Journal of Comprehensive Pediatrics

Published by: Kowsar

Bacterial Pathogens and Resistance Patterns in Children With Community-Acquired Urinary Tract Infection: A Cross Sectional Study

Shahla Afsharpaiman 1 , Fatemeh Bairaghdar 2 , Mohammad Torkaman 3 , Zohreh Kavehmanesh 4 , * , Suzan Amirsalari 2 , Mehran Moradi 5 and Mohammad Safavimirmahalleh 5
Authors Information
1 Health Research Center, Baqiyatallah University of Medical Sciences, Tehran, IR Iran
2 Department of Pediatric Nephrology, Pediatrics Center, Baqiyatallah University of Medical Sciences, Tehran, IR Iran
3 Department of Neurology, Pediatrics Center, Baqiyatallah University of Medical Sciences, Tehran, IR Iran
4 Department of Pediatrics Gastroenterology, Pediatrics Center, Baqiyatallah University of Medical Sciences, Tehran, IR Iran
5 Medical Student, Baqiyatallah University of Medical Sciences, Tehran, IR Iran
Article information
  • Journal of Comprehensive Pediatrics: August 01, 2012, 3 (1); 16-20
  • Published Online: August 14, 2012
  • Article Type: Research Article
  • Received: October 20, 2011
  • Revised: October 30, 2011
  • Accepted: November 4, 2011
  • DOI: 10.17795/compreped-7078

To Cite: Afsharpaiman S, Bairaghdar F, Torkaman M, Kavehmanesh Z, Amirsalari S, et al. Bacterial Pathogens and Resistance Patterns in Children With Community-Acquired Urinary Tract Infection: A Cross Sectional Study, J Compr Ped. 2012 ; 3(1):16-20. doi: 10.17795/compreped-7078.

Copyright © 2012, Iranian Society of Pediatrics. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Background
2. Objectives
3. Patients and Methods
4. Results
5. Discussion
  • 1. Al-Mardeni RI, Batarseh A, Omaish L, Shraideh M, Batarseh B, Unis N. Empirical treatment for pediatric urinary tract infection and resistance patterns of uropathogens, in Queen Alia hospital and prince A’Isha military center--Jordan. Saudi J Kidney Dis Transpl. 2009; 20(1): 135-9[PubMed]
  • 2. Al-Mendalawi MD. Antibiotic resistance pattern and empirical therapy for urinary tract infections in children. Saudi Med J. 2008;29(10):1520; 29(10): 1520[PubMed]
  • 3. Anatoliotaki M, Galanakis E, Schinaki A, Stefanaki S, Mavrokosta M, Tsilimigaki A. Antimicrobial resistance of urinary tract pathogens in children in Crete, Greece. Scand J Infect Dis. 2007; 39(8): 671-5[DOI][PubMed]
  • 4. Yuksel S, Ozturk B, Kavaz A, Ozcakar ZB, Acar B, Guriz H, et al. Antibiotic resistance of urinary tract pathogens and evaluation of empirical treatment in Turkish children with urinary tract infections. Int J Antimicrob Agents. 2006; 28(5): 413-6[DOI][PubMed]
  • 5. Mathai D, Jones RN, Pfaller MA. Epidemiology and frequency of resistance among pathogens causing urinary tract infections in 1,510 hospitalized patients: a report from the SENTRY Antimicrobial Surveillance Program (North America). Diagn Microbiol Infect Dis. 2001; 40(3): 129-36[DOI]
  • 6. Modarres S, Oskoii NN. Bacterial etiologic agents of urinary tract infection in children in the Islamic Republic of Iran. East Mediterr Health. 1997; 3: 290-5
  • 7. Farrell DJ, Morrissey I, De Rubeis D, Robbins M, Felmingham D. A UK multicentre study of the antimicrobial susceptibility of bacterial pathogens causing urinary tract infection. J Infect. 2003; 46(2): 94-100[DOI][PubMed]
  • 8. Lutter SA, Currie ML, Mitz LB, Greenbaum LA. Antibiotic resistance patterns in children hospitalized for urinary tract infections. Arch Pediatr Adolesc Med. 2005; 159(10): 924-8[DOI]
  • 9. Pena C, Albareda JM, Pallares R, Pujol M, Tubau F, Ariza J. Relationship between quinolone use and emergence of ciprofloxacin-resistant Escherichia coli in bloodstream infections. Antimicrob Agents Chemother. 1995; 39(2): 520-4[DOI][PubMed]
  • 10. Ashkenazi S, Even-Tov S, Samra Z, Dinari G. Uropathogens of various childhood populations and their antibiotic susceptibility. Pediatr Infect Dis J. 1991; 10(10): 742-6[DOI][PubMed]
  • 11. Panahi Y, Beiraghdar F, Moharamzad Y, Matinzadeh ZK, Einollahi B. The incidence of urinary tract infections in febrile children during a two-year period in Tehran, Iran. Trop Doct. 2008; 38(4): 247-9[DOI][PubMed]
  • 12. Naseri M, Alamdaran A. Urinary tract infection and predisposing factors in children. Iran J Pediatr. 2007; 17(3)
  • 13. Bauer AW, Kirby WM, Sherris JC, Turck M. Antibiotic susceptibility testing by a standardized single disk method. Am J Clin Pathol. 1966; 45(4): 493-6[PubMed]
  • 14. Sharifian M, Karimi A, Tabatabaei SR, Anvaripour N. Microbial sensitivity pattern in urinary tract infections in children: a single center experience of 1,177 urine cultures. Jpn J Infect Dis. 2006; 59(6): 380-2[PubMed]
  • 15. Farajnia S, Alikhani MY, Ghotaslou R, Naghili B, Nakhlband A. Causative agents and antimicrobial susceptibilities of urinary tract infections in the northwest of Iran. Int J Infect Dis. 2009; 13(2): 140-4[DOI][PubMed]
  • 16. Zhanel GG, Karlowsky JA, Harding GK, Carrie A, Mazzulli T, Low DE, et al. A Canadian national surveillance study of urinary tract isolates from outpatients: comparison of the activities of trimethoprim-sulfamethoxazole, ampicillin, mecillinam, nitrofurantoin, and ciprofloxacin. The Canadian Urinary Isolate Study Group. Antimicrob Agents Chemother. 2000; 44(4): 1089-92[DOI][PubMed]
  • 17. Gupta K. Emerging antibiotic resistance in urinary tract pathogens. Infect Dis Clin North Am. 2003; 17(2): 243-59[DOI]
  • 18. Hooton TM, Stamm WE. Diagnosis and treatment of uncomplicated urinary tract infection. Infect Dis Clin North Am. 1997; 11(3): 551-81[DOI]
  • 19. Torkaman M, Afsharpaiman SH, Hoseini MJ, Moradi M, Mazraati A, Amirsalari S, et al. Platelet count and neonatal sepsis: a high prevalence of Enterobacter spp. Singapore Med J. 2009; 50(5): 482-5[PubMed]
  • 20. Tamim MM, Alesseh H, Aziz H. Analysis of the efficacy of urine culture as part of sepsis evaluation in the premature infant. Pediatr Infect Dis J. 2003; 22(9): 805-8[DOI][PubMed]
  • 21. Bergstrom T, Larson H, Lincoln K, Winberg J. Studies of urinary tract infections in infancy and childhood. XII. Eighty consecutive patients with neonatal infection. J Pediatr. 1972; 80(5): 858-66[PubMed]
  • 22. Littlewood JM. 66 infants with urinary tract infection in first month of life. Arch Dis Child. 1972; 47(252): 218-26[DOI][PubMed]
  • 23. Stull TL, LiPuma JJ. Epidemiology and natural history of urinary tract infections in children. Med Clin North Am. 1991; 75(2): 287-97[PubMed]
  • 24. Movahedian AH, Mosayebi Z, Moniri R. Urinary Tract Infections in Hospitalized Newborns in Beheshti Hospital, Iran: A Retrospective Study. J Infect Dis Antimicrob Agents. 2007; 24(1): 7-11
  • 25. Pape L, Gunzer F, Ziesing S, Pape A, Offner G, Ehrich JH. [Bacterial pathogens, resistance patterns and treatment options in community acquired pediatric urinary tract infection]. Klin Padiatr. 2004; 216(2): 83-6[DOI][PubMed]
  • 26. Yildiz B, Kural N, Durmaz G, Yarar C, Ak I, Akcar N. Antibiotic resistance in children with complicated urinary tract infection. Saudi Med J. 2007; 28(12): 1850-4[PubMed]
  • 27. Randrianirina F, Soares JL, Carod JF, Ratsima E, Thonnier V, Combe P, et al. Antimicrobial resistance among uropathogens that cause community-acquired urinary tract infections in Antananarivo, Madagascar. J Antimicrob Chemother. 2007; 59(2): 309-12[DOI][PubMed]
  • 28. Paterson DL. Resistance in gram-negative bacteria: Enterobacteriaceae. Am J Infect Control. 2006; 34(5 Suppl 1): 20-8
  • 29. Rossi F, Baquero F, Hsueh PR, Paterson DL, Bochicchio GV, Snyder TA, et al. In vitro susceptibilities of aerobic and facultatively anaerobic Gram-negative bacilli isolated from patients with intra-abdominal infections worldwide: 2004 results from SMART (Study for Monitoring Antimicrobial Resistance Trends). J Antimicrob Chemother. 2006; 58(1): 205-10[DOI][PubMed]
  • 30. Chow JW, Satishchandran V, Snyder TA, Harvey CM, Friedland IR, Dinubile MJ. In vitro susceptibilities of aerobic and facultative gram-negative bacilli isolated from patients with intra-abdominal infections worldwide: the 2002 Study for Monitoring Antimicrobial Resistance Trends (SMART). Surg Infect (Larchmt). 2005; 6(4): 439-48[DOI][PubMed]
Creative Commons License Except where otherwise noted, this work is licensed under Creative Commons Attribution Non Commercial 4.0 International License .

Search Relations:



Create Citiation Alert
via Google Reader

Readers' Comments