ABSTRACT
The most frequent community infections caused by bacteria that are found at medical emergencies are urinary infections and meningiti. This study's aim is to determine the type and frequency of the bacteria isolated at the emergencies, and to test their sensitivity against different antibiotics. Material and methods: We have studied in a prospective way 220 bacteriological samples of 200 patients at the medical emergencies during 7 months from the begining of June 2001 till Janury 2002. Each patient was tested according to the signs he presented and to the available technical means. We did: 100 spinal punctures [US], 82 cytological bacteriological urinary examination [ECBU], 21 blood-culture, 8 pus, 6 effusion liquids, 3 plate culture of faeces. Klebsillea and Echerichia coli are responsible for most of the urinary infections. The bacteria found showed a very high level of resistance [almost 100%] against ampicillin and [60%] against amoxicillin / calvolanic acid. However they were sensitive to fluoroquinolons and to 3 rd generation cephalosporins. Pneumococus is the most frequent germ for purulent meningitis. Isolated bacteria were all sensitive to penicillin G. The progression of resistance to antibiotics of the principal community bacteria implies to rationalize the use of antibiotics, and to monitor regularly the resistance of these bacteria, and also to make new therapeutical recommendations based on the local epidemiological data
Subject(s)
Humans , Bacterial Infections/etiology , Community Medicine , Meningitis , Urinary Tract Infections , Drug Resistance, MicrobialABSTRACT
This work is based on the retrospective analysis of the results of the search for mycobacterium tuberculosis in the C. S. F of 675 patients admitted for the other diseases than tuberculosis to the different hospitals of Rabat. The results were taken from the archives of the microbiology Laboratory of Hospital Ibn Sina during the last five years. The results of examinations after Ziehl-NeLson or auramine colorations and after culture on Loweinstein Jensen or Colletsos are compared among them and among the results from the bibliography. These results show a positive rate of 6 and 10% respectively and an interest certain for the double culture. We shoud underline the fact that repeted C. S. F examinations in the same patient when feasible clinically will increase the positivity rate
Subject(s)
Tuberculosis , Cerebrospinal FluidABSTRACT
In this paper, we studied the resistance of haemophilus influenzae to the antibiotics by the production of Beta-lactamase. Among the 25 isolated strains from cephalorachidic liquid of newborn babies suffering from purulent meningitis, three are resistant to the ampicilline by producing Beta-lactamase. One of the three samples shows a multiresistance. It is particularly resistant to the chloramphenicol. In the lignt of these results and a review of the litterature, a therapeutic conduct of the H. influenze meningitis is proposed