Determining the frequency of the bacterial agents in urinary tract infection in hospitalized patients under 18 years old in Ekbatan Hospital

ABSTRACT

Urinary tract infection [UTI] is the most common urogenital disease and the second common infectious disease in childhood. Appropriate, adequate and on time treatment result in cure and prevention of renal scar. The aim of this study is determining the frequency of the bacterial agents in urinary tract infection in patients [age < 18 y] and their antibiotic susceptibility pattern. This study was a retrospective cross sectional [Discriptive - Analytic] study that included all of the recorded urine culture and antibiograms in Ekbatan Medical center in 2004 - 2005. 156 patients including girls [74.7%] and boys [25.6%] with positive urine culture and antibiograms were studied. The most common age group in boys was 1-24m and 6-18y [40%],and in girls 1-24m [34.5%]. The most sensitive antibiotics were Nitrofurantoin, Ciprofloxacin, Amikacin, Gentamicin, Nalidixic Acid, Ceftizoxime, Co-Trimoxazole, Ceftriaxone and Tobramycin, respectively. The most resistant antibiotics were Ampicillin and Tetracycline. This study suggests that useful antibiotics in different situation such as Nitrofurantoin, Ciprofloxacin, Amikacin, Gentamicin, Nalidixic Acid, Ceftizoxime, Co-Trimoxazole, Ceftriaxone and Tobramycin