Rifampicin and colistin in the treatment of infections from multiresistant acinetobacter baumannii

Nosocomial infections by Acinetobacter baumannii are responsible for an increase in mortality and the duration of hospitalization. Imipenem represented during main years the 'Gold standard' in the treatment of infections due to Acinetobacter baumannii, however the emergence of resistances to this molecule in many hospitals constitutes a significant therapeutic challenge. The good sensitivity of this germ invitro to colistine, increased by the association of rifampicine supported the intravenous use of these antibiotics in vivo. We report our experience with rifampicine-colistine association for the treatment of infections due to Acinetobacter baumannii multiresistant in the surgical resuscitation unit of the CHU Sahloul of Sousse

[Chronic hemodialysis and pregnancy about a case report]

The women with chronic renal failure in advanced stage have a compromised fertility. The hemodialysis improves considerably the fertility of these patients. However, the pregnancies in the dialysed patients are still rare and often lead to spontaneous miscarriage or therapeutic interruption of pregnancy. In our report, we present a case of pregnancy in a dialysed patient and we discuss the outcome, the diagnosis and the management of these pregnancies