Antibiotic resistance patterns in nosocomial infections: preliminary data from Hospital of Al-Hoceima, Morocco.

INTRODUCTION: Nosocomial infections or healthcare-associated infections (HCAIs) represent a public health problem. The burden of antibiotic resistance in these infections is still unclear in Morocco. The objective of this study was to describe antibiotic susceptibility of the main bacteria responsible for nosocomial infections in order to propose prevention measures. METHODOLOGY: Data were collected from 1519 laboratory records including hospital inpatients suspected of nosocomial infections in Mohamed V Hospital of Al-Hoceima between January 2016 and December 2020. The data were analyzed using SPSS software version 25. RESULTS: Bacteriological test samples included 65.5% of urine, 27.2% of pleural fluid, 4.5% of pus, and 2.8% of protected distal swab. Two hundred and twenty-seven (15%) samples were culture-positive. The bacteria isolated were mainly enterobacteria (Escherichia coli, 43.6% and Klebsiella pneumoniae, 13%), non-fermentative Gram-negative bacteria (Pseudomonas aeruginosa, 10.8%), and Staphylococcus aureus (24.3%). Extended spectrum beta-lactamases (ESBLs)-producing Enterobacteriaceae represented 25.4% and those resistant to other families of antibiotics accounted for 12.5%. In our study, we reported 17% ESBL producers among urinary infections. Methicillin-resistant Staphylococcus aureus accounted for 22.2%. Pseudomonas aeruginosa that were resistant to ticarcillin, ceftazidime, and imipenem represented 29% of the cases. CONCLUSIONS: Our results showed a higher frequency of resistance. A microbiological surveillance system is highly needed to identify bacterial niches in the hospital environment at Mohamed V Hospital.

Removal of metallic trace elements (Pb2+, Cd2+, Cu2+, and Ni2+) from aqueous solution by adsorption onto cerium oxide modified activated carbon.

The equilibrium and kinetic studies of removal of Pb2+, Cd2+, Ni2+, and Cu2+ metal ions were carried out using activated carbon prepared from palm kernel shell and doped with CeO2 (Ce/AC). The obtained material carbon was characterized by XRD which showed some crystalline traces of CeO2, SEM displaying the porous texture with spherical pores and the determination of pH of point of zero charge (pHPZC) which was found to be equal to 6. The contact time and adsorbate were thoroughly investigated. The maximum adsorption depends inversely on the hydrated metal radius. This observation was confirmed by calculating the formation energies (ΔH(M(OH)2)) of M(OH)2. The metal ionic radii were acting on calculated sorption capacity and that sorption efficiency related to ionic radii of metal was as follows: R(Ni2+) ≤ R(Cd2+) < R(Cu2+) < R(Pb2+). The texture and morphology of the material after sorption were affected by the metallic ion nature as observed by SEM. The kinetic studies showed that the rate constant (k2) of pseudo-second-order model decreased with the increase of the hydrated cations radii, while the rate constant of intraparticle diffusion increased with the increase of the ionic radii. The Freundlich isotherm model best fit the experimental sorption data for all the metallic ions.