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850 Urinary Tract Infections in Children in Jordan: The Microbial Pattern and Resistance to Antibiotics
  1. AA Almatti
  1. Pediatrics, Islamic Hospital, Amman, Jordan



  1. To study the pattern of pathogens causing UTI in children in Jordan.

  2. To study the frequency of E. coli resistance to antibiotics.

Settings and method A prospective study of all cases of UTI presented to our pediatric department both in-patient and out-patient over two years (2010 and 2011). Studying the age and sex, the causative pathogens and their sensitivity and resistance to antibiotics. RESULTS: Age: Under 1 year of age 26 cases (21%), 1–5 years :51 cases(42%). Above 5 years: 37 cases (32%).

Sex Females 94 cases (82%), Males 20 cases (18%). The ratio of 4.7:1.

The total number of cases was 114 including: 79 cases of E.Coli(64%), 29 cases of Klebsiella sp.(23%),7 cases of Enterobacter sp.(6%), 5 cases of Proteus sp.(4%), 2 cases of Staphylococcus aureus (2%) and 1 case of Pseudomonas sp.(1%).

The following antibiotics were administered according to the sensitivity of E. Coli and other factors:

Amikacin in 29 cases (36%), Cefixim 27 cases (34%), Amoxy-clav. 13 cases(17%).

Cephtriaxone 4 cases (5%),Cefpodoxime 3 cases(4%), Cefuroxime 3 cases. (4%).

Conclusion UTIs are more common in girls and in toddlers.

E. coli is the commonest organism causing UTI followed by Klebsiella sp.

*Parenteral Amikacin was the drug of choice in about one third of cases of UTIs caused by E. coli which were resistant to the previously used antibiotics.

*Cefixim is the best oral antibiotic followed by Amoxy-clav.

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