Abstract

MOLIN, Clotilde; DEL VALLE, Elvira; GONZALEZ, Lourdes  and  FIGUEREDO, Liliana. Urinary tract infections in children with neurogenic bladder and resistance patterns of most frequent urological pathogens. Mem. Inst. Investig. Cienc. Salud [online]. 2018, vol.16, n.3, pp.44-50. ISSN 1812-9528.  https://doi.org/10.18004/mem.iics/1812-9528/2018.016(03)44-050.

Urinary tract infections (UTI) in children with neurogenic bladder can produce morphological and functional alterations, and trigger an immune response that is not always evident. The UTI are one of the main causes of morbidity and mortality. It is very important to diagnose them correctly for a good treatment and thus to avoid complications and consequences that they can cause. The objective of the study was to analyze the prevalence and etiology of the infections in patients with neurogenic bladder hospitalized in UTI, and the resistance pattern of the most frequent uropathogens. This was a descriptive, retrospective study that included 46 samples of urine culture of children from 1 to 18 years old, of both sexes, with a neurogenic bladder, which were processed in a microbiology laboratory. Of the 46 urine cultures, 19 corresponded to boys (19/46) 41% and 27 corresponded to girls (27/46) 59%, with an age average of 11(2. Of the total sample, 21 were positive (21/46) 46%, isolating Escherichia coli in a greater proportion. The frequency of UTI in children with neurogenic bladder was of 21/46, 46%, being the percentage in this type of patients much higher than children who do not have this anomaly. The most frequently isolated uropathogens were E. coli and Klebsiella pneumoniae. The use of catheters and diapers, as well as bad hygiene, predispose to these infections. Good sensitivity to nitrofurantoin and cefixime was observed in this study.

Keywords : urinary infection; neurogenic bladder; children with disabilities.

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