*1,2Gawa, K. J., 1,2Monemo, P., 1,2N’Guessan, M., 1,2Tadet, J. O. N., 3Oka, K. H., 3Akanji, I. A., 3Koné, M. O., 1Vaho, M., 1Traoré, F., and 1,2Akoua Koffi, C.
1Laboratoire Bactériologie-Virologie, Centre Hospitalier et Universitaire de Bouaké, Côte d’Ivoire
2UFR des Sciences Médical, Université Alassane Ouattara, BP 1174 Bouaké, Côte d’Ivoire
3Service de Pédiatrie Médicale, Centre Hospitalier et Universitaire de Bouaké, Côte d’Ivoire *Correspondant à: kokoragawa@gmail.com; +2250709885690
Abstract:
Background: Urinary tract infections (UTIs) are common in paediatric environment. The microbial ecology is often modified by over-prescription of antibiotics. The aim of this study was to determine the prevalence and etiological agents responsible for paediatric UTIs, with a view to improving care for children in Bouaké, Côte d’Ivoire.
Methodology: The study was carried out in the Paediatrics Department and the Microbiology Laboratory of Bouaké University Hospital Center over a 30-month period from June 2020 to December 2022. A total of 219 children were included and urine samples were collected. Bacterial strains were identified using conventional bacteriology techniques. Antibiotic susceptibility testing was carried out using the disk diffusion method, and interpretation was made according to CASFM/EUCAST recommendations for the current year.
Results: Among the 219 children included, 28 (12.8%) cases of UTIs were diagnosed and urinary tract anomalies in 21.4% of the UTI cases (6/28). The median age of the UTI cases was 96 months, females accounted for 60.7% (17/28) with a M/F of 0.65. Fever and urinary symptoms were reported by 47.0% and 17.3% respectively. Community acquired UTIs occurred in 25.0% (7/28), while hospital acquired UTIs occurred in 75.0% (21/28). Escherichia coli (60.7%) and Klebsiella pneumoniae (17.9%) were the most frequent bacteria isolated. Resistance rates to standard beta-lactam antibiotics ranged from 56.3% to 62.3%.
Conclusion: The epidemiology of paediatric urinary tract infections was dominated by E. coli, with high rates of resistance to standard antibiotics at Bouaké University Hospital Center.
Key words: Urinary tract infections, Paediatrics, Antibiotic resistance, Côte d’Ivoire
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