Prevalence of urinary infection in children and adolescents
DOI:
https://doi.org/10.11606/issn.1679-9836.v104i1e-228137Keywords:
Bacteriuria, Urinary Tract Infection, Pyelonephitis, UrineAbstract
Urinary tract infection (UTI) is one of the most common infections in children, especially among neonates, and it tends to recur. In this context, a quicker diagnosis of UTI in children and adolescents can aid in establishing early and effective therapy, thereby preventing long-term consequences. OBJECTIVE: To determine the prevalence of microorganisms found in positive urine samples of children and adolescents, as well as their resistance and sensitivity. METHODS: A cross-sectional study was conducted using urine samples from children and adolescents collected in 2019. Analyses were performed by the Carlos Chagas Laboratory, Grupo Sabin, in Cuiabá, MT. The data were subjected to descriptive statistical analysis. RESULTS: Among the 532 samples analyzed, 81.76% were enterobacteria, with E. coli being the most prevalent (64.13%). Females had a higher incidence across all age groups, particularly among those aged 0 to 2 years and 11 months. Age-wise analysis revealed that 57% of UTIs occurred in children aged 0 to 2 years and 11 months. The sensitivity profile of enterobacteria indicated high sensitivity to meropenem, ertapenem, ceftriaxone, and ceftazidime, while there was significant resistance to ampicillin, amoxicillin, and sulfamethoxazole/trimethoprim. DISCUSSION: The prevalence of E. coli as the causative agent of UTIs in children is consistent with previous studies. E. coli resistance to certain antibiotics underscores the need to consider alternative treatment options. CONCLUSION: It is concluded that E. coli is the primary microorganism responsible for UTIs in children, with a prevalence among females and the age group of 0 to 2 years and 11 months. Regarding sensitivity profiles, bacteria were more sensitive to carbapenems and aminoglycosides. Early diagnosis is crucial to prevent long-term complications associated with UTIs in children.
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