Antibiotic resistance patterns of pediatric community-acquired urinary infections

Knowledge about antimicrobial resistance patterns of the etiological agents of urinary tract infections (UTIs) is essential for appropriate therapy. Urinary isolates from symptomatic UTI cases attended at Santa Casa University Hospital of São Paulo from August 1986 to December 1989 and August 2004 t...

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Main Authors: Eliana Biondi Medeiros Guidoni, Eitan N. Berezin, Stanley Nigro, Nataly A Santiago, Vanda Benini, Julio Toporovski
Format: Article
Language:English
Published: Elsevier
Series:Brazilian Journal of Infectious Diseases
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702008000400013&lng=en&tlng=en
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author Eliana Biondi Medeiros Guidoni
Eitan N. Berezin
Stanley Nigro
Nataly A Santiago
Vanda Benini
Julio Toporovski
author_facet Eliana Biondi Medeiros Guidoni
Eitan N. Berezin
Stanley Nigro
Nataly A Santiago
Vanda Benini
Julio Toporovski
author_sort Eliana Biondi Medeiros Guidoni
collection DOAJ
description Knowledge about antimicrobial resistance patterns of the etiological agents of urinary tract infections (UTIs) is essential for appropriate therapy. Urinary isolates from symptomatic UTI cases attended at Santa Casa University Hospital of São Paulo from August 1986 to December 1989 and August 2004 to December 2005 were identified by conventional methods. Antimicrobial resistance testing was performed by Kirby Bauer's disc diffusion method. Among the 257 children, E. coli was found in 77%. A high prevalence of resistance was observed against ampicillin and TMP/SMX (55% and 51%). The antibiotic resistance rates for E. coli were: nitrofurantoin (6%), nalidixic acid (14%), 1st generation cephalosporin (13%), 3rd generation cephalosporins (5%), aminoglycosides (2%), norfloxacin (9%) and ciprofloxacin (4%). We found that E. coli was the predominant bacterial pathogen of community-acquired UTIs. We also detected increasing resistance to TMP/SMX among UTI pathogens in this population.
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spelling doaj.art-a25b3742b4ef490e89458da59fb25ed72022-12-21T19:15:04ZengElsevierBrazilian Journal of Infectious Diseases1678-439112432132310.1590/S1413-86702008000400013S1413-86702008000400013Antibiotic resistance patterns of pediatric community-acquired urinary infectionsEliana Biondi Medeiros Guidoni0Eitan N. Berezin1Stanley Nigro2Nataly A Santiago3Vanda Benini4Julio Toporovski5Santa Casa de Misericórdia de São PauloSanta Casa de Misericórdia de São PauloSanta Casa de Misericórdia de São PauloSanta Casa de Misericórdia de São PauloSanta Casa de Misericórdia de São PauloSanta Casa de Misericórdia de São PauloKnowledge about antimicrobial resistance patterns of the etiological agents of urinary tract infections (UTIs) is essential for appropriate therapy. Urinary isolates from symptomatic UTI cases attended at Santa Casa University Hospital of São Paulo from August 1986 to December 1989 and August 2004 to December 2005 were identified by conventional methods. Antimicrobial resistance testing was performed by Kirby Bauer's disc diffusion method. Among the 257 children, E. coli was found in 77%. A high prevalence of resistance was observed against ampicillin and TMP/SMX (55% and 51%). The antibiotic resistance rates for E. coli were: nitrofurantoin (6%), nalidixic acid (14%), 1st generation cephalosporin (13%), 3rd generation cephalosporins (5%), aminoglycosides (2%), norfloxacin (9%) and ciprofloxacin (4%). We found that E. coli was the predominant bacterial pathogen of community-acquired UTIs. We also detected increasing resistance to TMP/SMX among UTI pathogens in this population.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702008000400013&lng=en&tlng=enUrinary tract infectionpediatrics urinary tract infectionbacterial resistanceEscherichia coli
spellingShingle Eliana Biondi Medeiros Guidoni
Eitan N. Berezin
Stanley Nigro
Nataly A Santiago
Vanda Benini
Julio Toporovski
Antibiotic resistance patterns of pediatric community-acquired urinary infections
Brazilian Journal of Infectious Diseases
Urinary tract infection
pediatrics urinary tract infection
bacterial resistance
Escherichia coli
title Antibiotic resistance patterns of pediatric community-acquired urinary infections
title_full Antibiotic resistance patterns of pediatric community-acquired urinary infections
title_fullStr Antibiotic resistance patterns of pediatric community-acquired urinary infections
title_full_unstemmed Antibiotic resistance patterns of pediatric community-acquired urinary infections
title_short Antibiotic resistance patterns of pediatric community-acquired urinary infections
title_sort antibiotic resistance patterns of pediatric community acquired urinary infections
topic Urinary tract infection
pediatrics urinary tract infection
bacterial resistance
Escherichia coli
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702008000400013&lng=en&tlng=en
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AT vandabenini antibioticresistancepatternsofpediatriccommunityacquiredurinaryinfections
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