbiology laboratory for culture and sensitivity.

Results: A total of 120 (46.7%) samples were positive for bacterial growth. Escherichia coli (79%) was the most common pathogen, followed by Klebsiella spp. (14%). Bacterial isolates showed high prevalence of resistance to multiple antibiotics. Resistance against amoxicillin/clavulanic acid, co-trimoxazole and ciprofloxacin was higher compared to newer quinolones and aminoglycosides.

Conclusion: Esch. coli and Klebsiella spp. were the predominant bacterial pathogens. The resistance pattern to commonly prescribed antibiotics was quite high and alarming.

J Enam Med Col 2017; 7(3): 134-139

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Author Biography

Lazina Sharmin, Assistant Professor, Department of Paediatrics, Enam Medical College & Hospital, Savar, Dhaka



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Published

2017-10-30

How to Cite

Sharmin, L., & Akter, S. (2017). Bacterial Aetiology and Antibiotic Resistance Pattern of Community-Acquired Urinary Tract Infections in Children in a Tertiary Care Hospital in Bangladesh. Journal of Enam Medical College, 7(3), 134–139. https://doi.org/10.3329/jemc.v7i3.34072

Issue

Vol. 7 No. 3 (2017)

Section

Original Articles

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