Research Article
Volume 10 Issue 9 - 2021
Prevalence of UTI at a Tertiary Care Facility in Abu Dhabi
Abrar Alzaabi* and Zohra Ashraf Siwji
General Pediatric Department, Al Mafraq Hospital, Abu Dhabi, United Arab Emirates
*Corresponding Author: Abrar Alzaabi, Pediatrician, SEHA Hospital, Abu Dhabi, United Arab Emirates.
Received: August 17, 2021; Published: September 15, 2021




Abstract

Background: Urinary tract infection (UTI) is a common cause of febrile illness in children. The prevalence of UTI is approximately 7% in febrile children; but varies by age, ethnicity, sex, and circumcision status. Over time, the antibiogram of the uro-pathogens has changed, with emerging resistant strains.

Purpose: We studied the characteristics and microbiota of the children admitted with a possible diagnosis of UTI, over a 2-year period at a tertiary government hospital in Abu Dhabi.

Method: We reviewed the electronic medical records at a tertiary hospital in Abu Dhabi. Children aged 1 month to 12 years of age, admitted for possible UTI between December 2014 to September 2016 were included. Their data particulates were tabulated and expressed as percentages.

Results: The study included 90 children hospitalized with possible UTI, with a female predominance of 78%. Of all the females admitted with possible UTI, the majority were of 3 - 12 years of age (85%). In contrary, most males admitted with possible UTI were of 1 - 3 months of age (50%). 55% of the males were noted to be uncircumcised. The majority (68.9%) of the urine specimens were collected by mid- stream, clean catch method. With reference to the AAP guidelines, 59.8% of the positive urine cultures actually had “significant” growth of bacteria and diagnosed as confirmed UTI cases. The major uro-pathogen identified in them was E. coli (77%), of whom- 12% were ESBL positive.

Conclusion: UTI among hospitalized children is more common in females, uncircumcised males and in the younger age group i.e. 1 - 3 months of age. E. coli still remains the most common uro-pathogen with emerging ESBL being noted in our population.

 

Keywords: Urinary Tract Infection (UTI); E. coli; ESBL

References

  1. Hoberman A., et al. “Prevalence of urinary tract infection in febrile infants”. The Journal of Pediatrics 123 (1993): 17.
  2. Shaw KN., et al. “Prevalence of urinary tract infection in febrile young children in the emergency department”. Pediatrics 102 (1998): e16.
  3. Shaikh N., et al. “Prevalence of urinary tract infection in childhood: a meta-analysis”. The Pediatric Infectious Disease Journal 27 (2008): 302.
  4. Edlin RS., et al. “Antibiotic resistance patterns of outpatient pediatric urinary tract infections”. The Journal of Urology 190 (2013): 222.
  5. Ena J., et al. “Epidemiology of urinary tract infections caused by extended- spectrum beta-lactamase-producing Escherichia coli”. Urology 68 (2006): 1169-1174.
  6. Pitout JD and Laupland KB. “Extended-spectrum beta-lactamase- producing Enterobacteriaceae: an emerging public-health concern”. The Lancet Infectious Diseases 8 (2008): 159-166.
  7. Ben-Ami R., et al. “A multinational survey of risk factors for infection with extended- spectrum beta-lactamase-producing enterobacteriaceae in nonhospitalized patients”. Clinical Infectious Diseases 49 (2009): 682-690.
  8. Hanna-Wakim RH., et al. “Epidemiology and characteristics of urinary tract infections in children and adolescents”. Frontiers in Cellular and Infection Microbiology 5 (2015): 45.
  9. Subcommittee on Urinary Tract Infection, Steering Committee on Quality Improvement and Management, Roberts KB. Urinary tract infection: clinical practice guideline for the diagnosis and management of the initial UTI in febrile infants and children 2 to 24 months”. Pediatrics 128 (2011): 595.
  10. Reaffirmation of AAP clinical practice guideline: The diagnosis and management of the initial urinary tract infection in febrile infants and young children 2-24 months of age”. Pediatrics 138 (2016): e20163026.
  11. Lopardo G., et al. “Uropathogen resistance: are laboratory-generated data reliable enough?” Journal of Chemotherapy 19 (2007): 33-37.
  12. Habib S. “Highlights for management of a child with a urinary tract infection”. International Journal of Pediatrics (2012): 943653.
  13. Parajuli NP., et al. “High rates of multidrug resistance among uropathogenic Escherichia coli in children and analyses of ESBL producers from Nepal”. Antimicrobial Resistance and Infection Control 6 (2017): 9.
  14. Pape L., et al. “Bacterial pathogens, resistance patterns and treatment options in community acquired pediatric urinary tract infection”. Klinische Padiatrie2 (2004): 83-86.
  15. Shaikh N and Hoberman A. “Urinary tract infections in infants and children older than one month: Clinical features and diagnosis. In: Torchia MM edition. UpToDate (2021).
  16. Narchi H and Al-Hamdan MA. “Antibiotic resistance trends in paediatric community-acquired first urinary tract infections in the United Arab Emirates”. Eastern Mediterranean Health Journal 16 (2010): 45-50.
  17. Shaikh N and Hoberman A. “Urinary tract infections in children: Epidemiology and risk factors”. In: Torchia MM edition (2019).
Citation: Abrar Alzaabi and Zohra Ashraf Siwji. “Prevalence of UTI at a Tertiary Care Facility in Abu Dhabi”. EC Paediatrics 10.10 (2021): 36-45.

PubMed Indexed Article


EC Pharmacology and Toxicology
LC-UV-MS and MS/MS Characterize Glutathione Reactivity with Different Isomers (2,2' and 2,4' vs. 4,4') of Methylene Diphenyl-Diisocyanate.

PMID: 31143884 [PubMed]

PMCID: PMC6536005


EC Pharmacology and Toxicology
Alzheimer's Pathogenesis, Metal-Mediated Redox Stress, and Potential Nanotheranostics.

PMID: 31565701 [PubMed]

PMCID: PMC6764777


EC Neurology
Differences in Rate of Cognitive Decline and Caregiver Burden between Alzheimer's Disease and Vascular Dementia: a Retrospective Study.

PMID: 27747317 [PubMed]

PMCID: PMC5065347


EC Pharmacology and Toxicology
Will Blockchain Technology Transform Healthcare and Biomedical Sciences?

PMID: 31460519 [PubMed]

PMCID: PMC6711478


EC Pharmacology and Toxicology
Is it a Prime Time for AI-powered Virtual Drug Screening?

PMID: 30215059 [PubMed]

PMCID: PMC6133253


EC Psychology and Psychiatry
Analysis of Evidence for the Combination of Pro-dopamine Regulator (KB220PAM) and Naltrexone to Prevent Opioid Use Disorder Relapse.

PMID: 30417173 [PubMed]

PMCID: PMC6226033


EC Anaesthesia
Arrest Under Anesthesia - What was the Culprit? A Case Report.

PMID: 30264037 [PubMed]

PMCID: PMC6155992


EC Orthopaedics
Distraction Implantation. A New Technique in Total Joint Arthroplasty and Direct Skeletal Attachment.

PMID: 30198026 [PubMed]

PMCID: PMC6124505


EC Pulmonology and Respiratory Medicine
Prevalence and factors associated with self-reported chronic obstructive pulmonary disease among adults aged 40-79: the National Health and Nutrition Examination Survey (NHANES) 2007-2012.

PMID: 30294723 [PubMed]

PMCID: PMC6169793


EC Dental Science
Important Dental Fiber-Reinforced Composite Molding Compound Breakthroughs

PMID: 29285526 [PubMed]

PMCID: PMC5743211


EC Microbiology
Prevalence of Intestinal Parasites Among HIV Infected and HIV Uninfected Patients Treated at the 1o De Maio Health Centre in Maputo, Mozambique

PMID: 29911204 [PubMed]

PMCID: PMC5999047


EC Microbiology
Macrophages and the Viral Dissemination Super Highway

PMID: 26949751 [PubMed]

PMCID: PMC4774560


EC Microbiology
The Microbiome, Antibiotics, and Health of the Pediatric Population.

PMID: 27390782 [PubMed]

PMCID: PMC4933318


EC Microbiology
Reactive Oxygen Species in HIV Infection

PMID: 28580453 [PubMed]

PMCID: PMC5450819


EC Microbiology
A Review of the CD4 T Cell Contribution to Lung Infection, Inflammation and Repair with a Focus on Wheeze and Asthma in the Pediatric Population

PMID: 26280024 [PubMed]

PMCID: PMC4533840


EC Neurology
Identifying Key Symptoms Differentiating Myalgic Encephalomyelitis and Chronic Fatigue Syndrome from Multiple Sclerosis

PMID: 28066845 [PubMed]

PMCID: PMC5214344


EC Pharmacology and Toxicology
Paradigm Shift is the Normal State of Pharmacology

PMID: 28936490 [PubMed]

PMCID: PMC5604476


EC Neurology
Examining those Meeting IOM Criteria Versus IOM Plus Fibromyalgia

PMID: 28713879 [PubMed]

PMCID: PMC5510658


EC Neurology
Unilateral Frontosphenoid Craniosynostosis: Case Report and a Review of the Literature

PMID: 28133641 [PubMed]

PMCID: PMC5267489


EC Ophthalmology
OCT-Angiography for Non-Invasive Monitoring of Neuronal and Vascular Structure in Mouse Retina: Implication for Characterization of Retinal Neurovascular Coupling

PMID: 29333536 [PubMed]

PMCID: PMC5766278


EC Neurology
Longer Duration of Downslope Treadmill Walking Induces Depression of H-Reflexes Measured during Standing and Walking.

PMID: 31032493 [PubMed]

PMCID: PMC6483108


EC Microbiology
Onchocerciasis in Mozambique: An Unknown Condition for Health Professionals.

PMID: 30957099 [PubMed]

PMCID: PMC6448571


EC Nutrition
Food Insecurity among Households with and without Podoconiosis in East and West Gojjam, Ethiopia.

PMID: 30101228 [PubMed]

PMCID: PMC6086333


EC Ophthalmology
REVIEW. +2 to +3 D. Reading Glasses to Prevent Myopia.

PMID: 31080964 [PubMed]

PMCID: PMC6508883


EC Gynaecology
Biomechanical Mapping of the Female Pelvic Floor: Uterine Prolapse Versus Normal Conditions.

PMID: 31093608 [PubMed]

PMCID: PMC6513001


EC Dental Science
Fiber-Reinforced Composites: A Breakthrough in Practical Clinical Applications with Advanced Wear Resistance for Dental Materials.

PMID: 31552397 [PubMed]

PMCID: PMC6758937


EC Microbiology
Neurocysticercosis in Child Bearing Women: An Overlooked Condition in Mozambique and a Potentially Missed Diagnosis in Women Presenting with Eclampsia.

PMID: 31681909 [PubMed]

PMCID: PMC6824723


EC Microbiology
Molecular Detection of Leptospira spp. in Rodents Trapped in the Mozambique Island City, Nampula Province, Mozambique.

PMID: 31681910 [PubMed]

PMCID: PMC6824726


EC Neurology
Endoplasmic Reticulum-Mitochondrial Cross-Talk in Neurodegenerative and Eye Diseases.

PMID: 31528859 [PubMed]

PMCID: PMC6746603


EC Psychology and Psychiatry
Can Chronic Consumption of Caffeine by Increasing D2/D3 Receptors Offer Benefit to Carriers of the DRD2 A1 Allele in Cocaine Abuse?

PMID: 31276119 [PubMed]

PMCID: PMC6604646


EC Anaesthesia
Real Time Locating Systems and sustainability of Perioperative Efficiency of Anesthesiologists.

PMID: 31406965 [PubMed]

PMCID: PMC6690616


EC Pharmacology and Toxicology
A Pilot STEM Curriculum Designed to Teach High School Students Concepts in Biochemical Engineering and Pharmacology.

PMID: 31517314 [PubMed]

PMCID: PMC6741290


EC Pharmacology and Toxicology
Toxic Mechanisms Underlying Motor Activity Changes Induced by a Mixture of Lead, Arsenic and Manganese.

PMID: 31633124 [PubMed]

PMCID: PMC6800226


EC Neurology
Research Volunteers' Attitudes Toward Chronic Fatigue Syndrome and Myalgic Encephalomyelitis.

PMID: 29662969 [PubMed]

PMCID: PMC5898812


EC Pharmacology and Toxicology
Hyperbaric Oxygen Therapy for Alzheimer's Disease.

PMID: 30215058 [PubMed]

PMCID: PMC6133268


News and Events


October Issue Release

We always feel pleasure to share our updates with you all. Here, notifying you that we have successfully released the October issue of respective journals and the latest articles can be viewed on the current issue pages.

Submission Deadline for Upcoming Issue

Ecronicon delightfully welcomes all the authors around the globe for effective collaboration with an article submission for the upcoming issue of respective journals. Submissions are accepted on/before November 01, 2021.

Certificate of Publication

Ecronicon honors with a "Publication Certificate" to the corresponding author by including the names of co-authors as a token of appreciation for publishing the work with our respective journals.

Best Article of the Issue

Editors of respective journals will always be very much interested in electing one Best Article after each issue release. The authors of the selected article will be honored with a "Best Article of the Issue" certificate.

Certifying for Review

Ecronicon certifies the Editors for their first review done towards the assigned article of the respective journals.

Latest Articles

The latest articles will be updated immediately on the articles in press page of the respective journals.

Immediate Assistance

The prime motto of this team is to clarify all the queries without any delay or hesitation to avoid the inconvenience. For immediate assistance on your queries please don't hesitate to drop an email to editor@ecronicon.uk