1. Extended-Spectrum b-Lactamase-Producing Enterobacteriaceae Causing Community-Acquired Urinary Tract Infections in Children in Colombia.
- Author
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Camacho-Cruz J, Martinez JM, Cufino JM, Moreno GC, Murillo CR, Fuentes MAS, and Castro CA
- Subjects
- Anti-Bacterial Agents therapeutic use, Child, Child, Preschool, Colombia epidemiology, Escherichia coli, Female, Humans, Klebsiella, Microbial Sensitivity Tests, beta-Lactamases, Community-Acquired Infections drug therapy, Community-Acquired Infections epidemiology, Enterobacteriaceae Infections epidemiology, Urinary Tract Infections drug therapy, Urinary Tract Infections epidemiology
- Abstract
Objective: To characterize the pediatric patients presenting at the two pediatric centers in Bogotá, with first isolate urine culture of community-acquired extended-spectrum b-lactamase (ESBL)-producing enterobacteriaceae., Methods: Review of microbiological data of children between January, 2012 and December, 2018, obtained using the WHONET software., Results: A total of 2657 Escherichia coli, Klebsiella spp and Proteus mirabilis - positive urine cultures were obtained within a 6-year period; data of 132 patients were finally selected. Frequency of ESBL-producing bacteria infections in community-acquired urinary tract infections (UTI) was 5%: 123 E. coli (93.2%), 7 K. pneumoniae (5.2%), 1 K. oxytoca (0.8%), and 1 P. mirabilis (0.8%)., Conclusion: A predominance of female sex, preschool children, and lower tract urinary infections were found, as well as a low frequency of comorbidities. Adequate sensitivity to amikacin and nitrofurantoin was found in this study.
- Published
- 2021