Antibiotic Resistance in Pediatric Urinary Tract Infections

被引:16
作者
Stultz, Jeremy S. [1 ]
Doern, Christopher D. [2 ]
Godbout, Emily [3 ]
机构
[1] Virginia Commonwealth Univ, Sch Pharm, Dept Pharmacotherapy & Outcomes Sci, Smith Bldg,Room 435,410 N 12th St,POB 980533, Richmond, VA 23298 USA
[2] Virginia Commonwealth Univ Hlth Syst, Dept Pathol, Richmond, VA 23298 USA
[3] Virginia Commonwealth Univ, Dept Pediat, Childrens Hosp Richmond, Richmond, VA 23298 USA
关键词
Microbial sensitivity tests; Urinary tract infections; Pediatric; Extended spectrum beta-lactamases; CLINICAL-PRACTICE GUIDELINE; ESCHERICHIA-COLI; RISK-FACTORS; CHILDREN; ASSOCIATION; SUSCEPTIBILITY; UROPATHOGENS; PREVALENCE; MANAGEMENT; DIAGNOSIS;
D O I
10.1007/s11908-016-0555-4
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Urinary tract infections (UTIs) are a common problem in pediatric patients. Resistance to common antibiotic agents appears to be increasing over time, although resistance rates may vary based on geographic region or country. Prior antibiotic exposure is a pertinent risk factor for acquiring resistant organisms during a first UTI and recurrent UTI. Judicious prescribing of antibiotics for common pediatric conditions is needed to prevent additional resistance from occurring. Complex pediatric patients with histories of hospitalizations, prior antibiotic exposure, and recurrent UTIs are also at high risk for acquiring UTIs due to extended spectrum beta-lactamase- producing organisms. Data regarding the impact of in vitro antibiotic susceptibility testing interpretation on UTI treatment outcomes is lacking.
引用
收藏
页数:9
相关论文
共 42 条
[1]  
[Anonymous], 2013, BACTR R PACK INS
[2]  
[Anonymous], 2004, ANC R PACK INS
[3]  
[Anonymous], 2016, BMJ BRIT MED J, DOI DOI 10.1136/BMJ.I939
[4]   The Association of Intrapartum Antibiotic Exposure With the Incidence and Antibiotic Resistance of Infantile Late-Onset Serious Bacterial Infections [J].
Ashkenazi-Hoffnung, Liat ;
Melamed, Nir ;
Ben-Haroush, Avi ;
Livni, Gilat ;
Amir, Jacob ;
Bilavsky, Efraim .
CLINICAL PEDIATRICS, 2011, 50 (09) :827-833
[5]   Long-term resistance trends of uropathogens and association with antimicrobial prophylaxis [J].
Bitsori, Maria ;
Maraki, Sofia ;
Galanakis, Emmanouil .
PEDIATRIC NEPHROLOGY, 2014, 29 (06) :1053-1058
[6]   Pediatric-Specific Antimicrobial Susceptibility Data and Empiric Antibiotic Selection [J].
Boggan, Joel C. ;
Navar-Boggan, Ann Marie ;
Jhaveri, Ravi .
PEDIATRICS, 2012, 130 (03) :E615-E622
[7]   Antimicrobial resistance among Escherichia coli that cause childhood community-acquired urinary tract infections in Northern Italy [J].
Caracciolo, Alessandra ;
Bettinelli, Alberto ;
Bonato, Claudio ;
Isimbaldi, Clementina ;
Tagliabue, Alessandro ;
Longoni, Laura ;
Bianchetti, Mario G. .
ITALIAN JOURNAL OF PEDIATRICS, 2011, 37
[8]   Drug susceptibility and treatment response of common urinary tract infection pathogens in children [J].
Chen, Pei-Chun ;
Chang, Luan-Yin ;
Lu, Chun-Yi ;
Shao, Pei-Lan ;
Tsai, I-Jung ;
Tsau, Yong-Kwei ;
Lee, Ping-Ing ;
Chen, Jong-Ming ;
Hsueh, Po-Ren ;
Huang, Li-Min .
JOURNAL OF MICROBIOLOGY IMMUNOLOGY AND INFECTION, 2014, 47 (06) :478-483
[9]  
Clinical and Laboratory Science Institute, 2015, PERF STAND ANT SUSC
[10]   Recurrent urinary tract infections in children - Risk factors and association with prophylactic antimicrobials [J].
Conway, Patrick H. ;
Cnaan, Avital ;
Zaoutis, Theoklis ;
Henry, Brandon V. ;
Grundmeier, Robert W. ;
Keren, Ron .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2007, 298 (02) :179-186