Clinical Patterns and Seasonal Distribution of Urinary Tract Infection Caused by Extended-spectrum Beta-lactamase-producing Bacteria in Children

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dc.authoridarslan, zeynep/0000-0002-9082-6409
dc.authoridALPCAN, AYSEGUL/0000-0001-9447-4263
dc.contributor.authorTursun, Serkan
dc.contributor.authorArslan, Zeynep
dc.contributor.authorAlpcan, Aysegul
dc.contributor.authorGul, Serdar
dc.contributor.authorKandur, Yasar
dc.date.accessioned2025-01-21T16:34:17Z
dc.date.available2025-01-21T16:34:17Z
dc.date.issued2021
dc.departmentKırıkkale Üniversitesi
dc.description.abstractIntroduction: Extended-spectrum beta-lactamase-producing Escherichia coli or Klebsiella pneumoniae infections in the pediatric age group are mostly nosocomial infections. This study aimed to investigate the clinical pattern of extended-spectrum beta-lactamase positive urinary tract infection and its seasonal distribution. Materials and Methods: We retrospectively reviewed the medical records of pediatric patients with extended-spectrum beta-lactamases-positive UTI, who were followed-up in our clinic between lune 2015 and lune 2020. Results: One hundred-and-ten patients with ESBL-positive UTI and 231 with non-ESBL UTI were enrolled in this study. The rate of male sex in the ESBL group was significantly lower than that in the non-ESBL group (10.9% vs 27.2%, p= 0.001). The patients with ESBL were older than those in the non-ESBL group (81.3 +/- 49.0 months vs 56.0 +/- 47.2 months, p= 0.001). E. coli was the most iso- lated bacteria in both groups (68% and 70.5%, respectively). The rate of Klebsiella isolation in urine culture was significantly greater in the ESBL group than in the non-ESBL group (p= 0.04). The seasonal distribution of ESBL-positive patients was as follows: spring (18/16.4%), summer (25/22.7%), autumn (25/22.7%), and winter (42/38.2%). Conclusion: There is a substantially high rate of antibiotic resistance among patients with urinary tract infection in developing countries like Turkey. Moreover, we should be aware of the risk of ESBL-positive UTIs, especially in winter.
dc.identifier.doi10.5578/flora.20219919
dc.identifier.endpage188
dc.identifier.issn1300-932X
dc.identifier.issue1
dc.identifier.startpage183
dc.identifier.trdizinid413718
dc.identifier.urihttps://doi.org/10.5578/flora.20219919
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay413718
dc.identifier.urihttps://hdl.handle.net/20.500.12587/23934
dc.identifier.volume26
dc.identifier.wosWOS:000639966700012
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakTR-Dizin
dc.language.isoen
dc.publisherBilimsel Tip Yayinevi
dc.relation.ispartofFlora Infeksiyon Hastaliklari Ve Klinik Mikrobiyoloji Dergisi
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_20241229
dc.subjectExtended-spectrum beta-lactamase; Urinary tract infection; Pediatric; Season
dc.titleClinical Patterns and Seasonal Distribution of Urinary Tract Infection Caused by Extended-spectrum Beta-lactamase-producing Bacteria in Children
dc.typeArticle

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