Muluwork Tefera, Damte Shimelis, Solomon Tessema


Background: Diagnosis of urinary tract infection in children requires a high index of suspicion and optimal specimen collection method and processing for culture. This study was conducted to identify the common urinary tract pathogens and their susceptibility pattern in children at a teaching Hospital in Addis Ababa, Ethiopia.

Objectives- to identify the predominant urinary pathogens and their antimicrobial susceptibility pattern in children admitted with fever and no other source of infection

Methods- This cross sectional study was conducted from April 2015-July 2016 in children between 0-15 years of age who were admitted to the emergency unit of the Department of Pediatrics with fever and no other source of infection. Antimicrobial sensitivity was determined according to laboratory standards.  

Results: A total of 237 children were admitted with fever and no other source of infection. There were 46 urine culture positives of single organisms (19.4%). The most common organisms isolated were Eschericha.coli in 50% and Klebsiella species in 37%. Escherichia coli was resistant to gentamycin in 60.9%; ceftriaxone 79.6%, and ampicillin 95.7%. Klebsiella was 100% resistant to ampicillin, cotrimoxazole and augmentin.

Conclusion: A high rate of urinary tract infection and resistance compels area specific surveillance to select the appropriate antibiotic for empirical treatment of urinary tract infection in children.

Key words: Pediatrics, emergency unit, urinary tract infection, young infant


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