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Volume 5, Issue 3 (Suppl)
J Infect Dis Ther, an open access journal
ISSN:2332-0877
Infectious Diseases 2017
August 21-23, 2017
3
rd
Annual Congress on
Infectious Diseases
August 21-23, 2017 San Francisco, USA
J Infect Dis Ther 2017, 5:3 (Suppl)
DOI: 10.4172/2332-0877-C1-027
Epidemiology of multi-resistant bacteria in the hospital environment of high-risk infectious units, Ibn Tofail
Hospital- University Hospital Center of Marrakech
Adel Elmekes, K Zahlane, L Ait said, A Tadlaoui Ouafi
and
M Barakate
Cadi Ayyad University, Morocco
Objective: The objective of this study is to analyze the qualitative and quantitative microbial composition of the environment
of high risk infectious units at the Ibn Tofail hospital, CHU Mohammed VI, Marrakech.
Material & Methods: This is a prospective study carried out in four units (two operating units, two adult intensive care units
ICU) of CHU Mohammed VI Marrakech during a period of four months (March to June 2014). The samples concerned
inanimate surfaces and the hands of different staff. The level of antibiotic resistance was studied by the diffusion method in agar
medium. The choice of antibiotics and the criteria for interpretation of the antibiogram were made according to the standards
of the European Committee on Antibiograms (EUCAST).
Results: 95 bacterial strains were isolated from the 125 samples. The antibiotic resistance profile showed that 46% (44/95)
of the strains were multi drug resistant, 19% of them were
acinetobacter baumannii
resistant to imipenem (ABRI), 17% of
the
Enterobacteriacae
producing extended spectrum beta-lactamases (ESBLE), and 8% was methicillin-resistant
Stapylococcus
aureus
(MRSA). The lowest rate (4%) was obtained for pseudomonas aeruginosa resistant to carbapenem (PARC). The ABRI
was mainly found in the inanimate surfaces of ICU, the EBLSE were predominant in the surfaces of the operating units.
However, the MRSA was isolated mostly from the staff handprints and the surfaces of the four studied units.
Conclusion: The alarming presence of MDR bacteria in the hospital environment urges the hospital actors (biologists,
hygienists, clinicians, and nursing staff) to double their efforts to control these bacteria.
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