Update on the resistance of Escherichia coli isolated from urine specimens in a Moroccan hospital: a review of a 7-year period

Benaissa, Elmostafa; Elmrimar, Nadia; Belouad, Elmehdi; Mechal, Youness; Ghazouani, Mohammed; Bsaibiss, Fatna; Benlahlou, Yassine; Chadli, Mariama; Touil, Nadia; Lemnaouer, Abdelhay; Maleb, Adil; Elouennass, Mostafa

doi:10.18683/germs.2021.1256

Cited by 4 publications

(2 citation statements)

References 9 publications

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“…Overall, 64% of the tested isolates (57% from healthcare settings and 43% from swine) were resistant to three or more classes of antimicrobials and were thereby classified as MDR. MDR E. coli have been widely reported in livestock [15,38,39], food [40] and nosocomial infections [41][42][43][44][45]. As expected, the highest resistance rates to most of the substances, including AMP, SME, TRI, CIP, NAL and AZI, were found in isolates from hospital patients.…”

Section: Discussionsupporting

confidence: 61%

Biocide Susceptibility and Antimicrobial Resistance of Escherichia coli Isolated from Swine Feces, Pork Meat and Humans in Germany

et al. 2023

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Phenotypic susceptibility testing of Escherichia (E.) coli is an essential tool to gain a better understanding of the potential impact of biocide selection pressure on antimicrobial resistance. We, therefore, determined the biocide and antimicrobial susceptibility of 216 extended-spectrum β-lactamase-producing (ESBL) and 177 non-ESBL E. coli isolated from swine feces, pork meat, voluntary donors and inpatients and evaluated associations between their susceptibilities. Minimum inhibitory concentrations (MICs) and minimum bactericidal concentrations (MBCs) of benzalkonium chloride, chlorhexidine digluconate (CHG), chlorocresol (PCMC), glutaraldehyde (GDA), isopropanol (IPA), octenidine dihydrochloride and sodium hypochlorite (NaOCl) showed unimodal distributions, indicating the absence of bacterial adaptation to biocides due to the acquisition of resistance mechanisms. Although MIC95 and MBC95 did not vary more than one doubling dilution step between isolates of porcine and human origin, significant differences in MIC and/or MBC distributions were identified for GDA, CHG, IPA, PCMC and NaOCl. Comparing non-ESBL and ESBL E. coli, significantly different MIC and/or MBC distributions were found for PCMC, CHG and GDA. Antimicrobial susceptibility testing revealed the highest frequency of resistant E. coli in the subpopulation isolated from inpatients. We observed significant but weakly positive correlations between biocide MICs and/or MBCs and antimicrobial MICs. In summary, our data indicate a rather moderate effect of biocide use on the susceptibility of E. coli to biocides and antimicrobials.

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Section: Discussionsupporting

confidence: 61%

Biocide Susceptibility and Antimicrobial Resistance of Escherichia coli Isolated from Swine Feces, Pork Meat and Humans in Germany

et al. 2023

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“…A study by Bercion et al showed that the prevalence of uropathogens ESBL-producing Enterobacteriaceae in Bangui, Central African Republic, significantly increased from 3.7% to 19.3% between 2004 and 2006 [28]. In Morocco, the ESBL phenotype rate increased from 3% in 2012 to 11.16% in 2018 [30]. In our study, we reported 25.4% ESBL producers.…”

Section: Discussionsupporting

confidence: 55%

Antibiotic resistance patterns in nosocomial infections: preliminary data from Hospital of Al-Hoceima, Morocco

Abourrich,

Mourabit,

Boussa

et al. 2023

J Infect Dev Ctries

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Introduction: Nosocomial infections or healthcare-associated infections (HCAIs) represent a public health problem. The burden of antibiotic resistance in these infections is still unclear in Morocco. The objective of this study was to describe antibiotic susceptibility of the main bacteria responsible for nosocomial infections in order to propose prevention measures. Methodology: Data were collected from 1519 laboratory records including hospital inpatients suspected of nosocomial infections in Mohamed V Hospital of Al-Hoceima between January 2016 and December 2020. The data were analyzed using SPSS software version 25. Results: Bacteriological test samples included 65.5% of urine, 27.2% of pleural fluid, 4.5% of pus, and 2.8% of protected distal swab. Two hundred and twenty-seven (15%) samples were culture-positive. The bacteria isolated were mainly enterobacteria (Escherichia coli, 43.6% and Klebsiella pneumoniae, 13%), non-fermentative Gram-negative bacteria (Pseudomonas aeruginosa, 10.8%), and Staphylococcus aureus (24.3%). Extended spectrum beta-lactamases (ESBLs)-producing Enterobacteriaceae represented 25.4% and those resistant to other families of antibiotics accounted for 12.5%. In our study, we reported 17% ESBL producers among urinary infections. Methicillin-resistant Staphylococcus aureus accounted for 22.2%. Pseudomonas aeruginosa that were resistant to ticarcillin, ceftazidime, and imipenem represented 29% of the cases. Conclusions: Our results showed a higher frequency of resistance. A microbiological surveillance system is highly needed to identify bacterial niches in the hospital environment at Mohamed V Hospital.

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A comparative study on antibiotic resistant Escherichia coli isolates from Austrian patients and wastewater-influenced Danube River water and biofilms

Leopold,

Kabicher,

Pap

et al. 2024

International Journal of Hygiene and Environmental Health

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Update on the resistance of Escherichia coli isolated from urine specimens in a Moroccan hospital: a review of a 7-year period

Cited by 4 publications

References 9 publications

Biocide Susceptibility and Antimicrobial Resistance of Escherichia coli Isolated from Swine Feces, Pork Meat and Humans in Germany

Biocide Susceptibility and Antimicrobial Resistance of Escherichia coli Isolated from Swine Feces, Pork Meat and Humans in Germany

Antibiotic resistance patterns in nosocomial infections: preliminary data from Hospital of Al-Hoceima, Morocco

A comparative study on antibiotic resistant Escherichia coli isolates from Austrian patients and wastewater-influenced Danube River water and biofilms

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