In Children with Urinary Tract Infection, Organism and Its Sensitivity Patterns in Jharkhand – A Hospital Based Study
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 4
Abstract
Background: Urinary tract infection is one of the most common infections in children. Early diagnosis and appropriate treatment can significantly decrease late serious complications. Aim & Objective: The primary aim of this study was to see the causative organisms and their culture & sensitivity pattern, so that pediatrician can choose the most appropriate and safe antibiotic when treating a children with UTI in this area. Material and Methods: All children from 1 month to 15 years of age with culture positive urinary tract infections who were admitted to Pediatric ward from 13 th April 2018 to 12th February 2019 were included. The causative organisms for urinary tract infection along with its antibiotic sensitivity pattern were retrospectively reviewed and analyzed. Results: Among 105 patients of suspected UTI, 48 cases of culture positive urinary tract infection were enrolled in this study in a period of 10 months. The most common causative organism was Escherichia coli (67%), followed by Klebsiella pneumoniae (21%), Non-hemolytics streptococcus (4%), Enterobacter (2%), Acinetobacter (2%), Proteus (2%) and Coagulase negative staphylococcus (2%). Out of 48 cases, 90% were sensitive to Amikacin and 85% were resistant to Ofloxacin. Conclusion: Escherichia coli is the most common organism causing urinary tract infection in children. As resistant to first line antibiotic is increasing, antibiotic stewardship programme should be strengthened.
Authors and Affiliations
Dr. Raghu Nandan Choudhary, Dr. (Prof. ) Anil Kumar Chaudhary, Dr. Anupam Kumar Rakesh
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