Background: Urinary tract infections are common during childhood. The
etiologic agents and empirical antibiotics may vary due to age and
geographic area. Objectives: This study was designed to investigate the
urinary tract infection pathogens, their antibiotic resistance profile
and risk factors in a sample of well-child population. Materials and
Methods: This retrospective study was conducted in the pediatric
clinics of a secondary health-care centre in a one-year period. The
source of data was hospital and laboratory records. Toilet trained
children and adolescents aged between 5-17 years old with positive
urine culture were enrolled into the study. Microbiological studies
were conducted according to international guidelines. Results: During
the study 3640 urine samples were analyzed and 342(9.4%) had
significant growth. Gram negative enterobacteria were the most common
infectious agents. Antibiotic susceptibility tests showed low
cephalosporine resistance unless ESBL was positive. Multi drug
resistance was remarkable. Extended beta lactamase resistance rate was
17%. Previous history of antibiotic use before the present
administration was the only significant risk factor for ESBL
positivity. Conclusion: Treating urinary tract infections may become an
emerging problem soon. Unless there are risk factors, cephalosporines
are good options, but if so nitrofurantoin or carbapanems should be
preferred for treatment in this population