CLINICAL EPIDEMIOLOGY AND BACTERIOLOGICAL CHARACTERISTICS OF URINARY TRACT INFECTIONS IN CHILDREN AGED 2 MONTHS TO 15 YEARS AT HAI PHONG PEDIATRIC HOSPITAL

Văn Quang Vũ 1,, Thị Ly Nguyễn 1,2, Ngọc Sáng Nguyễn 1
1 Haiphong University of Medicine and Pharmacy
2 Pediatric resident

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Abstract

Objective: To describe the clinical, bacteriological, and antibiotic resistance characteristics of urinary tract infections (UTIs) in children aged 2 months to 15 years at Hai Phong Pediatric Hospital. Subjects and Methods: 202 pediatric UTI patients treated from October 1, 2022 to September 30, 2024. Cross-sectional study. Results: UTIs accounted for 40.5% of kidney and urinary tract cases (202/499). Children aged 2–24 months were most common (42.1%). Girls were more affected than boys (ratio 1:1.5). Cases occurred year-round, peaking from May to July. Main symptoms were fever (75.2%), dysuria (18.8%), frequent urination (23.8%), cloudy urine (10.4%), and hematuria (16.3%). Phimosis was found in 19.8% of boys. All patients had positive urinary leukocytes; nitrite positive in 23.8%; red blood cells in 72.3%; proteinuria in 55.4%. Positive urine cultures were found in 39.1%: E. coli (75.9%), E. faecalis (13.9%), P. mirabilisK. pneumoniaeS. epidermidis, and P. aeruginosa. Most bacteria were resistant to ampicillin, cephalosporins, and quinolones but sensitive to carbapenems and amikacin. Conclusion: UTIs are common in young children, especially girls under 2 years old. E. coli is the main pathogen. Resistance to common antibiotics is high; carbapenems and amikacin remain effective.

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