Manifestations neurologiques centrales chez les patients infectés par le VIH dans le service des maladies infectieuses du CHU de Casablanca, Maroc

Fane, M. El; Sodqi, M.; Lamdini, H; Marih, L.; Lahsen, A. Oulad; Chakib, A; Filali, Kamal Marhoum El

doi:10.3166/bspe-2018-0004

Cited by 6 publications

(3 citation statements)

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“…Our isolates were all resistant to trimethoprim-sulfamethoxazole (Table 6). Only a few studies have examined this problem in PLHIV [3,4,23,24].…”

Section: Discussionmentioning

confidence: 99%

Biochemical profile and resistance phenotype of isolates responsible for bacteremia in 111 HIV-infected patients hospitalized at the National Reference University Hospital of N'Djamena from 2020 to 2023

Clarisse Keloumta Matangar,

Bessimbaye Nadlaou,

Hamadou Abba

et al. 2023

World J. Adv. Res. Rev.

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Introduction: Surveillance of antibiotic resistant bacteria provides important information to optimize care for people living with HIV (PLHIV). The objective of this work was to determine the prevalence of bacteremia in PLHIV and to describe the biochemical profile and resistance of bacteria to antibiotics commonly prescribed for the care of patients and followed in the cohort in the infectious disease departments (SMI) of the National Reference University Hospital (CHU-RN) of N'Djamena. Material and methods: This was a descriptive, analytical and etiological diagnostic study carried out on isolates responsible for bacteremia in PLHIV, from 01/01/2020 to 03/31/2023. The isolation, the identification of the bacteria and the antibiogram were carried out by standard methods of clinical microbiology. Results: The study included 111 PLHIV, 51 of who were positive on blood culture (54%). The average age of PLHIV was 45.5 years with the extremes ranging from 15 and 76 years. The age group most affected by bacteremia was that of 55 years and over. A significant difference was observed in terms of the predominance of women over men (P = 0.02). The most identified bacteria were Staphylococcus aureus (56.86%) and Escherichia coli (16.68%). The most determined resistance phenotypes were multi-resistant bacteria (BMR) and extended-spectrum beta-lactamases (ESBL) with the proportions of 29.41% and 23.52% respectively. Conclusion: The results of this study raise the need for continuous monitoring of antibacterial resistance and to apply the recommendations for the proper use of antibiotics among PLHIV in Chad.

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“…Our isolates were all resistant to trimethoprim-sulfamethoxazole (Table 6). Only a few studies have examined this problem in PLHIV [3,4,23,24].…”

Section: Discussionmentioning

confidence: 99%

Biochemical profile and resistance phenotype of isolates responsible for bacteremia in 111 HIV-infected patients hospitalized at the National Reference University Hospital of N'Djamena from 2020 to 2023

Clarisse Keloumta Matangar,

Bessimbaye Nadlaou,

Hamadou Abba

et al. 2023

World J. Adv. Res. Rev.

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“…There are considerable bodies of work on chronic pulmonary aspergillosis and aspergilloma, principally surgical series [19][20][21][22][23], with a note that this disorder is relatively frequent. There are multiple publications focused on HIV infection, but fewer on the complications of AIDS [38,[41][42][43][44][45]. Several Moroccan authors have summarised the clinical approach to particular conditions, such as Pneumocystis pneumonia or chronic pulmonary aspergillosis, indicative of local awareness of these conditions.…”

Section: Discussionmentioning

confidence: 99%

“…Assuming an incidence of 15% (a general figure for many countries [40]), the annual incidence in HIV patients is likely to be 195 patients. Cryptococcal meningitis is described in Morocco [41][42][43][44][45]. Cryptococcal meningitis is less frequent, occurring in 2.9% of advanced HIV disease cases (the general figure used for the eastern Mediterranean countries) [46] so an estimated 160 patients are likely affected annually.…”

Section: Hiv-related Fungal Diseasesmentioning

confidence: 99%

Estimated Incidence and Prevalence of Serious Fungal Infections in Morocco

Lmimouni

Hennequin

Penney³

et al. 2022

JoF

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Few data are published from Morocco on fungal disease, although numerous case reports attest to a wide range of conditions in the country. Here, we estimate for the first time the incidence and prevalence of serious fungal diseases in the country. Detailed literature searches in English and French were conducted for all serious fungal infections. Demographic and individual underlying condition prevalence or annual incidence were obtained from UNAIDS (HIV), WHO (TB) and other international sources. Deterministic modelling was then applied to estimate fungal disease burden. Morocco’s population in 2021 was 36,561,800. Multiple publications describe various fungal diseases, but epidemiological studies are rare. The most frequent serious fungal infections were tinea capitis (7258/100,000) and recurrent vulvovaginal candidiasis (2794/100,000 females). Chronic pulmonary aspergillosis is also common at a prevalence of 19,290 (53/100,000) because of the relatively high rate of tuberculosis. The prevalence of asthma in adults exceeds one million, of whom fungal asthma (including allergic bronchopulmonary aspergillosis (ABPA)) probably affects 42,150 (115/100,000). Data are scant on candidaemia (estimated at 5/100,000), invasive aspergillosis (estimated at 4.1/100,000), HIV-related complications such as cryptococcal meningitis and Pneumocystis pneumonia and mucormycosis. Fungal keratitis is estimated at 14/100,000). Mycetoma and chromoblastomycosis are probably rare. Fungal disease is probably common in Morocco and diagnostic capacity is good in the teaching hospitals. These estimates need confirmation with methodologically robust epidemiological studies.

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Update on invasive fungal infections in the Middle Eastern and North African region

et al. 2020

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In the recent years, the epidemiology of invasive fungal infections (IFIs) has changed worldwide. This is remarkably noticed with the significant increase in high-risk populations. Although surveillance of such infections is essential, data in the Middle Eastern and North African (MENA) region remain scarce. In this paper, we reviewed the existing data on the epidemiology of different IFIs in the MENA region. Epidemiological surveillance is crucial to guide optimal healthcare practices. This study can help to guide appropriate interventions and to implement antimicrobial stewardship and infection prevention and control programs in countries.

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Manifestations neurologiques centrales chez les patients infectés par le VIH dans le service des maladies infectieuses du CHU de Casablanca, Maroc

Cited by 6 publications

References 0 publications

Biochemical profile and resistance phenotype of isolates responsible for bacteremia in 111 HIV-infected patients hospitalized at the National Reference University Hospital of N'Djamena from 2020 to 2023

Biochemical profile and resistance phenotype of isolates responsible for bacteremia in 111 HIV-infected patients hospitalized at the National Reference University Hospital of N'Djamena from 2020 to 2023

Estimated Incidence and Prevalence of Serious Fungal Infections in Morocco

Update on invasive fungal infections in the Middle Eastern and North African region

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