Urinary tract infection in pediatric population with urological abnormalities in a fourth level hospital in Bogota, Colombia

Main Article Content

Abstract

Introduction: Urological anomalies represent one-third of congenital malformations worldwide and increase pediatric patients' risk of urinary tract infections (UTIs). The literature on this population's resistance patterns of microorganisms involved in UTIs is scarce. It is unknown if it leads to a different empirical treatment than in patients without alterations. Methods: The objective of the study was to characterize the pediatric population with urological malformations and UTIs in a fourth-level institution and to determine which were the most frequent etiological microorganisms and their patterns of bacterial resistance. A cross-sectional study was developed in patients younger than ten diagnosed with UTI and urological abnormality who assisted to the hospital between January 2014 and December 2019. The data was recorded in the REDCap application and processed in Excel®. Results: 145 children with urological malformations consulted the hospital and were diagnosed with UTIs during the study period. A higher prevalence was found in girls, the average age of UTIs presentation was 23 months. The most frequent anomalies were kidney malformations, and the most frequent microorganism was Escherichia coli, followed by Klebsiella pneumoniae and Proteus mirabilis. The most frequent resistance pattern of Escherichia coli was penicillinase producer. Conclusions: It is essential to periodically characterize urinary tract infections in pediatric patients with urological abnormalities to have updated data to guide treatment and guidelines, thus providing better medical care, preventing complications, and resulting in a better quality of life for these patients.

Downloads

Download data is not yet available.

Article Details

How to Cite
Urinary tract infection in pediatric population with urological abnormalities in a fourth level hospital in Bogota, Colombia. (2022). Pediatría, 55(2), 70–75. https://doi.org/10.14295/rp.v55i2.349
Section
Originals

References

Palacios Loro ML, Segura Ramírez DK, Ordoñez Álvarez FA, Santos Rodríguez F. Congenital anomalies of the kidney and urinary tract. A vision for the paediatrician. An Pediatría (English Ed. 2015;83(6):442.e1-442.e5.

Zarante, M. Zarante, A. Fernández, N. Frecuencia de malformaciones congénitas genitales y urológicas en Colombia. (2009). Rev Arg Urol. 74(2). 85-90.

Katherine C. Hubert, Jeffrey S. Palmer. Current diagnosis and management of fetal genitourinary abnormalities. Urol Clin North Am. 2007; 34(1): 89–101.

Anomalías nefrourológicas congénitas en niños hospitalizados. Arch. Pediatr. Urug. 2013; (84) suppl.1. 48-54.

Mariángel, C. Jaime, P. Diana, E. Yazmín, R. Guía de práctica clínica: Infección de vías urinarias en pediatría. Hospital Universitario San Ignacio Bogotá; 2019.

Ali Ahmadzadeh, Shahnam Askarpour. Association of urinary tract abnormalities in children with first urinary tract infection. Pakistan J Med Sci. 2007;23(1):88-91.

Vachvanichsanong P, Dissaneewate P, McNeil E. What Did We Find From Imaging Studies in Childhood Urinary Tract Infection and Which Studies Are Mandatory? Urology. 2018; (111):176-182.

Zanetta V, Rosman B, Rowe C, Buonfiglio H, Passerotti C, Yu R et al. Predicting Anatomical Urological Abnormalities in Children Who Present With Their First Urinary Tract Infection. 2013; 52(8):739-46.

M Okarska-Napierała, A. Wasilewska, E. Kuchar. Urinary tract infection in children: Diagnosis, treatment, imaging - Comparison of current guidelines. J Pediatr Urol, 2017; 13(6):567-573.

Garout W.A., Kurdi H.S., Shilli A.H., Kari J.A. Urinary tract infection in children younger than 5 years. Etiology and associated urological anomalies. Saudi Med. J. 2015;36(4):497–501.

Edwards A, Peters CA. Managing vesicoureteral reflux in children: making sense of all the data. F1000Res. 2019;8;8:F1000.

Granados, C. Rincón, C. Características microbiológicas y resistencia antimicrobiana en aislamientos de urocultivos en niños de 1 mes a 5 años del Hospital Universitario San Ignacio entre enero de 2008 a febrero de 2013. Hospital Universitario San Ignacio. Pediatría. 2012;(45)1:8-22.

Wragg R, Harris A, Patel M, Robb A, Chandran H, McCarthy L. Extended spectrum beta lactamase (ESBL) producing bacteria urinary tract infections and complex pediatric urology. J Pediatr Surg. 2017;52(2):286-288.

Kim YH, Yang EM, Kim CJ (2017) Urinary tract infection caused by community-acquired extended-spectrum β-lactamase-producing bacteria in infants. 2017;93(3):260-266.

Lince-Rivera I, León MC, Rodríguez N, González MC, López-Ramos H. Clinical and microbiological characterization of pediatric patients with urinary tract infection in a fourth-level hospital in Bogotá, Colombia, over a period of four years. Univ. Med. 2022;63(1):49-58.

Mahony, M. McMullan, B. Brown, J. Multidrug-resistant organisms in urinary tract infections in children. Pediatr Nephrol. 2020;35(9):1563-1573.

Alkhateeb NE, Al Azzawi S, Al Tawil NG. Association between UTI and urinary tract abnormalities: A case-control study in Erbil City/Iraq. J Pediatr Urol. 2014;10(6):1165–9.

Wong S-N, Tse NK-C, Lee K-P, Yuen S-F, Leung LC-K, Pau BC-K, et al. Evaluating different imaging strategies in children after first febrile urinary tract infection. Pediatr Nephrol. 2010;25(10):2083–91.

Similar Articles

<< < 6 7 8 9 10 11 12 13 14 15 > >> 

You may also start an advanced similarity search for this article.