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Bacterial Profile and Antibiotics Susceptibility Pattern of Isolates from Urine Culture of Children with Urinary Tract Infection

S. Alizai, Shaista Qazi, Ayesha Rehman

Annals of PIMS-Shaheed Zulfiqar Ali Bhutto Medical University, 2025

134 participants · 1 citation

Abstract

Objective: We conducted a study to know the local Bacterial Profile and Antibiotics Susceptibility Pattern of Isolates from Urine Culture of Children with urinary Tract Infection.

Methodology: It was a descriptive cross-sectional study on children up to 16 years of age with UTI, during the period of October 2022 to April 2023. The recorded variables were demographic. Data was recorded from computer records and presented as frequency.

Results: Out of 134 children, 94(70%) were females. Escherichia coli (E.Coli) 84(63%) was the commonest isolate followed by Enterococcus sp. 30(22%) and Klebsiella sp. 14(10%). Enterococcus sp was mostly isolated from less than one year of age, 13/30 (43%), while E.coli was mostly isolated from 1-8 years of age, 38/84(45%). E.Coli was sensitive to Fosfomycin (93%), the Carbapenems (92%) Aminoglycosides (78%) and Nitrofurantoin (78%). The antibiotic showing highest sensitivity, in case of Enterococcus was, Linezolid (100%) followed by Vancomycin (95%) and Fosfomycin (65%). Our study shows increased resistance to third generation cephalosporins. Klebsiella sp. was the most resistant one, showing less than 50% sensitivity to most of the antibiotics.

Conclusion: The urinary tract infections (UTI) in children are highest with E. coli followed by Enterococcus, Klebsiella and Pseudomonas. According to our results Imipenem, Amikacin, Nitrofurantoin, Meropenem and Cefoperazone-sulbactum are the best options for selecting empirical antibiotics for the…

How strong is the evidence?

Evidence Hub reads this as a cross-sectional, done in people. Its evidence level is 4 of 5 (Low · observational). Observational designs can show an association but not prove cause. Reported size: 134 participants or records.

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