Bacterial Urinary Tract Infection as Public Health Hazard among children in Basrah, Iraq

Main Article Content

Hanadi A. Jasim
Wijdan Nazar Ibraheim
Mukhalad Bassim Ibraheem
Mohammed Raheem Shakir
Ghaith Eddin AbdAljaleel
Basil Abdulzahra Abbas

Keywords

Common, Suspected, Culture, Bacteria.

Abstract

Urinary tract infection (UTI) is one of the commonest bacterial infections seen by Pediatricians in children. However, diagnosis remains a difficult task probably because its presentation is non-specific and similar to other common illnesses. This study aims to isolate, identify and characterize urinary tract infection causing bacteria and to assess the incidence of UTI among various patients based on age, sex, and another socioeconomic status. Urine samples (N=80) of children below10 years of age that were suspected of urinary tract infection were sent for routine microscopic examination (GUE). Then urine samples were cultured on different culture media for microbiological investigation. Out of 80 Children who enrolled in this study, 17(42.55%) were male and 23(57.5%) were female. The majority of children in this study were feverish (fever>38 ͦ C) (62.5%) and the others had dysuria, frequency, and flank pain (52.5, 45, 40%) respectively. Gram-negative bacteria were the most common uropathogens responsible for UTI in comparison to Gram-positive bacteria. E. coli was the common uropathogen from Gram-negative bacteria followed by Klebsiella and Pseudomonas (44%, 12%, 4%) respectively, Staphylococcus aureus also appeared in high percent than other Gram-positive bacteria. In Conclusion, during the period of this study, E. coli is the most commonest uropathogen in children with UTI.

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References

1. Bell LE and Mattoo TK. Update on childhood urinary tract infection and vesicoureteral reflux. Semin Nephrol. 2009;29(4):349–359
2. Bhat RG, Katy TA, Place FC. Pediatric urinary tract infections.Emerg Med Clin North Am.2011 ;29(3):637-53. BMJ 2007; 335 :395-397
3. Garcia F.J., Narger A.L. Jaundice as an early diagnostic sign of urinary tract infection in infancy Pediatric 2002, 109, 846-851
4. Gauthier M., Gouin S., Phan V., Gravel MD, J. Association of malodorous urine with urinary tract infection in children aged 1 to 36 months. Pediatrics, 2012 ;129: 885-890
5. Mori R., Lakhanpaul M., Verrier-Jones K. Diagnosis and management of urinary tract infection in children: summary of NICE guidance
6. Shaikh N, Morone NE, Lopez J, et al. Does this child have a urinary tract infection? JAMA. 2007;298(24):2895–2904.
7. Shaikh N., Morone N.E., Lopez J., Chianese J., Sangvai S., et al. Does this child have urinary tract infection? JAMA 2007; 298: 2895-2904
8. Williams GJ, Wei L, Lee A, Craig JC. Long-term antibiotics for preventing recurrent urinary tract infection in children. Cochrane Database Syst Rev. 2006;(3):CD001534.
9. Zorc JJ, Levine DA, Platt SL, et al.; Multicenter RSV-SBI Study Group of the Pediatric Emergency Medicine Collaborative Research Committee of the American Academy of Pediatrics. Clinical and demographic factors associated with urinary tract infection in young febrile infants. Pediatrics. 2005;116(3):644–648.
10. Dulczak, S., Kirk. Overview of the evaluation, diagnosis, and management of urinary tract infections in infants and children. Urologic nursing. July 2005; Available: www.medscape.com/ viewarticle /507162
11. Ojha AR &Aryal UR. Profile of Children with Urinary Tract Infection and the Utility of Urine Dipstick as a Diagnostic Tool.J Nepal Health Res Counc 2014 Sep - Dec; 12(28):151-5.
12. Mortazavi F. and Shahin, N. Changing patterns in sensitivity of bacterial uropathogens to antibiotics in children, Pakistan Journal of Medical Sciences, 2009 vol. 25, no. 5, pp. 801–805.
13. Brkic S, Mustafic S, Nuhbegovic S, Ljuca F, Gavran L. Clinical and epidemiology characteristics of urinary tract infections in childhood. Med Arh 2010; 64: 135-8. Malla KK, Sarma MS, Malla T, Thapalial A. Clinical profile, bacterial isolates and antibiotic susceptibility pattern in urinary tract infection in children-hospital based study. J Nepal Paeditr Soc 2008; 28: 52-61.
15. McLoughlin, TG Jr., Joseph, MM. Antibiotic resistance patterns or uropathogens in pediatric emergency department patients. Cad Emerg Med.2003 Apr; 10(4):347-51.
16. Farajnia, S., Alikhani, MY et al. Causative agents and antimicrobial susceptibilities of Urinary Tract Infections in the northwest of Iran, 2008.International Jounral of infectious diseases.
17. Ipek IO, Bozaykut A, Arman DC, Sezer RG. Antimicrobial resistance patterns of uropathogens among the children in Istanbul, Turkey. Southeast Asian J Trop Med Public Health. 2011Mar;42(2):355-62.