<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2011-0839</journal-id>
<journal-title><![CDATA[Universitas Medica]]></journal-title>
<abbrev-journal-title><![CDATA[Univ. Med.]]></abbrev-journal-title>
<issn>2011-0839</issn>
<publisher>
<publisher-name><![CDATA[Pontificia Universidad Javeriana]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2011-08392022000100006</article-id>
<article-id pub-id-type="doi">10.11144/javeriana.umed63-1.cmcp</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Clinical and Microbiological Characterization of Pediatric Patients with Urinary Tract Infection in a Fourth-Level Hospital in Bogotá, Colombia, over a Period of Four Years]]></article-title>
<article-title xml:lang="es"><![CDATA[Caracterización clínica y microbiológica de pacientes pediátricos con infección de vías urinarias en un hospital de cuarto nivel en Bogotá (Colombia) en un periodo de cuatro años]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lince-Rivera]]></surname>
<given-names><![CDATA[Isabella]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[León]]></surname>
<given-names><![CDATA[María Camila]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez]]></surname>
<given-names><![CDATA[Natalia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González]]></surname>
<given-names><![CDATA[María Camila]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López-Ramos]]></surname>
<given-names><![CDATA[Hugo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Pontificia Universidad Javeriana  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Pontificia Universidad Javeriana  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Pontificia Universidad Javeriana  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Pontificia Universidad Javeriana  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,San Ignacio University Hospital  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2022</year>
</pub-date>
<volume>63</volume>
<numero>1</numero>
<fpage>49</fpage>
<lpage>58</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S2011-08392022000100006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S2011-08392022000100006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S2011-08392022000100006&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: Urinary tract infection (UTI) is one of the most frequent infectious diseases in the pediatric population. There is no updated data available in literature of the pathogens responsible for complicated and uncomplicated UTI in children and their antimicrobial resistance profiles at the San Ignacio University Hospital or in the city of Bogotá.  Objective: To carry out a demographic and clinical characterization of pediatric patients with UTI and a microbiological characterization of the resistance pattern of its main etiological agents.  Materials and methods: A cross-sectional study was carried out with all pediatric patients under ten years of age with UTI confirmed by urine culture who came to our institution between January 2014 and December 2017. Redcap was used to register data corresponding to demographic variables, clinical manifestations, isolated microorganisms with their antibiograms, complications, and recurrence rate of UTI. Subsequently, a data analysis was performed.  Results: A registry of 675 patients under ten years of age with urinary tract infection was obtained. The majority were females, two years old or younger and had fever as the cardinal sign of infection. A relevant comorbidity was constipation, and 15.3% of the children had a urinary tract malformation. Three-point five percent had a history of previous urological surgical intervention and 73.2% were experiencing their first UTI episode. Ninety-eight-point four percent of the infections were community acquired and, regardless of their origin, the most common isolated agent was Escherichia coli (73%). The most frequent resistance patterns were penicillinase-producing (41.5%), followed by multi-sensitive (32.1%) and cephalosporins resistance (26%). Regarding the treatment established, cephalosporins were used in 92% of the cases, especially of first (61%) and third (38%) generation.  Conclusions: We obtained similar results to those found in older studies in Bogotá and the San Ignacio University Hospital. Characterizing our population showed us that, through 2014&#8211;2017 and compared to the previous six years, the sensitivity of Escherichia coli to first-generation cephalosporins was stable, which indicates they are still a viable treatment option in our case, according to the local resistance profile.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: La infección de vías urinarias (IVU) es una de las patologías infecciosas más frecuentes en la población pediátrica. No existen datos actualizados disponibles en la literatura sobre los patógenos responsables de las IVU complicadas y no complicadas en niños y sus perfiles de resistencia a los antimicrobianos en el Hospital Universitario San Ignacio ni en la ciudad de Bogotá.  Objetivo: Realizar una caracterización demográfica y clínica de los pacientes pediátricos con IVU, y una caracterización microbiológica y del patrón de resistencia de sus principales agentes etiológicos.  Diseño del estudio: Estudio transversal que incluyó todos los pacientes pediátricos menores de 10 años con IVU confirmada por urocultivo que consultaron a nuestra institución entre enero de 2014 y diciembre de 2017. Se utilizó Redcap para el registro de datos correspondientes a variables demográficas, manifestaciones clínicas, microorganismos aislados, antibiogramas, complicaciones y tasa de recurrencia. Posteriormente, se realizó un análisis de los datos.  Resultados: Se obtuvo un registro de 675 pacientes menores de 10 años con IVU. La mayoría eran niñas, tenían 2 años o menos y presentaron fiebre como signo cardinal de la infección. Una comorbilidad relevante en la población fue el estreñimiento y el 15,3 % de los niños presentaba alguna malformación del tracto urinario. El 3,5 % de los pacientes tenía antecedente de intervención quirúrgica urológica previa y el 73,2 % de los niños estaba cursando con el primer episodio de IVU. El 98,4 % de las infecciones fueron adquiridas en la comunidad e independiente de su origen el agente aislado con más frecuencia fue la Escherichia coli (73 %). Los patrones de resistencia más frecuentes fueron productores de penicilinasa (41,5 %) seguido de multisensibles (32,1 %) y resistentes a cefalosporinas (26 %). En cuanto al tratamiento establecido, se utilizaron cefalosporinas en el 92 % de los casos; principalmente de primera generación (61 %) y de tercera (38 %).  Conclusiones: Se obtuvieron resultados similares a los presentados en estudios anteriores en Bogotá y el Hospital Universitario San Ignacio. Durante el periodo 2014-2017 y en comparación con los 6 años anteriores, la sensibilidad de Escherichia coli a las cefalosporinas de primera generación se mantuvo estable, lo que indica que sigue siendo una opción de tratamiento viable en nuestro caso, de acuerdo con el perfil de resistencia local.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[urinary tract infections]]></kwd>
<kwd lng="en"><![CDATA[pediatrics]]></kwd>
<kwd lng="en"><![CDATA[anti-bacterial agents]]></kwd>
<kwd lng="en"><![CDATA[drug resistance]]></kwd>
<kwd lng="en"><![CDATA[antibiogram]]></kwd>
<kwd lng="en"><![CDATA[etiology]]></kwd>
<kwd lng="en"><![CDATA[microbiology]]></kwd>
<kwd lng="es"><![CDATA[infección de vías urinarias]]></kwd>
<kwd lng="es"><![CDATA[pediatría]]></kwd>
<kwd lng="es"><![CDATA[agentes antibacterianos]]></kwd>
<kwd lng="es"><![CDATA[resistencia bacteriana]]></kwd>
<kwd lng="es"><![CDATA[antibiogramas]]></kwd>
<kwd lng="es"><![CDATA[etiología]]></kwd>
<kwd lng="es"><![CDATA[microbiología]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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