Jhon Camacho-Cruz1, Javier Munoz Martinez2, Julio Mahecha Cufino2, German Camacho Moreno2, Carolina Rivera Murillo2, Maria Alejandra Suarez Fuentes2, Carlos Alberto Castro3. 1. Department of Pediatrics, Fundación Universitaria de Ciencias de la Salud (FUCS) - Hospital de San José and Hospital Infantil Universitario de San José de Bogotá, Colombia. Correspondence to: DrJhon Camacho, Associate Instructor, Department of Pediatrics FUCS,Calle 10, No.18-75 Bogota, Colombia. jhcamacho@fucsalud.edu.co. 2. Department of Pediatrics, Fundación Universitaria de Ciencias de la Salud (FUCS) - Hospital de San José and Hospital Infantil Universitario de San José de Bogotá, Colombia. 3. Department of Medical Epidemiology, Fundación Universitaria de Ciencias de la Salud (FUCS) - Hospital de San José and Hospital Infantil Universitario de San José de Bogotá, Colombia.
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.
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.