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Antibiotic resistance patterns of urinary tract pathogens in Turkish children

Overview of attention for article published in Global Health Research and Policy, March 2018
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Title
Antibiotic resistance patterns of urinary tract pathogens in Turkish children
Published in
Global Health Research and Policy, March 2018
DOI 10.1186/s41256-018-0063-1
Pubmed ID
Authors

Suzan Gunduz, Hatice Uludağ Altun

Abstract

Knowledge of local antimicrobial resistance patterns is essential for evidence- based empirical antibiotic prescribing. We aimed to investigate the distribution and changes in causative agents of urinary tract infections in children and the resistance rates, and to recommend the most appropriate antibiotics. In this retrospective study, we evaluated causative agents and antimicrobial resistance in urine isolates from the positive community from September 2014 to April 2016 in a single hospital in Ankara, Turkey. A total of 850 positive urine cultures were identified, of which 588 (69.2%) were from girls and 262 (30.8%) were from boys. Their mean age was 36.5 ± 45.0 months. The most common causative agent wasEscherichia coli(64.2% of cases) followed byKlebsiella pneumoniae(14.9%). The overall resistance to ampicillin (62.6%), cephalothin (44.2%), co-trimoxazole (29.8%) and cefuroxime (28.7%) was significant. No resistance to imipenem was detected in the isolates. The least resistance was for amikacin, ceftriaxone, ciprofloxacin and cefepime (0.1, 2.4, 7.5 and 8.3%, respectively). Imipenem was the most active agent againstE. colifollowed by amikacin (0.2%), ceftriaxone (2.7%) and nitrofurantoin (5.1%). High resistance rates to nitrofurantoin were detected inK. pneumoniae, ProteusandEnterobacteriae. E. coli was the most common causative agent of urinary tract infection in children. Ampicillin, trimethoprim-sulfometaxazole, cephalothin and cefuroxim had the highest resistance rates against urinary tract pathogens in our center. For oral empirical antibiotherapy, cefixime is the most appropriate choice so as to includeKlebsiella strains.

Twitter Demographics

The data shown below were collected from the profile of 1 tweeter who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 19 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 19 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 5 26%
Researcher 4 21%
Student > Bachelor 3 16%
Unspecified 3 16%
Student > Ph. D. Student 2 11%
Other 2 11%
Readers by discipline Count As %
Medicine and Dentistry 6 32%
Agricultural and Biological Sciences 4 21%
Unspecified 3 16%
Pharmacology, Toxicology and Pharmaceutical Science 2 11%
Immunology and Microbiology 1 5%
Other 3 16%

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 16 March 2018.
All research outputs
#10,122,889
of 12,662,564 outputs
Outputs from Global Health Research and Policy
#62
of 68 outputs
Outputs of similar age
#205,941
of 274,306 outputs
Outputs of similar age from Global Health Research and Policy
#1
of 1 outputs
Altmetric has tracked 12,662,564 research outputs across all sources so far. This one is in the 11th percentile – i.e., 11% of other outputs scored the same or lower than it.
So far Altmetric has tracked 68 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 5.7. This one is in the 2nd percentile – i.e., 2% of its peers scored the same or lower than it.
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