[Streptococcus agalactiae in nonpregnant adult]

The pathogenic capacity of streptococcus agalactiae or Group B Streptococcus [GBS] has been increasing in nonpregnant adults. We carried out a study about the pathogenic capacity and susceptibility to antibiotics of GBS strains isolated between January 2003 and June 2004 in Farhat Hached hospital of Sousse [Tunisian general hospital]. Identification of strains was carried out according to usual bacteriological characters. Susceptibility of GBS to antibiotics was carried out according to CA-SFM recommendations. During the study period, sixty strains were isolated. They were essentially isolated from the urinary tract [52%] and the skin [36.2%]. Women accounted for 68 percent of the cases. Among the 30 hospitalized patients, 20 [66%] had serious underlying disease. Diabetes mellitus was predominant [80%]. All group B streptococci isolates were susceptible to amoxicillin, penicillin G. vancomycin and to pristinamycin. Sixty four percent of isolates were susceptible to erythromycin. Among the invasive infection, caused by GBS in nonpregnant adults, skin and urinary tract infections were the most common. All isolates were susceptible to amoxicillin, penicillin G, vancomycin and to pristinamycin

urgences infectieuses dans un service d'urgences medicales

The aim of this study is to evaluate the frequency of infectious urgencies and the quality of their management in an emergency medical service. During the period of study, 21737 consultants are recorded, from which 2011 for an infectious urgency [9.25%], pharyngitis with rhinitis excluded. 692 patients are hospitalized and 1074 receive ambulatory antibiotics. Therapeutic urgencies are the most frequent infectious urgencies [48.4%], followed by protection urgencies [46.3%], urgencies due to antibiotics [5.2%] and prevention urgencies [0.1%]. The conduct is considered correct for 1379 cases [68.5%] and incorrect for 500 cases [25%]. Main incorrect conducts are the absence of follow-up [81.6%] and the maladjusted antibiotherapy [11.8%]. These results incite, mainly, to the improvement of the professional training of emergency physicians and their communication with their colleagues of the other sanitary structures