Paediatric UTI: Recent Trends of Aetiology and Sensitivity: A Tertiary Care Hospital Study

Paediatric Urinary Tract Infections are not uncommon, and having an episode of UTI in the early childhood leads to future complications. With ever-increasing antibiotic resistance, the treatment options become more restricted to reserved drugs. This study, including 509 patients and expanded over one year in a tertiary care hospital in Eastern India, tries to throw some light on the recent trends of UTI in paediatric age group. Escherichia coli was the commonest isolate identified in 61.9% cases, followed by Klebsiella pneumoniae-12.4%. Staphylococcus aureus (10.4%), Enterococcus faecalis (6.9%) and Staphylococcus saprophyticus (5.9%) were also quite common isolates. Antibiograms of the isolates showed significant resistance to the commonly prescribed first line drugs like cephalosporins, amoxy-clav, and even with fluoroquinolones, narrowing the list of drugs to injectable preparations like Amikacin, Gentamicin, Netilmicin and Imipenem. The only drugs showing uniform sensitivity were Colistin for gram negative bacteria and Linezolid for gram positive ones, respectively.