[Profile of the fungal flora isolated from intensive care services]

ABSTRACT

The fungal infections are more and more frequent among the patients hospitalized in intensive care services and their diagnosis remained difficult. To return the profile of the fungal flora isolated of withdrawals coming from patients hospitalized in the services of medical and surgical intensive care of the hospital Ibn Sina of Rabat between the years 2001 and 2004. It is a retrospective survey that concerned all cases of mycosis collected in the services concerned by the investigation for every patient included, the following information are noted sex, service of hospitalization, nature and number of withdrawals results of the direct exam and the culture and finally the identification of the infectious agent. The number of addressed withdrawals to the laboratory by the services of resuscitation tripled between the years 2001 and 2004 and the difference was statistically meaningful [p=0.01]. The observed fungal infections are almost represented by the levuroses [98.6%] and more especially the candidoses [94.3%]. More of the two third [71.8%] some urinary withdrawals were positive, has the inverse of the hemocultures with 4.4% of positivity. The urinary infections were caused mainly by Candida albicans [45.5%], C. tropicalis [15.6%] and C. glabrata [6.5%]. For what is other withdrawals, flora is dominated from afar by C. albicans [84.7%]. The fungal flora isolated by the patients hospitalized in resuscitation is essentially represented by the kind Candida with the three main cash C. albicans that remains predominant consistent of C. tropicalis and C. glabrata