OBJECTIVES

To evaluate the antibiotic resistance patterns in common uropathogens isolated from pediatric patients.

METHODS

This was a retrospective chart review on the uropathogens causing first-time, community-acquired, symptomatic urinary tract infection (UTI). The data for this study was collected from one tertiary care hospital and 4 primary care centers in Riyadh, Saudi Arabia, with data spanning from 2017-2022. Diagnosis of UTIs was in line with the guidelines of the American Academy of Pediatrics.

RESULTS

Isolates were gathered from 610 patients, 101 (16.6%) of whom were male and 509 (83.4%) were female. The 3 most common species isolated were (; 50.5% in males and 82.7% in females), (; 28.7% males and 10.4% females), and then (5.9% males and 2.9% in females). was more prevalent in females than in males (<0.001). Multidrugresistant was isolated more often from males than in females (39.2% versus 23.5%, =0.014). A similar but non-significant trend was observed in multidrug-resistant (48.1% versus 30.8%, =0.128), extended-spectrum beta-lactamase (ESBL) producing (13.7% versus 11.9%, =0.701), and ESBL-producing (18.5% versus 7.7%, =0.151).

CONCLUSION

Our study indicates that surveillance of uropathogen resistance should differentiate between isolates gathered from male and female patients. This study also indicates a possible increase in ESBL-producing isolates, and an increase in multidrug-resistant isolates.