Antimicrobial survey of urinary tract isolates from a pediatric department.
The epidemiology of urinary tract colonization/infection in children admitted during 1996 to the Pediatric Department of the University of Verona has been studied; 501/1959 urine cultures were positive (25.57%). 584 microorganisms (64.89% Gram-negative, 24.82% Gram-positive, 10.27% fungi) were isolated. The highest rate of Gram-negative isolation (80.0%) was observed in infants, while the highest rate of Gram-positive isolation (29.6%) was found in newborns admitted to the neonatal intensive care unit. Escherichia coli was the most frequently isolated microorganism in infants and children, but not in newborns. A 3-fold increase in resistant E. coli strains to cotrimoxazole/sulfamethoxazole and amoxicillin/clavulanic acid was documented during the last 3 years in this pediatric population. Our observations underline the importance of the survey of microbial maps in pediatric departments in order to optimize therapeutic and preventive choices.
Fanos
V
V
Pediatric Department, University of Verona, Italy. vafanos@tin.it
Khoory
B J
BJ
D000900:Anti-Bacterial Agents / Q000494:pharmacology*; D004352:Drug Resistance, Microbial; D004926:Escherichia coli / Q000302:isolation & purification / Q000472:pathogenicity; D004927:Escherichia coli Infections / Q000188:drug therapy*; D005260:Female; D006801:Humans; D015994:Incidence; D007223:Infant; D007231:Infant, Newborn; D007363:Intensive Care Units, Neonatal; D008297:Male; D014552:Urinary Tract Infections / Q000188:drug therapy / Q000453:epidemiology / Q000382:microbiology*
D000900:Anti-Bacterial Agents