ABSTRACT
The antimicrobial therapy for the treatment of bacteremia is often empirical in the first 48 hours and based on the epidemiological knowledge of susceptibility profiles of the most common bacteria causing such infections. The aim of our study was to determine the epidemiological profile and the antibiotics susceptibility of bacteria identified in blood culture in a teaching hospital center, to improve the empirical antibiotherapy for the treatment of bacteremia. A retrospective study was carried out at the Microbiology laboratory of Mohammed VI hospital of Marrakech from January 2008 to June 2009. It included all the bacteria identified in blood culture. We collected 146 strains responsible for bacteremia. Gram-negative bacilli [BGN] represented 52.7%. The most frequently isolated species were Staphylococcus aureus [21.3%], Entrobacter cloacae [14%], Acinetobacter baumannii [12.3%] and Pseudomonas aeruginosa [8.9%]. The incidence of resistance to methicillin were 48.3% for Staphylococcus aureus. No resistance of glycopeptides was found among the enterococci and staphylococci isolates. 64.3% of enterobacteriaceae were resistant to third generation cephalosporins and had a broad-spectrum betalactamase phenotype. The proportion of non fermenting Gram negative bacilli resistant to imipenem was 49.9%. The resistance rate of Acinetobacter baumannii and Pseudomonas, aeruginosa was 49.9% for imipenem. To carry out an epidemiological control of bacteremic episodes occurring at every hospital, it is necessary to improve the empirical antibiotherapy
ABSTRACT
Pityriasis versicolor is a frequent and common worldwide superficial dermatosis that can occur in all ages. The goal of this work is to show the important place that occupies the pityriasis among the superficial mycosis of skin and the scalp and to try to draw the profile and the features of this affection. To evaluate the prevalence of the pityrosporum we achieved a retrospective survey on a period of 13 years to the labotutory of Parasitologiy and Mycology of the children hospital in Rabat, The diagnosis was based on a direct microscopic exam of the squames coming from the lesions. Pityriasis versicolor was diagnosed among 1087 subjects [45, 15%of the dermatosis] and was located to the skin in 55, 47%tof cases A light feminine predominance is noted with 54, 93%. The age of predilection is between 16 tand 30 years representing 41, 98%of all cases. There iwas no meaningful variation according to the seasons. The pityriasis versicolor is a banal infection but is unaesthetic and poses a real problem for its treatment that is long and has frequent recurrences
Subject(s)
Humans , Male , Female , Malassezia , Mycoses , Retrospective Studies , Dermatomycoses , PrevalenceABSTRACT
Objective: our study aims at studying the sensibility of isolated staphylococci at hospital Ibn Sina of Rabat [during six months] to various antibiotics, to allow a better therapeutic approach
Method: We included all non doubled stump of isolated staphylococcus from various pathological samples taken from hospitalized patients in University Hospital Center
Results: The stumps of isolated staphylococcus represent 12,85% of all the positive isolates. Global sensibility of stumps to penicillin G was low, All s. aureus are sensitive to the pristinomycine and vancomycine, while the SCN is less in sensibility to the assiociation thrimethoprime - sulfamethoxazol in the order of 87.1 % for S. aureus and 35. 75 % for the SCN. Stumps of S. aurens are more sensitive to erythromycine lincomycine and the acid pusidique, while that of SCN sensibility to aminosides is very variable. The SARM represent 25.2% of staphylococcus aureus and present the phenotypes of multiresistance
Conclusion: Amony all pathogenics, staphylococci remains the most grave and important in human infections. The meticillino - resistance still represent the essential marker of the the antibio-resistance of staphylococcus
ABSTRACT
This is prospective study to evaluate the influence of the long-term fasting on the biochemical constants and deducing from it the credibility of the analyses carried out during this month. At thirty one healthy volonteers, three blood analysis was done per day at three different times: 9h of the morning, midday and 16h. Several biological parameters - glucose, cholesterol total, triglycerides, rates of protids, urea, creatinin, uric acid were made by system Synchron cx delta. We found that the concentration of some parameters does not accept any significant change during the day [triglycerides, urea], others accept a significant change only at the end of the day [glycemia, cholesterol], whereas the concentration in protids, uric acid and creatinin changes at a significant degree along the day. Observing Ramadan led to a change of several blood parameters, represents primarily increase in cholesterol HDL and a reduction in the glycemia. These changes do not affect the biological analysis done during the month of Ramadan if we respects the hour of fasting necessary before each measurement