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Research Article Open access CC BY 4.0

A Retrospective Study of Pediatric Urinary Tract Infections of Tamatave University Hospital Center, Madagascar

Arthur Bien Aimé Ratsimbazafy, Andry Maharo Andrianarivelo, Narison Mbolanirina Lala Rakotomahefa, Heriniaina Rakotoarisoa, Van Cuong Miora Anissa, Jean De La Croix Rasolonjatovo, Norotiana Rabesandratana

Asian Journal of Pediatric Research · pp. 1–8 · Published 10 Jun 2020

10.9734/ajpr/2020/v3i430132

Abstract

Urinary tract infection (UTI) is very common in children. The future of kidney function depends on its management. Our objective was to investigate the epidemio-clinical, bacteriological and therapeutic profile of UTIsin the Pediatric Department of Tamatave University Hospital Center, Madagascar for better care of children. Methods: This is a retrospective and descriptive study that was carried out in the Pediatrics Department of Tamatave University Hospital over a three-year period from January 1, 2017 to December 31, 2019. The parameters retained and studied were age, gender, clinical signs, pathogens identified with the results of the antibiotic susceptibility tests and the treatments received. Results: The frequency of UTI was 7.46%. The average age was 11.21 months, with extremes of 2 to 120 months. Fever was the main symptom found (80.95%) followed by urinary signs. Escherichia coli was the most frequently isolated bacteria (61.90%). Almost all of the isolates found (98%) were resistant to amoxicillin, tetracycline and cotrimoxazole. Ceftriaxone alone was the most used (44.44%). Discussion: This study suggests that gentamicin and ceftriaxone (even though ESBLs were found) should be included in the treatment protocol for UTIs in the absence of an antibiogram, which is not always available in our context.

Urinary tract infection paediatrics Escherichia coli gentamicin Tamatave

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Cited by 1

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Amina Pervaiz, Shezana Kosar, Sumaira Mushtaque · 2020

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