Volume 3, Issue 2, June 2018, Page: 34-39
Urinary Tract Infections in Patients Admitted to the Nephrology Department
Mouayche Ikhlas, Departement of Bacteriology and Virology, University of Medicine and Pharmacy, Marrakech, Morocco
Hamdani Hana, Departement of Bacteriology and Virology, University of Medicine and Pharmacy, Marrakech, Morocco
Hiddou Abdesalam, Departement of Bacteriology and Virology, University of Medicine and Pharmacy, Marrakech, Morocco
El Assas Hajar, Departement of Nephrology and Hemodialysis, University of Medicine and Pharmacy, Marrakech, Morocco
Fadili Wafaa, Departement of Nephrology and Hemodialysis, University of Medicine and Pharmacy, Marrakech, Morocco
Laouad Inass, Departement of Nephrology and Hemodialysis, University of Medicine and Pharmacy, Marrakech, Morocco
Soraa Nabila, Departement of Bacteriology and Virology, University of Medicine and Pharmacy, Marrakech, Morocco
Received: May 15, 2018;       Accepted: May 29, 2018;       Published: Aug. 1, 2018
DOI: 10.11648/j.ijidt.20180302.13      View  425      Downloads  33
Abstract
Urinary infections (UI) remain among the most frequent problems faced by the clinician and occupy a prominent place in nephrological pathology due to their frequency and severity. The aim of this work is to study the aspect of UI in the nephrology service. Materials and methods: This is a prospective study over a periodof 5 months (July 2016 – December 2016). Results: 115 patients had benefited from cytobacterioligical urine exam. The prevalence of UI was 31%. The mean age of patients was 38 years with a female predominance. Renal failure was found in 33% of patients followedby nephrotic syndrome (25%) and kidney transplant (11%). Chronic renal insufficiency was foundin25% of patients and 23% receivedan Endoxanbolus. The mostincri minatedspecies were Enterobacteriae (81%) with the predominance of E. coli (44%) followed by Klebsiella pneumoniae (31%) Enterobacter cloacae (3%) resistance to C3G by production of Betalactamases with extended spectrum was found in 24% of Enterobacteriaceae. Resistance to amoxicillin-clavulanic acidwas 72%, fluoroquinolones (34%) and gentamicin (14%). Thefirst-lineantibioticwas Ciprofloxacinin (62%) and a third generation cephalosporin in 28% of cases. Conclusion: Area soned use of antibiotic sisnecessaryin order to prevent the extension of bacterial resistance.
Keywords
Urinary Infection, Kidney Failure, Enterobacteriaceae, Antibiotic Resistance, E. coli, Ciprofloxacin
To cite this article
Mouayche Ikhlas, Hamdani Hana, Hiddou Abdesalam, El Assas Hajar, Fadili Wafaa, Laouad Inass, Soraa Nabila, Urinary Tract Infections in Patients Admitted to the Nephrology Department, International Journal of Infectious Diseases and Therapy. Vol. 3, No. 2, 2018, pp. 34-39. doi: 10.11648/j.ijidt.20180302.13
Copyright
Copyright © 2018 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Reference
[1]
Nielubowicz G, Mobley H. Host-pathogen interactions in urinary tract infection. Nat RevUrol. 2010 Aug; 7 (8): 430-41.
[2]
Elkharrat D, Arrouy L. Épidémiologie de l'infection urinaire communautaire de l'adulte en France; Les infections urinaires. Monographies en urologie. 2007; 1-20.
[3]
BOURQUIA A, RAMDANI B, SAHNI K, ZAID D. Profil de l'infection urinaire dans un service de néphrologie. Médecine du Maghreb. 1992; 33: 11-16.
[4]
Infections urinaires de l'adulte et de l'enfant, les recommandations 2008 de l'AFSSAPS.
[5]
Ponte B, Saudan P. L'insuffisance rénale aigüe en 2008. Revue médicale suisse. Number 3147.
[6]
Uchino S, et al. Acute renal failure in critically ill patients- a multinational, multicenter study. JAMA. 2005 Aug 17; 294 (7): 813-818.
[7]
LOBEL B. Traitement de la cystite chez la femme. Presse Med. 1995; 24(32): 1527-9.
[8]
BENNSMAN A. Infection de l'appareil urinaire chez l'enfant. Meyrier Alain des infections de l'appareil urinaire préface du Pr. François Vachon. Editions médicales de Merck Sharp et Dohme-Chibret 2016.
[9]
DUPONT B, FAUCHER JL. Médical aspects of urinary tract infections. J Urol (Paris). 1983; 89 (5): 299-307.
[10]
WAGENLEHNE FME, NABER KG. Uncomplicatedurinary tract infections in women. Current Opin Urol. 2001 Jan; 11 (1): 49-53.
[11]
SQUALLI M, EL MDAGHRI N, BENBACHIR M. Diagnostic bactériologique des infections urinaires. Rev Maroc Santé. 1984; 6:3 - 4.
[12]
Rim A, Badreddine K, Fakher K. Infections urinaires hautes de l'adulte: à propos de 261 épisodes. La tunisie Médicale. 2010; 88 (9): 629 - 633.
[13]
Wagenlehner FME, Wieder W, Naber KG. Emergence of antibiotic resistance among hospital-acquire durinary tract infections and pharmacokinetic /pharmacodynamic considerations. J Hosp Infect. 2005 Jul; 60 (3):191-200.
[14]
Stapleton Ann. Urinary tract infections in patients with diabetes. Am J Med. 2002; 113 suppl 1A (8):80-84.
[15]
Leonid S, Vladimir V. Antimicrobial susceptibility of pathogens isolated from adult patients with uncomplicated community-acquire durinary tract infections in the Russian federation: two multicentre studies, UTIAP-1 and UTIAP-2. Int J Antimicrob Agents. 2006 Aug; 28 (Suppl 1):S4-S9.
[16]
Tsai-Ling Lauderdale, Clifford McDonald L, Yih-Ru Shiau and al. The status of antimicrobialresistance in Taiwan among Gram-negative pathogens: the Taiwan surveillance of antimicribial resistance (TSAR) program, 2000. Diag Micro biol Infect Dis. 2004; 48 (3):211-219.
[17]
TRAORE H. Les infections urinaires dans le service de néphrologie et d’hémodialyse de l’hôpital du point G. These Med, Bamako, 2016.
[18]
Abdeljalil Chemlal, Fatiha Alaoui Ismaili, Ilham Karimi, RymeElharraqui, Nawal Benabdellah, Samira Bekaoui, Intissar Haddiya, Yassamine Bentata. Les infections urinaires chez les patients insuffisants rénaux chroniques hospitalisés au service de néphrologie: profil bactériologique et facteurs de risque. The Pan African Medical Journal 2015- ISSN 1937-8688.
[19]
Elbouamri, L. Arsalane, Y. Kamouni, H. Yahyaoui, N. Bennouar, M. Berraha, S. Zouhair. Profil actuel de résistance aux antibiotiques des souches d’Escherichia coli uropathogènes et conséquences thérapeutiques. Prog Urol, 2014, 24, 16, 1058-1062
[20]
MATHIEU H. Infection urinaire et pathologie du tissu interstitiel. Néphrologie pédiatrique. Flammarion Paris 1983.
[21]
De Mouy D, Fabre R, Cavallo JD, Arzouni JP, Baynat M, Bicart-See A, et al. Infections urinaires communautaires de la femme de 15 à 65 ans: sensibilité aux antibiotiques de E. Coli en fonction des antécédents: etude AFORCOPI-BIO 2003. Med Mal Infect 2007;37:594–8.
[22]
Bénédicte Sautenet, Christelle Barbet, Mathias Büchler, Franck Bruyère. Infections urinaires et antibiothérapie chez l’insuffisant rénal. Vol. 20 Septembre 2010N° 3 Progrès en Urologie.
[23]
Kahlmeter G, Poulsen HO. Antimicrobial susceptibility of Escheri-chia coli from community-acquire durinary tract infections in Europe: The ECO. SENS study revisited. Int J Antimicrob Agents 2012; 39:45–51.
[24]
LASFARGUES G., ROY C., MONGENOT B. Infections urinaires et pyélonéphrites chroniques bactériennes chezL’enfant. Encyclopédie Médico-chirurgicale 4085 C - 2, 1976.
[25]
MADELENAT P, LORGERON P. Infection urinaire gravidique. Revue du Praticien. Tome XXXIV - N° 18, 25 Mars 1984.
[26]
Chantal Bertholom. Épidémiologie des infections urinaires communautaires et nosocomiales. Option/Bio, Volume 27, Issues 541–542, April 2016, Pages 23-24.
[27]
BOURRQUELOT P., GUIBERT J. Le traitement médical de l’infection urinaire. Gaz. Med de France - 87 n°13 du 4. IV - 1980.
[28]
Parvine Tashk, Marie Lecronier, Olivier Clermont, Aurélie Renvoisé, Jérôme Tourret. Épidémiologie moléculaire et cinétique des infections urinaires précoces à Escherichia coli chez les sujets transplantés d’un rein. Néphrologie & Thérapeutique, Volume 13, Issue 4, June 2017, Pages 236-244
[29]
LASFARGUES G., ROY C., MONGENOT B. Infections urinaires et pyélonéphrites chroniques bactériennes chez L’enfant. Encyclopédie Médico-chirurgicale 4085 C - 2, 2012.
[30]
Ben Haj Khalifa A, Khedher M. Fréquence et résistance aux antibiotiques des bactéries uropathogènes à l’Hôpital Universitaire Tahar Sfar de Mahdia. RevTun Infect 2010;4(3):92–5.
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