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Pediatrics, Azienda Ospedaliera Universitaria Sant’Orsola-Malpighi Bologna, Via Massarenti 11, Italy\nNephrology and Dialysis Unit, Department of Pediatrics, Azienda Ospedaliera Universitaria Sant’Orsola-Malpighi Bologna, Via Massarenti 11, Bologna, 40138, Italy \n Division of Pediatric Nephrology, School of Medicine, Cukurova University, Adana, Turkey \n Dialysis Unit, Jagielloniam University, Krakow, Poland \n Pediatric Nephrology Department, Istanbul Medical Faculty, Istanbul University, Istanbul, Turkey \n Service de Pédiatrie, Centre Hospitalier Universitaire Hautepierre, Strasbourg, France \n Service de Pédiatrie, Centre de Reference Maladies Rénales Rares du Sud Ouest, Centre Hospitalier Universitaire de Bordeaux, Bordeaux, France \n Vilnius University Children Hospital, Vilnius, Lithuania \n Department of Nephrology, The Children’s Memorial Health Institute, Warsaw, Poland \n Ege University, Izmir, Turkey \n Division of Pediatric Nephrology, University Children’s Hospital, 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"abstractText" : "Knowledge of the distribution spectrum of causative organisms and their resistance patterns has become a core requirement for the rational and effective management of urinary tract infections. In the context of a prospective trial on the use of antibiotic prophylaxis in infants with underling kidney malformations, we conducted an online survey among paediatric nephrologists on positive urine cultures (July 2010–June 2012) from both hospitalized and non-hospitalized infants under 24 months of age. We collected 4745 urine cultures (UCs) at 18 units in 10 European countries. Escherichia coli was the most frequent bacterium isolated from UCs; however, in 10/16 hospitals and in 6/15 community settings, E. coli was isolated in less than 50 % of the total positive UCs. Other bacterial strains were Klebsiella, Enterococcus, Proteus and Pseudomonas not only from hospital settings. E. coli showed a high resistance to amoxicillin and trimethoprim and variable to cephalosporin. Nitrofurantoin had a good rate of efficacy, with 11/16 hospitals and 11/14 community settings reporting a resistance lower than 5 %. Conclusion: E. coli is the most common organism causing UTIs in infants; however, other bacterial strains are frequently isolated. 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