Épidémiologie et résistance aux antibiotiques des entérobactéries isolées d'infections urinaires à l'hôpital militaire Moulay-Ismail de Meknès

Among the 6000 urinary samples, 730 met the criteria of urinary infection (12.2 %). Among the infections, 30 % came from in-patients and 70 % from out-patients. Sex-ratio F/M was 1.08. Escherichia coli was the predominant strain among nosocomial and community Enterobacteriaceae with respectively 65 and 80 % of isolates. The global resistance level of nosocomial and community Enterobacteriaceae to amoxicillin, amoxicillin + clavulanic acid, quinolones, fluoroquinolones, sulfamethoxazole + trimethoprim and nitrofuranes was high. The third generation cephalosporins and aminoglycosides kept a good activity. Global prevalence of extended spectrum beta-lactamase (ESBL) production was observed in 9 % of Enterobacteriaceae.