title: [Pattern of antimicrobial susceptibility in uropathogen isolates from children].
abstract: The bacteriological profile in children with culture-positive bacteriuria was analyzed during a 5-year period. Escherichia coli was the most common cause of urinary tract infections (57%), followed by Streptococcus faecalis (11%), Pseudomonas aeruginosa (8%), and Proteus mirabilis (6%). Results of antimicrobial susceptibility testing indicated that cephalosporins (first, second and third generation) and nitrofurantoin are the best empirical oral treatment for urinary infections in children. Fosfomycin is a valid option in some cases. In hospitalized children treatment must be initiated with a third-generation cephalosporin, and gentamicin can be added in severely ill inpatients. These treatments can be modified when microbiological results become available.
authors.affiliation: Sección de Nefrología Pediátrica, Hospital Central de Asturias, Oviedo. venancio@correo.uniovi.es
authors.forename: V M
authors.initials: VM
authors.lastname: Suárez
authors.forename: R C
authors.initials: RC
authors.lastname: Suárez
authors.forename: B A
authors.initials: BA
authors.lastname: Pérez
authors.forename: F A
authors.initials: FA
authors.lastname: Alvarez
authors.forename: S P
authors.initials: SP
authors.lastname: Castro
authors.forename: F S
authors.initials: FS
authors.lastname: Rodríguez
authors.forename: S M
authors.initials: SM
authors.lastname: Guerrero
mesh_terms: D000293:Adolescent; D000900:Anti-Bacterial Agents / Q000494:pharmacology* / Q000627:therapeutic use; D002648:Child; D013293:Enterococcus faecalis / Q000187:drug effects; D004926:Escherichia coli / Q000187:drug effects; D005260:Female; D006801:Humans; D007711:Klebsiella pneumoniae / Q000187:drug effects; D008297:Male; D008826:Microbial Sensitivity Tests; D011513:Proteus mirabilis / Q000187:drug effects; D011550:Pseudomonas aeruginosa / Q000187:drug effects; D013210:Staphylococcus / Q000187:drug effects; D014552:Urinary Tract Infections / Q000188:drug therapy* / Q000382:microbiology*
chemical_list: D000900:Anti-Bacterial Agents