Pediatric urinary tract infections: The latest trends and treatment breakthroughs from Fattouma Bourguiba Hospital
Year: 2024
Type: article
Study design: Observational Study
Abstract: Background: Urinary tract infections are very common in pediatrics. The aim of our study was to investigate the epidemiology of urinary tract infections in pediatric settings and to evaluate the compliance of management with recommendations. Methods: This was a retrospective study conducted at Fattouma Bourguiba Hospital between January 1st and December 31st, 2023. Results: Our study included 128 children, mainly aged under 6 months (39%). The most common chief complaint was fever (66.4%). The main risk factors identified were a history of urinary tract infections, malformative uropathies, and age under three months. Enterobacteria were isolated in 94.2% of cases, especially Escherichia coli. The resistance rates of this bacteria to trimethoprim-sulfamethoxazole, amoxicillin-clavulanic acid, cefotaxime, ertapenem, and amikacin were 37.3%, 56.5%, 21.4%, 3%, and 4.8%, respectively. Empirical antibiotic therapy was in compliance with recommendations in 76.6% of cases. Conclusion: Following therapeutic recommendations is essential to reduce excessive antibiotic prescribing and the rise of bacterial resistance.
Authors: Yosr Kadri, Ons Haddad, Yassmine Maatouk, Syrine Ben Mabrouk, Adem Ben Nasr, Maha Mastouri
Institutions: Hospital Fatuma Bourguiba Monastir, University of Monastir
Language: English
Subfield: Epidemiology
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4404776062