Etiological Frequency of MDR Bacteremia and Antibiotic Resistance: Experience of the Avicenna Hospital in Marrakech

Authors

  • M. Jaimi Laboratory of microbiology and virology of Avicenna military hospital, Marrakech Faculty of medicine and pharmacy, Cadi Ayyad University, Marrakech, Morocco
  • M. Miloudi Laboratory of microbiology and virology of Avicenna military hospital, Marrakech Faculty of medicine and pharmacy, Cadi Ayyad University, Marrakech, Morocco
  • Y. El Kamouni Laboratory of microbiology and virology of Avicenna military hospital, Marrakech Faculty of medicine and pharmacy, Cadi Ayyad University, Marrakech, Morocco
  • S. Zouhair Laboratory of microbiology and virology of Avicenna military hospital, Marrakech Faculty of medicine and pharmacy, Cadi Ayyad University, Marrakech, Morocco
  • L. Arsalane Laboratory of microbiology and virology of Avicenna military hospital, Marrakech Faculty of medicine and pharmacy, Cadi Ayyad University, Marrakech, Morocco

Keywords:

Multi drug resistant, bacteremia, Antibiogram

Abstract

This work aims to study the bacteriological profile of Multi drug resistant bacteremia, as well as the current state of their resistance to antibiotics. It is a retrospective, descriptive study, which was spread over 8 years (January 2014-December 2021), relating to hospitalized patients having a positive blood culture, confirmed at microbiological laboratory of the Avicenna Military Hospital of Marrakesh. A total of 1923 blood cultures were performed, 17% of which came back positive. 68 MDRs bacterias were isolated, which is 20% of all isolates. Enterobacteriaceae resistant to third generation cephalosporins and imipenem resistant Acinetobacter baumanii are the most frequently found MDRs bacterias with rates of 47% and 30% respectively. Hospital units are mainly represented by resuscitation-intensive care, followed by medical services. MDR bacteria represent a worrying problem underlining the need for the application of hygiene measures and the rational prescription of antibiotics.

References

.Blomberg, B. et al.Antimicrobial resistance predicts death in Tanzanian children with bloodstream infections: a prospective cohort study. BMC Infect Dis7, 43 (2007).

.Merzougui, L. et al. Les infections nosocomiales en milieu de réanimation: incidence annuelle et aspects cliniques au Service de Réanimation Polyvalente, Kairouan, Tunisie, 2014. Pan Afr Med J30, 143 (2018).

.Vidal, A. Lutte contre les infections nosocomiales: élaboration d’un outil de rétro-information à destination de la communauté médicale du centre hospitalier de Lunéville. 193.

.Groupe de surveillance des bactériémies du relais régional d’hygiène hospitalière du Centre. FRA. Surveillance des bactériémies nosocomiales et communautaires en région Centre, 2000-2004. (2005).

.Saïdani, M., Boutiba, I., Ghozzi, R., Kammoun, A. & Ben Redjeb, S. Profil bactériologique des bactériémies à germes multirésistants à l’hôpital Charles-Nicolle de Tunis. Médecine et Maladies Infectieuses36, 163–166 (2006).

.Soraa, N. et al. ÉPIDÉMIOLOGIE ET PROFIL DE SENSIBILITÉ DES ISOLA TS D’HÉMOCULTURES DANS UN CENTRE HOSPIT ALO UNIVERSIT AIRE MAROCAIN. EPIDEMIOLOGY AND SUSCEPTIBILITY PROFILE OF BLOOD CULTURE ISOLATES IN A MOROCCAN UNIVERSITY HOSPITAL CENTER. 4 (2011).

.Wisplinghoff, H. et al. Nosocomial Bloodstream Infections Caused by Acinetobacter Species in United States Hospitals: Clinical Features, Molecular Epidemiology, and Antimicrobial Susceptibility. ClinicalInfectiousDiseases31, 690–697 (2000).

.Frikh, M., Maleb, A., Ablavi, I. N., Elouennass, M. &Lemouer, A. PSEUDOMONAS AERUGINOSA : EPIDEMIOLOGIE ET ETAT ACTUEL DES RESISTANCES ETUDE RETROSPECTIVE SUR TROIS ANS. 21, 7 (2017).

.Collège de bactériologie–virologie du centre hospitalier universitaire de Paris. Surveillance des staphylocoques dorés et Klebsiella multirésistantsà l’Assistance Publique–Hôpitaux de Paris (1993–1996). BEH 1998;10: 41–3.

. Réseau microbiologie du CCLIN Paris-Nord et groupe des microbiolo-gistes d’Île de France. Surveillance des bactériémies nosocomiales à par-tir du laboratoire dans hôpitaux de l’interrégion Paris-Nord en 1994 et 1996. BEH 2000:18

.Cesur, S. et al.[Evaluation of antibiotic susceptibilities and VISA-VRSA rates among MRSA strains isolated from hospitalized patients in intensive care units of hospitals in seven provinces of Turkey]. MikrobiyolBul46, 352–358 (2012).

Ben Jemmaa Z, Mahjoubi F, Ben Hadj H’mida Y, Hammami N, Ben Ayed M, Hammami A. Profil bactériologique des bactériémies et sensibilité aux antibiotiques des bactéries en cause dans la région de Sfax (1993–1998). Pathol Biol 2004;52(2):82–8

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Published

2022-06-14

How to Cite

M. Jaimi, M. Miloudi, Y. El Kamouni, S. Zouhair, & L. Arsalane. (2022). Etiological Frequency of MDR Bacteremia and Antibiotic Resistance: Experience of the Avicenna Hospital in Marrakech. International Journal of Sciences: Basic and Applied Research (IJSBAR), 62(2), 435–440. Retrieved from https://www.gssrr.org/index.php/JournalOfBasicAndApplied/article/view/14061

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