Sensitivity of common bacterial pathogens causing pneumonia in children age 1 month to 5 years

Abstract

Background: Pneumonia is defined as inflammation of lung parenchyma. Aim of the current study was to identify the culture and sensitivity of bacteria causing pneumonia in one month to 5 years of age. Study Design: Cross sectional study. Setting: Department of Pediatric Medicine, Khyber Teaching Hospital (KTH), Peshawar. Period: December 2016 to March 2018. Material & Methods: Total 292 patients were randomly included in study. Data were collected by pre designed Performa and analyzed by SPSS 21. Results: Mean age of patients was 2.7 ± 1.2 years. Male to female ratio was 3:2. Culture report showed 123(42.1%) were Staphylococcus Aureus positive, 87(29.8%) streptococcus pneumonia, 75(25.7%) Hemophilus Influenza, 3(0.01%) Pseudomonas aeruginosa, 2(0.0068%) Klebsiella pneumoniae, 2 (0.0068%)  E.coli positive. All the bacteria were sensitive to commonly used antibiotics unless we observed resistance of H. Influenza against clarithromycin and Co amoxiclav. In rest of seven cases, out of total two cases of E. coli both were sensitive to amikacin while resistance to amoxil and co amoxiclave. Out of total three pseudomonas cases, two cases were resistance to ceftriaxone and amoxil, one was sensitive to ceftriaxone, while all three were sensitive to amikacin, two cases were of klebsiella pneumonia and both of them were sensitive to amikacin while resistant to amoxil. Conclusion: Most common organism causing pneumonia in one month to 5 years of age is S aureus followed by S pneaumoniae, H influenza, Paurogenosia, klabsiella and E.coli. Most of these organisms were sensitive to amoxil, ampiclox, cefotaxime and ceftriaxone while resistance of H influenza was observed to clarithromycin and co amoxiclave.