School of Medicine and Health Sciences Poster Presentations
Poster Number
334
Document Type
Poster
Status
Graduate Student - Masters
Abstract Category
Women/Child Health
Keywords
Urinary Tract Infection, Spina Bifida, Spinal Cord Injury,antibiotic resistance,bacterial infections
Publication Date
Spring 2018
Abstract
Introduction: Urinary tract infections (UTI) are one of the most common bacterial infections (Schappert & Rechtsteiner, 2008; Litwin et al., 2005). Data from the National Ambulatory Medical Care Survey estimated that UTI caused 8.1 million physicians visits (Schappert & Rechtsteiner, 2008). Children with spina bifida (SB) and spinal cord injury (SCI) are at high risk for UTI (Ouyang et al., 2010; Nair et al., 2005). The purpose of this study was to examine the organisms associated with UTI in the population of children with SB and SCI who were treated in out-patient and in-patient settings at the Kennedy Krieger Institute (KKI).
Objective: To examine the organisms and antibiotic resistance patterns that cause UTI in SB and SCI in the population of children who are treated in out- patient versus a sub –acute hospital setting.
Methods: The Retrospective record review linked SB and SCI with UTI. Data acquisition included the identification of the organism, the antibiotic resistant patterns, medication and diagnosis. Data were obtained from medical records and a pre-existing data base of KKI in inpatient and outpatient with SB and SCI who have UTI from the year 2010-2013. Descriptive statistics summarized the organisms causing UTI by patient diagnosis and inpatient status.
Results: Participants (N = 31) were approximately equally distributed (male = 52%; n=16). The mean age of the population was 16 years with a standard deviation (SD= 7.8). The majority of participants are: 55%white (n= 17), 32% African American (n= 10), 10%American Indian (n = 3) and all respondents were 6% non-Hispanic (n=1, Hispanic n = 1). Medical condition/diagnosis (SCI = 22, SB = 13) medication(s), organism (s) responsible for UTI, organism (s) antibiotic resistance, hospital status (inpatient = 23, outpatient = 0) were obtained. Data presented on infectious organisms and antibiotics susceptibility for participants with spinal bifida and spinal cord injury.
Conclusion: There were no statistically significant differences in the organisms infecting children with SCI compared to SB. E. coli is the leading cause of UTI in our study. Contrary to the studies of hypothesis, the susceptibility of the bacteria to commonly used antibiotics is good. It is also recommended that proper sensitivity testing of Urinary tract infection causing organisms should be undertaken.
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Included in
Urinary Tract Infection in Children with Spina Bifida and Spinal Cord Injury.
Introduction: Urinary tract infections (UTI) are one of the most common bacterial infections (Schappert & Rechtsteiner, 2008; Litwin et al., 2005). Data from the National Ambulatory Medical Care Survey estimated that UTI caused 8.1 million physicians visits (Schappert & Rechtsteiner, 2008). Children with spina bifida (SB) and spinal cord injury (SCI) are at high risk for UTI (Ouyang et al., 2010; Nair et al., 2005). The purpose of this study was to examine the organisms associated with UTI in the population of children with SB and SCI who were treated in out-patient and in-patient settings at the Kennedy Krieger Institute (KKI).
Objective: To examine the organisms and antibiotic resistance patterns that cause UTI in SB and SCI in the population of children who are treated in out- patient versus a sub –acute hospital setting.
Methods: The Retrospective record review linked SB and SCI with UTI. Data acquisition included the identification of the organism, the antibiotic resistant patterns, medication and diagnosis. Data were obtained from medical records and a pre-existing data base of KKI in inpatient and outpatient with SB and SCI who have UTI from the year 2010-2013. Descriptive statistics summarized the organisms causing UTI by patient diagnosis and inpatient status.
Results: Participants (N = 31) were approximately equally distributed (male = 52%; n=16). The mean age of the population was 16 years with a standard deviation (SD= 7.8). The majority of participants are: 55%white (n= 17), 32% African American (n= 10), 10%American Indian (n = 3) and all respondents were 6% non-Hispanic (n=1, Hispanic n = 1). Medical condition/diagnosis (SCI = 22, SB = 13) medication(s), organism (s) responsible for UTI, organism (s) antibiotic resistance, hospital status (inpatient = 23, outpatient = 0) were obtained. Data presented on infectious organisms and antibiotics susceptibility for participants with spinal bifida and spinal cord injury.
Conclusion: There were no statistically significant differences in the organisms infecting children with SCI compared to SB. E. coli is the leading cause of UTI in our study. Contrary to the studies of hypothesis, the susceptibility of the bacteria to commonly used antibiotics is good. It is also recommended that proper sensitivity testing of Urinary tract infection causing organisms should be undertaken.
Comments
Presented at GW Annual Research Days 2018.