In this study, 100 febrile infants suffering from Urinary tract infection (rectal temperature > 38°C) who
presented to the Pediatric Clinic or Emergency Department of Babylon Maternity and Children Hospital
from February2008 to June2008 underwent a history and physical examination. In this study,
Escherichia coli formed the major causative agent (49%) followed by Pseudomonas aeruginosa (25%),
Klebsiella pneumoniae (18%) and Proteus species (8%).
E. coli isolates showed sensitivity to Amikacin, Chloromphenicol, Nitrofurantoin, Ofloxacin,
Norfloxacin, while Pseudomonas aeruginosa shows sensitivity with Norfloxacin, Ofloxacin, Piperacillin,
Tobramycin, Proteus species shows sensitivity with Amikacin, Amoxicillin , Cefodizime, Cefoxitin,
Cephalexin, Gentamycin, , Norfloxacin, Piperacillin, Tobramycin and Klebsiella pneumoniae isolates
shows sensitivity with Amikacin, Norfloxacin, Piperacillin, Tobramycin.
Our investigation showed that from the 100 febrile infants with UTI, 57 had pyuria > 5 WBCs/hpf, 90 had
pyuria >10 WBCs/mL, 77 had CRP >24 mg/L, 82 had ESR >35 mm/hour, and 44 had WBC >15 000/mL. |