Amaç: İdrar yolu enfeksiyonu çocuklarda sık görülen ciddi bakteriyel enfeksiyonların başında gelir. Bölgesel farklılıklar ve geçirilmiş enfeksiyonlar nedeniyle antibiyotik kullanımı beraberinde mikroorganizmalarda ve antibiyotik duyarlılığında değişkenlikler gibi sorunlar taşımaktadır. Bu çalışmada çocuklarda idrar yolu enfeksiyonlarında saptanan mikroorganizmaların ve bunların antibiyotik direnç durumlarının belirlenmesi amaçlanmıştır.
Gereç ve yöntem: Retrospektif gözlemsel bir çalışma planlandı. Hastanemiz çocuk kliniğinde 2013 yılında idrar yolu enfeksiyonu tanısı ile yatarak tedavi gören hastaların demografik verileri, idrar mikroskopileri ve idrar kültür sonuçları, retrospektif olarak hastane otomasyon sistemi üzerinden taranarak kayıt altına alındı. Verilerin değerlendirilmesinde hastaların ilk kültür sonuçları kullanıldı.
Bulgular: 112 hastadan oluşan çalışma grubunda, idrar kültüründe üreme olan hastalarda en sık tespit edilen mikroorganizmalar Escherichia coli (E.coli) ve Klebsiella oldu. 2 yaş altında Klebsiella daha sık görülürken 2 yaş üstünde belirgin oranda E-coli sıklığı göze çarpmaktaydı. Her iki mikroorganizmanın da en sık direnç geliştirdiği antibiyotiğin ise ampisilin olduğu tespit edildi.
Sonuç: Bölgesel enfeksiyon etkenleri ve antibiyotik dirençleri belli aralıklarla gözden geçirilmeli, uygun ampirik tedaviler değerlendirilmelidir. Böylece tedavide başarı şansının artacağı ve direnç gelişim hızının azalacağı ön görülmektedir.
Aim Urinary tract infection is one of the most common serious bacterial infections in children. Due to regional differences and past infections, the use of antibiotics has problems such as variability in microorganisms and antibiotic susceptibility. In this study, we aimed to determine the microorganisms detected in urinary tract infections in children and their antibiotic resistance status.
Methods A retrospective observational study was planned. Demographic data, urine microscopy and urine culture results of patients who were hospitalized with urinary tract infection diagnosis in our pediatric clinic at hospital were recorded retrospectively through hospital automation system. The first culture results of the patients were used in the evaluation of the data.
Results In the study group of 112 patients, Escherichia coli (E. coli) and Klebsiella were the most identified microorganisms in patients with urinary culture. Under 2 years old, Klebsiella was more frequent, and at 2 years of age there was a noticeable increase in the frequency of E-coli. The most common resistance of both microorganisms was found to be ampicillin.
Conclusions: Regional infectious agents and antibiotic resistance should be revised at regular intervals, appropriate empiric therapy should be considered. Thus, is predicted that the chance of success in treatment will increase and the speed of resistance development will decrease.
| Subjects | Health Care Sciences and Services |
|---|---|
| Journal Section | Research article |
| Authors |
|
| Dates |
Publication Date : April 24, 2017 |
| Bibtex | @research article { josam337780,
journal = {Journal of Surgery and Medicine},
issn = {},
eissn = {2602-2079},
address = {jsurgmed@gmail.com},
publisher = {Fatih BAŞAK},
year = {2017},
volume = {1},
pages = {9 - 11},
doi = {10.28982/josam.337780},
title = {Distribution of Microorganisms and Antibiotic Resistance in Children with Urinary Tract Infections, Retrospective Case Series.},
key = {cite},
author = {Kaya, Didem and Atadağ, Yıldız and Di̇lber Köşker, Hatice and Aydın, Abdülkadir and Aydoğdu, Selime}
} |
| APA | Kaya, D , Atadağ, Y , Di̇lber Köşker, H , Aydın, A , Aydoğdu, S . (2017). Distribution of Microorganisms and Antibiotic Resistance in Children with Urinary Tract Infections, Retrospective Case Series. . Journal of Surgery and Medicine , 1 (1) , 9-11 . DOI: 10.28982/josam.337780 |
| MLA | Kaya, D , Atadağ, Y , Di̇lber Köşker, H , Aydın, A , Aydoğdu, S . "Distribution of Microorganisms and Antibiotic Resistance in Children with Urinary Tract Infections, Retrospective Case Series." . Journal of Surgery and Medicine 1 (2017 ): 9-11 <http://jsurgmed.com/en/pub/issue/31119/337780> |
| Chicago | Kaya, D , Atadağ, Y , Di̇lber Köşker, H , Aydın, A , Aydoğdu, S . "Distribution of Microorganisms and Antibiotic Resistance in Children with Urinary Tract Infections, Retrospective Case Series.". Journal of Surgery and Medicine 1 (2017 ): 9-11 |
| RIS | TY - JOUR T1 - Distribution of Microorganisms and Antibiotic Resistance in Children with Urinary Tract Infections, Retrospective Case Series. AU - Didem Kaya , Yıldız Atadağ , Hatice Di̇lber Köşker , Abdülkadir Aydın , Selime Aydoğdu Y1 - 2017 PY - 2017 N1 - doi: 10.28982/josam.337780 DO - 10.28982/josam.337780 T2 - Journal of Surgery and Medicine JF - Journal JO - JOR SP - 9 EP - 11 VL - 1 IS - 1 SN - -2602-2079 M3 - doi: 10.28982/josam.337780 UR - https://doi.org/10.28982/josam.337780 Y2 - 2017 ER - |
| EndNote | %0 Journal of Surgery and Medicine Distribution of Microorganisms and Antibiotic Resistance in Children with Urinary Tract Infections, Retrospective Case Series. %A Didem Kaya , Yıldız Atadağ , Hatice Di̇lber Köşker , Abdülkadir Aydın , Selime Aydoğdu %T Distribution of Microorganisms and Antibiotic Resistance in Children with Urinary Tract Infections, Retrospective Case Series. %D 2017 %J Journal of Surgery and Medicine %P -2602-2079 %V 1 %N 1 %R doi: 10.28982/josam.337780 %U 10.28982/josam.337780 |
| ISNAD | Kaya, Didem , Atadağ, Yıldız , Di̇lber Köşker, Hatice , Aydın, Abdülkadir , Aydoğdu, Selime . "Distribution of Microorganisms and Antibiotic Resistance in Children with Urinary Tract Infections, Retrospective Case Series.". Journal of Surgery and Medicine 1 / 1 (April 2017): 9-11 . https://doi.org/10.28982/josam.337780 |
| AMA | Kaya D , Atadağ Y , Di̇lber Köşker H , Aydın A , Aydoğdu S . Distribution of Microorganisms and Antibiotic Resistance in Children with Urinary Tract Infections, Retrospective Case Series.. J Surg Med. 2017; 1(1): 9-11. |
| Vancouver | Kaya D , Atadağ Y , Di̇lber Köşker H , Aydın A , Aydoğdu S . Distribution of Microorganisms and Antibiotic Resistance in Children with Urinary Tract Infections, Retrospective Case Series.. Journal of Surgery and Medicine. 2017; 1(1): 9-11. |
| IEEE | D. Kaya , Y. Atadağ , H. Di̇lber Köşker , A. Aydın and S. Aydoğdu , "Distribution of Microorganisms and Antibiotic Resistance in Children with Urinary Tract Infections, Retrospective Case Series.", Journal of Surgery and Medicine, vol. 1, no. 1, pp. 9-11, Apr. 2017, doi:10.28982/josam.337780 |