ArticlePediatric nephrology (Berlin, Germany)2005
Community-acquired enterococcal urinary tract infections.
Article in Pediatric nephrology (Berlin, Germany), 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.
- Global Prevalence of Vancomycin-Resistant Enterococcus faecium and Enterococcus faecalis Isolated From Clinical and Environmental Sources: A Systematic Review and Meta-Analysis.MicrobiologyOpen · 2026Pooled it
- Etiological and Resistance Profile of Bacteria Involved in Urinary Tract Infections in Young Children.BioMed research international · 2017Trial
- Trends in Positive Urine Culture Rates and Antimicrobial Resistance in Non-Hospitalized Children from Western Romania: A Retrospective Observational Study.Antibiotics (Basel, Switzerland) · 2025Article
- Cystinuria-Related Urinary Stone as the Cause of Repeated Urinary Tract Infections (UTIs) in a Child.Cureus · 2025Article
- Antibiotic Resistance ofAntibiotics (Basel, Switzerland) · 2022Article
- Antibiogram of Urinary Tract Infections and Sepsis among Infants in Neonatal Intensive Care Unit.Children (Basel, Switzerland) · 2022Article
- Clinical characteristics and prediction analysis of pediatric urinary tract infections caused by gram-positive bacteria.Scientific reports · 2021Article
- Frequency of Uropathogens and Antimicrobial Susceptibility in Childhood Urinary Tract Infection at Kamenge University Hospital, Bujumbura, Burundi.The East African health research journal · 2017Article
- Bacteremia in Early Infancy: Etiology and Management.Current infectious disease reports · 2016Article
- Acute focal bacterial nephritis, pyonephrosis and renal abscess in children.Pediatric nephrology (Berlin, Germany) · 2015Article
- Clinical characteristics and risk factors of enterococcal infections in Nagasaki, Japan: a retrospective study.BMC infectious diseases · 2015Article
- Observational
- Urinary tract infections in the infant.Clinics in perinatology · 2015Review
- Long-term resistance trends of uropathogens and association with antimicrobial prophylaxis.Pediatric nephrology (Berlin, Germany) · 2014Article
- Community-acquired enterococcal urinary tract infections in hospitalized children.Pediatric nephrology (Berlin, Germany) · 2012Article
- Randomized Intervention for Children With Vesicoureteral Reflux (RIVUR): background commentary of RIVUR investigators.Pediatrics · 2008Article
- Clinical features of community-acquired Pseudomonas aeruginosa urinary tract infections in children.Pediatric nephrology (Berlin, Germany) · 2008Article
- Clinical significance of bacteriuria with low colony counts of Enterococcus species.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2006Article
- Variation in antibiotic susceptibility of uropathogens by age among ambulatory pediatric patients.Journal of pediatric nursingArticle
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Enterococcal urinary tract infection (UTI) is usually hospital-acquired and affects individuals with predisposing conditions. The aim of this study was to evaluate the community-acquired enterococcal UTIs in otherwise well children. We reviewed all the 257 first UTI episodes in children hospitalized in a General Hospital during a 5-year period. Enterococcus faecalis was isolated in 13 episodes, accounting for 5.1% of the total UTIs. All strains were susceptible to ampicillin, vancomycin and nitrofurantoin. Imaging studies revealed major urinary tract abnormalities in 9 and parenchymal defects in 8 children. During a follow-up period from 2 to 6 years, 4 children suffered break-through infections despite antibiotic prophylaxis, 3 developed renal scarring and 4 underwent corrective surgical procedures. Children with enterococcal UTIs presented with significantly higher rates of anatomical abnormalities and worse prognosis in terms of renal scarring, recurrences and corrective surgery compared with the total cohort of children with Gram-negative UTIs. However children with enterococcal UTIs did not present with a worse prognosis when compared with a group of children with Gram-negative UTIs matched for age and degree of reflux. Enterococcal infection is not an independent risk factor for poor outcome, nevertheless positive urine culture including enterococci is highly indicative for underlying urinary tract abnormalities, recurrences, renal scarring, and need for surgical intervention.
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