Évolution des résistances de l’Escherichia coli au cours des péritonites communautaires

Nejmi, H.; Laghla, B.; Boutbaoucht, M.; Samkaoui, M.A.

doi:10.1016/j.medmal.2010.11.015

Cited by 8 publications

(6 citation statements)

References 3 publications

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“…In total, 14 662 articles were collected from the initial literature search, and from them only 61 were eligible for data abstraction (Figure 1). However, after full assessment, 12 articles were excluded due to data overlapping or duplication [16][17][18] and for di culties to abstract data [19][20][21][22][23][24][25][26][27]. Finally, 49 papers ful lling the inclusion criteria were included in the nal analysis .…”

Section: Data and Study Characteristicsmentioning

confidence: 99%

Antimicrobial Resistance Among GLASS Pathogens In Morocco: An Epidemiological Scoping Review

Nejjari

Achhab²,

Benaouda

et al. 2022

Preprint

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Background: Monitoring of antimicrobial resistance (AMR) is of great importance due to the frequency of strains becoming increasingly resistant to antibiotics. This review, using a public health focused approach, aimed to understand and describe the current status of AMR in Morocco in relation to WHO priority pathogens and treatment guidelines.Methods: PubMed, ScienceDirect and Google Scholar Databases and grey literature were searched published articles on antimicrobial drug resistance data for GLASS priority pathogens isolated from Morocco between January 2011 and December 2021. Articles were screened using strict inclusion/exclusion criteria. AMR data was extracted with medians and IQR of resistance rates.Results: Forty-nine articles were included in the final analysis. The most reported bacterium was Escherichia coli with median resistance rates of 90.9%, 64.0%, 56.0%, 47.8%, 34.4%, 34.0%, and 23.0% for amoxicillin, amoxicillin-clavulanic acid, co-trimoxazole, nalidixic acid, ceftriaxone, fluoroquinolones, and gentamicin, respectively. Colistin had the lowest median resistance with 0.1% (range 0.0-11.9).Conclusions: Whilst resistance rates are high for most of GLASS pathogens, there were deficient data to draw vigorous conclusions about the current status AMR in Morocco. The recently join to the GLASS system surveillance will begin to address this data gap.

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Section: Data and Study Characteristicsmentioning

confidence: 99%

Antimicrobial Resistance Among GLASS Pathogens In Morocco: An Epidemiological Scoping Review

Nejjari

Achhab²,

Benaouda

et al. 2022

Preprint

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“…Les péritonites sont des urgences médicochirurgicales qui nécessitent, à côté du geste opératoire, un traitement antibiotique efficace [10]. Le but de cette antibiothérapie est de lutter contre la bactériémie et l'extension de l'infection.…”

Section: Germes Isolésunclassified

“…Le but de cette antibiothérapie est de lutter contre la bactériémie et l'extension de l'infection. Plusieurs études ont confirmé le polymorphisme microbien au cours des péritonites [10]. Dans la quasi-totalité des cas, il est décrit une association constante de germes aérobies et anaérobies [10,11].…”

Section: Germes Isolésunclassified

“…Plusieurs études ont confirmé le polymorphisme microbien au cours des péritonites [10]. Dans la quasi-totalité des cas, il est décrit une association constante de germes aérobies et anaérobies [10,11]. Les résultats de notre série corroborent ces hypothèses de polymicrobisme : 36 % des cultures positives de notre série comportaient deux germes avec une prédominance d'entérobactéries : sur les cinquante-trois souches bactériennes isolées, trente et une (58 %) étaient des entérobactéries.…”

Section: Germes Isolésunclassified

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Microbiological characteristics of community-acquired peritonitis at Souro Sanou Teaching Hospital of Bobo Dioulasso

Ouédraogo

Zaré

Traore³

et al. 2016

Médecine Et Santé Tropicales

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“…On the other hand, in adults, the antibiotic therapy of these intra-abdominal infections was the subject of a French consensus conference recommending the use of amoxicillin-clavulanic acid and aminoglycoside [2]. In the context of emergence of resistant bacterial strains, iterative epidemiological studies are necessary to follow the evolution of the resistance of the etiological agents involved in this pathology and to propose adequate therapies [3]. Thus we conducted this work to study the microbiological profile of community peritonitis of the child in our region, to discuss their probabilistic antibiotherapy.…”

Section: Introductionmentioning

confidence: 99%

Bacteriology of Peritonitis in Children Treated at the University Hospital of Marrakech

Rokni¹,

Rabi²,

Soraa³

et al. 2019

AJLM

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Child peritonitis are severe intra-abdominal infections, involving vital prognosis. The available microbiological data of peritonitis in children are inadequate, and antibiotic therapy is not consensual. Description of the bacteriological profile and the antibiotic resistance of the isolated bacteria in the various samples of peritoneal fluid from the different departments of the University Hospital of Marrakech. It is a descriptive study spread over two years. carried out at the Laboratory of Microbiology of the Mohamed VI Hospital of Marrakech (CHU MED VI), covering all the bacterial strains, isolated in the peritoneal fluid samples from the various pediatric departments of the University Hospital. During this period, 92 samples were treated in the laboratory with a positivity rate of 80%. The average age of his children is 11.7 years with a sex ratio of 1.4. The infection was polymicrobial in 40%. Escherichia. coli dominated the bacteriological profile of these peritonitis in 74% of cases, followed by Streptococcus spp (30%), Pseudomonas aeruginosa (18%), Enterobacter cloacae (6%) and Klebsiella pneumoniae (1%). The susceptibility to amoxicillin in enterobacteria isolated from peritonitis was 32%, 68% for amoxicillin/clavulanic acid, 92% for 3rd generation cephalosporins, 97% for fluoroquinolones, 67% for cotrimoxazole and 89% for gentamycin. Only one strain of Pseudomonas aeruginosa was resistant to ceftazidime. All strains remained sensitive to amikacin and carbapenems. Resistance of Enterobacteria to 3rd generation cephalosporins by the production of Extended Spectrum Betalactamase (ESBL) in the isolates was 4%. This prompts us to reconsider our therapeutic approach. We believe that the association C3G + aminoglycoside + metronidazole should be used first-line in severe pediatric peritonitis in our context. The quick initiation of an antibiotic therapy adapted to the resistance profile would be an important factor in improving the prognosis, hence the interest of close collaboration between surgeons, anesthesiologist-intensive care and microbiologists.

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Évolution des résistances de l’Escherichia coli au cours des péritonites communautaires

Cited by 8 publications

References 3 publications

Antimicrobial Resistance Among GLASS Pathogens In Morocco: An Epidemiological Scoping Review

Antimicrobial Resistance Among GLASS Pathogens In Morocco: An Epidemiological Scoping Review

Microbiological characteristics of community-acquired peritonitis at Souro Sanou Teaching Hospital of Bobo Dioulasso

Bacteriology of Peritonitis in Children Treated at the University Hospital of Marrakech

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