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Bacteremia due to healthcare-associated urinary tract infections in children
Insights
Secondary bacteremia from hospital-acquired urinary tract infections occurs in about 5% of cases. Common pathogens include Klebsiella pneumoniae and Enterococcus faecium.
Area of Science:
- Pediatric Infectious Diseases
- Hospital Epidemiology
- Antimicrobial Resistance
Background:
- Secondary bacteremia complicates healthcare-associated urinary tract infections (HAUTIs).
- Existing epidemiological data often focuses on adult patients with urinary catheters.
Purpose of the Study:
- To determine the incidence and outcomes of secondary bacteremia in pediatric patients with HAUTIs.
- To identify common pathogens causing secondary bacteremia in this population.
Main Methods:
- Prospective study conducted from May 2013 to December 2017.
- Included symptomatic nosocomial urinary tract infections in pediatric patients.
- Analyzed data from 117 patients with positive blood cultures.
Main Results:
- The incidence of secondary bacteremia was 5.1% (6 out of 117 patients).
- Predominant pathogens were Klebsiella pneumoniae (2 patients) and Enterococcus faecium (2 patients).
- Other identified pathogens included Klebsiella oxytoca and Pseudomonas aeruginosa.
Conclusions:
- The incidence of bacteremia associated with HAUTIs is approximately 5%.
- This incidence is comparable to bacteremia from community-acquired urinary tract infections.
- Findings highlight key pathogens in pediatric nosocomial bacteremia.
Background:
Epidemiological data on secondary bacteremia associated with nosocomial urinary tract infections generally include adult patients with urinary catheters.
Aim:
To evaluate the frequency and outcome of secondary bacteremia complicating healthcare-associated urinary tract infections.
Material And Methods:
This study was conducted between May 2013 and December 2017 at the Dr. Behçet Uz Children's Hospital and included symptomatic nosocomial urinary tract infections. A total of 117 patients with positive blood cultures were enrolled in the study.
Results:
Six patients had bacteremia associated with nosocomial urinary tract infections yielding an incidence of 5.1%. The pathogens responsible for secondary bacteremia were: Klebsiella pneumonia in two patients, Enterococcus faecium in two patients, Klebsiella oxytoca in one patient, and Pseudomonas aeruginosa in one patient.
Conclusion:
The incidence of bacteremia associated with nosocomial urinary tract infections was not different from bacteremia associated with community-acquired urinary tract infections, and was approximately 5%.
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