Abstract

AIM: Nowadays, it has become quite difficult to set on empiric treatment of the urinary tract infections (UTI) due to the levels of antibiotic resistance showing local differences. In our study, we aimed to find out what the antibiotic resistance, the region factors of UTI and we also wanted to observe wheather this resistance shows differences betwen diffirent age groups.
METHOD: In this study we made inquiry of six questions with patient parents about region factors effects of UTI. Two hundred children who applied to pediatrics policlinic of Ahu Hetman Hospital with urinary system complaints or diagnosed to have (UTI) while hospitalizing and with positive urinary culture results were included in the study. There were no known chronic disorders or no frequent recurrence of UTI history in the patients. The subjects were divided into three groups as 1) under 1 year old; 2) between 1-6 years old; 3) over 6 years old. Then the frequency of the pathogens was examined in terms of the resistance levels occurring against the antibiotics.
RESULTS: The range of age the patients was between 1 and 192 months. The reproducing pathogens were Escherichiacoli 86% (n=172), Klebsiella pneumoniae 8% (n=16), Proteus mirabilis 4% (n=8) and Enterococcus spp 2% (n=4) respectively. While there was high resistance to amoxycilline (75.8%), ureidopenicillines (%46.4), 1st generation cephalosporin, (48.4%) and cotrimaksazole (43.1%); there was low resistance to imipenem (1.7%), amicasin (5.6%) and 3rd generation cephalosporins (14.7%). According to thes age groups, in Group 1 (¡Ü12 months) the most effective agents were netilmicine (13%), gentamicine (13%) and ceftriakson (17%); in addition to these, we can add cefuroxim-axetil (22.7%) in Group 2 (12-72 months) and nitrofrantoin (11%) in Group 3. Under 1 year old groups didn't include this inquiry about UTL in tourism region. We made this study with a hundred seventy pation's parents ( upper of one year children ) than we observed some of reasons of UTI in tourism region.
CONCLUSION: We observed some of factors; like swimming (wet bathing suits, wrong wipe drying) can be importand reasons of UTI in tourism regions. The parenteral antibiotics to be chosen in the treatment of all age groups in our region are amino glycosides and 3rd generation cephalosporin. We believe that co-trimaksazole can be chosen for oral treatment in 0-1 aged patients; 2nd generation cephalosporin in 1-6 aged patients and nitrofurantoin in patients older than 6 years because these antibiotics have low resistance levels.

Key words: Urinary Tract Infection, Urinary Pathogens, Antibiotic Resistance

Article Language: Turkish English