Repeat urine cultures in children with urinary tract infection

  • Risky Vitria Prasetyo Department of Child Health, Airlangga University Medical School/Dr. Soetomo Hospital, Surabaya
  • Ninik Asmaningsih Soemyarso Department of Child Health, Airlangga University Medical School/Dr. Soetomo Hospital, Surabaya
  • Mohammad Sjaifullah Noer Department of Child Health, Airlangga University Medical School/Dr. Soetomo Hospital, Surabaya
DOI: https://doi.org/10.14238/pi52.3.2012.170-4
Keywords: repeat urine atlture, children, urinary tract infection

Abstract

Background Urinary tract infections (UTIs) are the second
leading cause of infection in children, following respiratory
tract infections. Repeat urine cultures after antibiotic treatment
are routinely obtained in clinical practice to verify proof of
bacteriologic cure. The American Academy of Pediatrics does
not recommended repeat cultures, due to increased cost and
discomfort to patients.
Objective To determine the frequency of positive repeat urine
cultures after 3 days of antibiotics in children 'With UTIs.
Methods We conducted a retrospective study on children
with UTIs who visited the Division of Pediatric Nephrology,
Department of Child Health at Dr. Soetomo Hospital, Surabaya
from January 2006 to December 2011. Results of repeat urine
cultures were obtained after 3 days of antibiotic treatment.
Descriptive statistics were used to analyze the data.
Results Of the 779 pediatric UTI cases, repeat urine cultures
were performed in 264 (33.9%) cases. Of the 264 patients who
comprised our study, there were similar numbers of girls and boys
(50.4% vs. 49.6%, respectively). The mean age of patients was
43.9 (SD 1.59) months and 35.5% of subjects were aged under 1
year. In the initial urine cultures of our subjects, Escherichia coli
was the most common organism found, v,ith 92 cases (34.8%),
compared to 58 cases (21.9%) of Klebsiella pneumoniae and 29
cases (10.9%) of Pseudom.onas aeruginosa. Repeat urine cultures
showed no bacterial growth in 168 cases (63.6%).
Conclusion Mostly negative repeat urine cultures v,ill probably
obviate the need of this test in daily routine practice. [Paediatr
Indanes.2012,52:170·4].

References

1. Rusdidjas, Ramayati R. Infeksi saluran kemih. In: Alatas
H, Tambunan T, Trihono Pp, Pardede SO, editors. Buku
ajar nefrologi anak. 2nd ed. Jakarta: Balai Penerbit Fakultas
Kedokteran Universitas Indonesia; 2002. p. 142􀁦63.
2. Subcommittee on urinary tract infection, Steering committee
on quality improvement and management, Roberts KB.
Clinical practice guideline􀁦urinary tract infection: clinical
practice guideline for the diagnosis and management of the
initial UTI in febrile infants and children 2 to 24 months.
Pediatrics. 2011;128,595-610.
3. Elder JS. Urinary tract infections. In: Kliegman RM, Stanton
BF, Schor NF, St Geme III JW, Behrman RE, editors. Nelson
textbook of pediatrics. 19th ed. Philadelphia: Elsevier
Saunders; 2011. p. 1829-34.
4. Jantausch B, Kher KK. Urinary tract infection. In: Kher
KK, Schnaper HW, Makker SF, editors. Clinical pediatric
nephrology. 2nd ed. London, Informa UK Ltd; 2007. p. 553-
73.
5. Fisher DE Pediatric urinary tract infection [serial online].
2012 Feb 16 [cited 2012 Feb 20]. Available from, http;!/
em.edicine. medscape .com/ artide/9 69 643 -overview
6. Wong SN. Urinary tract infection and vesicoureteral
reflux. In: Chiu MC, Yap HK, editors. Practical paediatric
nephrology - an update of current practices. Hong Kong:
Medcom limited; 2005. p. 160-70.
7. Oreskovic NM, Sembrano ED. Repeat urine cultures in
children who are admitted v.ith urinary tract infections.
Pediatrics. 2007; 119,325-9.
8. Finnel SME, Carroll AR, Downs SM. Technical report􀁦
diagnosis and management of an initial UTI in febrile infants
and young children. Pediatrics. 2011; 128:7 49􀁦 70.
9. Abbott GD. Urinary tract infection in children. In: Cattell
WR, editor. Infections of the kidney and urinary tract.
Oxford: Oxford University Press; 1996. p.158􀁦85.
10. Prasetyo RV, Supriyo ARA, Kurniawan MR, Soemyarso NA,
Noer MS. Follow􀁦up urine cultures in children v.ith urinary
tract infection at Dr. Soetomo Hospital. In: Sastroosmoro S,
editor. Proceedings of the 4th Indonesian Pediatric Scientific
Meeting, Indonesian Pediatric Society; 2010 Feb 22􀁦24; Medan,
Indonesia. Jakarta: Badan Penerbit IDAI; 2010. p. 253.
11. Zorc JJ, Kiddoo DA, Shaw KN. Diagnosis and management
of pediatric urinary tract infections. Clin Microb Rev.
2005;180417-22.
12. Bachur R. Nonresponders: prolonged fever among infants
v.ith urinary tract infections. Pediatrics. 2000;105:1A.
13. American Academy of Pediatrics. Practice parameter: the
diagnosis, treatment, and evaluation of the initial urinary
tract infection in febrile infants and young children.
Pediatrics. 1999;103,843-52.
14. Currie ML, Mitz L, Raasch CS, Greenbaum lA. Follow􀁦
up urine cultures and fever in children v.ith urinary tract
infection. Arch Pediatr Adolesc Med. 2003;157,1237-40.
Published
2012-06-30
How to Cite
1.
Prasetyo R, Soemyarso N, Noer M. Repeat urine cultures in children with urinary tract infection. PI [Internet]. 30Jun.2012 [cited 25Nov.2024];52(3):170-. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/386
Issue
Vol 52 No 3 (2012): May 2012
Section
Articles

Authors who publish with this journal agree to the following terms:

Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.

Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.

Received 2016-08-30
Accepted 2016-08-30
Published 2012-06-30