The effect of pediatric urological surgery and invasive procedures on urinary system infections

In this study, the differences in the causative agents, duration of treatment of urinary infections, and antibiotic resistance between the groups that underwent and did not undergo surgical procedure for the urinary system were investigated in pediatric cases with a sufficient number of cases and urinary tract infections. Approximately 201 pediatric patients hospitalized with the diagnosis of urinary system infection between September 2019 and June 2022 in the pediatric health and diseases service of Harran University Medical Faculty Hospital were included in the study. According to the findings obtained from the study; Of the patients evaluated within the scope of the study, 106 (52.7%) were male, 95 (47.3%) were female, and their age was 3.63±4.67 years. Renal colic was the most common reason for surgical intervention in 34 (89.5%) patients with a history of surgery. In patients without a history of surgery, fever was the most common complaint in 56 (63.6%) cases. In 42 (42.9%) patients with a history of surgery and in 56 (57.1%) patients without a history of surgery, E.coli was found to be the causative agent with the highest rate, and there was no statistically significant difference between the groups in terms of factors. The hospitalization period of the cases included in the study was determined as 8.15±5.20 days. There was no statistically significant difference between the groups in terms of treatment duration. A statistically significant difference was found between the patients examined in the study with and without a history of surgery in terms of the treatments they received. E.coli was found in 42 (42.9%) of patients with a history of surgery, 56 (57.1%) of patients without a history of surgery, 20 (48.8%) of patients with a history of surgery, and 21 of patients without a history of surgery. Among patients with and without a history of surgery, K.pneumoniae was detected in 51% (51.2%), P.mirabilis was found in 20 (60.6%) of the patients with a history of surgery and in 13 (39.4%) of patients without a history of surgery. There was no statistically significant difference in terms of results. In terms of antibiotic resistance among those with and without a history of surgery; A statistically significant difference was found between the groups in Tobramycin and Trimethoprim Sulfomethoxazole antibiotics. Keywords:Pediatric urological surgery, invasive procedure, urinary tract infection