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

Mostapha Abourrich; Nadira Mourabit; Samia Boussa; Mohammed Ghalit; Rachida Elbarghmi; Nabia Guerrouj; Fatima Aich; Asiya Khermach; Hossain El Ouargh

doi:10.3855/jidc.17454

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

Authors

Mostapha Abourrich Environmental Health and Hospital Hygiene Department. Provincial Health Delegation of Al-Hoceima, Morocco
Nadira Mourabit Environmental Technologies, Biotechnology and Valorization of Bio-Resources Team, Faculty of Sciences and Techniques of Al-Hoceima, Abdelmalek Essaadi University, Tetouan, Morocco https://orcid.org/0000-0001-5941-2243
Samia Boussa Higher Institute of Nursing Professions and Health Techniques, Marrakech, Morocco https://orcid.org/0000-0002-5599-1097
Mohammed Ghalit Laboratory of Applied Chemistry and Environment, Faculty of Sciences, University Mohamed First, Oujda, Morocco https://orcid.org/0000-0002-8306-6560
Rachida Elbarghmi Research Team of Water and Environmental Management, Laboratory of Applied Sciences, National School of Applied Sciences Al-Hoceima, Abdelmalek Essaadi University, Tetouan, Morocco
Nabia Guerrouj Medical Bacteriology Department, Medical Laboratory of the Provincial Hospital of Al-Hoceima, Morocco
Fatima Aich Committee for the Control of Nosocomial Infections of the Provincial Hospital of Al-Hoceima, Morocco
Asiya Khermach Medical laboratory of the Provincial Hospital of Al-Hoceima, Morocco
Hossain El Ouargh Research Team of Water and Environmental Management, Laboratory of Applied Sciences, National School of Applied Sciences Al-Hoceima, Abdelmalek Essaadi University, Tetouan, Morocco https://orcid.org/0000-0001-6866-6579

DOI:

https://doi.org/10.3855/jidc.17454

Keywords:

resistance, hospital, environment, Morocco, nosocomial infection

Abstract

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.

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Published

2023-09-30

How to Cite

Abourrich M, Mourabit N, Boussa S, Ghalit M, Elbarghmi R, Guerrouj N, Aich F, Khermach A, El Ouargh H (2023) Antibiotic resistance patterns in nosocomial infections: preliminary data from Hospital of Al-Hoceima, Morocco. J Infect Dev Ctries 17:1310–1316. doi: 10.3855/jidc.17454

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Issue

Vol. 17 No. 09: September 2023

Section

Original Articles

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