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Warda K, Amari S, Boureddane M, Elkamouni Y, Arsalane L, Zouhair S, Bouskraoui M. Changes in pneumococcal serotypes distribution and penicillin resistance in healthy children five years after generalization of PCV10. Heliyon 2024; 10:e25741. [PMID: 38380016 PMCID: PMC10877248 DOI: 10.1016/j.heliyon.2024.e25741] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2023] [Revised: 01/11/2024] [Accepted: 02/01/2024] [Indexed: 02/22/2024] Open
Abstract
Objective Streptococcus pneumoniae (S. pneumoniae) nasopharyngeal carriage has significantly decreased after the generalization of pneumococcal vaccination worldwide. This study sought to investigate changes in S. pneumoniae carriage rates, serotype distribution and penicillin non-susceptibility following the generalization of 10-valent pneumococcal conjugate vaccine. Methods A prospective study was conducted in Marrakesh, Morocco, between 2017 and 2018, among healthy children attending vaccination centers. We collected nasopharyngeal swabs and questionnaire data for each child. Using univariate logistic regression, we analyzed the association between S. pneumoniae carriage and various risk factors. Comparisons of serotype diversity and penicillin resistance between 2017 and 2018 and the period before introduction of vaccination (2008-2009, n = 660) were performed using Simpson index and the chi-squared test, respectively. Results During 2017-2018, 515 children aged between 6 and 36 months participated. The S. pneumoniae carriage rate was 43.3%. Looking at the distribution serotypes, the rate of PCV10 serotypes rate was only 9.6%. Among non-vaccine serotypes, an increase in serotypes 6C/6D (22; 14%), 19B/19C (17; 10.8%), and 15B/15C (11; 7%) was observed. A particular increase in serotype diversity was also observed after the generalization of PCV10 (p < 0.001). S. pneumoniae non-susceptible to penicillin decreased, reaching a rate of 26.6% in 2017-2018. Conclusion The significant change in S. pneumoniae carriage, serotype distribution, and penicillin resistance highlights the effectiveness of the pneumococcal conjugate vaccine among children in Marrakesh, Morocco.
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Affiliation(s)
- Karima Warda
- Laboratory of Microbiology and Virology, Cadi Ayad University, Marrakesh, Morocco
| | - Sara Amari
- Laboratory of Microbiology and Virology, Cadi Ayad University, Marrakesh, Morocco
| | - Majda Boureddane
- Laboratory of Microbiology and Virology, Cadi Ayad University, Marrakesh, Morocco
| | - Youssef Elkamouni
- Laboratory of Microbiology and Virology, Cadi Ayad University, Marrakesh, Morocco
- Laboratory of Microbiology-Virology and Molecular Biology, Avicenna Military Hospital, Marrakesh, Morocco
| | - Lamiae Arsalane
- Laboratory of Microbiology and Virology, Cadi Ayad University, Marrakesh, Morocco
- Laboratory of Microbiology-Virology and Molecular Biology, Avicenna Military Hospital, Marrakesh, Morocco
| | - Said Zouhair
- Laboratory of Microbiology and Virology, Cadi Ayad University, Marrakesh, Morocco
- Laboratory of Microbiology-Virology and Molecular Biology, Avicenna Military Hospital, Marrakesh, Morocco
| | - Mohammed Bouskraoui
- Laboratory of Microbiology and Virology, Cadi Ayad University, Marrakesh, Morocco
- Department of Pediatrics, Mohamed VI University Hospital Center, Marrakesh, Morocco
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El Bazi K, El Bardi T, Miloudi M, Zouhair S, Arsalane L, El Kamouni Y. Rabies in Morocco: Epidemiological Aspects and Post-exposure Prophylaxis Management. Cureus 2023; 15:e43658. [PMID: 37719506 PMCID: PMC10505066 DOI: 10.7759/cureus.43658] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/17/2023] [Indexed: 09/19/2023] Open
Abstract
Background Rabies is a zoonosis transmitted accidentally to humans and is fatal once clinical signs appear. In Morocco, rabies remains a difficult disease to eradicate, with dogs being the main source of contamination. Transmission of this illness can be avoided by promptly implementing post-exposure prophylaxis (PEP) following animal exposure. Inappropriate or delayed PEP increases the risk of acute infection. This study aims to describe and analyze the characteristics of exposure, investigate the factors related to delay in initiating PEP, and evaluate the attitudes and practices of patients towards animal exposure in the region of Ouarzazate between 2016 and 2019. Methods This was a retrospective study with statistical analysis. The data on animal exposure was collected from the Anti-Rabies Center (ARC) located in Ouarzazate Province, Morocco. Results A predominance of male cases (61.3%) among victims of animal exposure was found. The age group of five to 14 years was the most affected (23.5%). The upper limb represented the most frequent site of exposure (49.4%). Around 52.1% of patients presented with multiple lesions. About 54.4% of cases were bitten by a stray animal. Dogs were responsible for 47.8% of the bites. All exposed individuals performed wound cleansing prior to arrival at the ARC. Post-exposure prophylaxis was initiated in 34.5% of cases between 24 to 48 hours, while 26.1% of cases delayed it beyond 48 hours. Around 34% of patients did not complete their vaccination schedule. Regarding the factors associated with the delay in PEP, we found significant associations with patient age, place of residence (urban or rural), distance from the ARC (>30 km or <30 km), nature, number, and injury status (p≤0.05). Significant associations (p≤0.05) were also found with dog bites and their type (domestic or stray). Conclusion Our findings indicate that better awareness about rabies and PEP management is needed, especially among the rural population.
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Affiliation(s)
- Kenza El Bazi
- Microbiology, Avicenne Military Hospital, Marrakech, MAR
| | | | | | - Said Zouhair
- Microbiology, Avicenne Military Hospital, Marrakech, MAR
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Amari S, Warda K, Bouraddane M, Katfy M, Elkamouni Y, Arsalane L, Zerouali K, Zouhair S, Bouskraoui M. Antibiotic Resistance of Streptococcus pneumoniae in the Nasopharynx of Healthy Children Less than Five Years Old after the Generalization of Pneumococcal Vaccination in Marrakesh, Morocco. Antibiotics (Basel) 2023; 12:antibiotics12030442. [PMID: 36978307 PMCID: PMC10044557 DOI: 10.3390/antibiotics12030442] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2023] [Revised: 02/13/2023] [Accepted: 02/16/2023] [Indexed: 02/25/2023] Open
Abstract
Streptococcus pneumoniae (S. pneumoniae) remains one of the most important pathogens causing childhood infections. The spread of antibiotic-resistant bacteria is a leading cause of treatment failure in children. The purpose of this investigation is to report the antibiotic and multidrug resistance (MDR) of S. pneumoniae strains isolated from healthy children throughout the years 2020–2022. Antimicrobial susceptibility testing of S. pneumoniae strains in selected antimicrobials was performed using disk diffusion and E-test methods on bloodMueller–Hinton agar. The antimicrobials tested included oxacillin, amoxicillin, ceftriaxone, norfloxacin, gentamicin, vancomycin, erythromycin, clindamycin, pristinamycin, tetracycline, chloramphenicol, and trimethoprim-sulfamethoxazole. A total of 201 S. pneumoniae strains were isolated from the nasopharynx of healthy children in Marrakesh, Morocco. The highest rate of resistance of S. pneumoniae was found in penicillin (57.2%), followed by tetracycline (20.9%), and erythromycin (17.9%). The rates of resistance to clindamycin, trimethoprim-sulfamethoxazole, and chloramphenicol were 14.9%, 4%, and 1.5%, respectively. All isolates were susceptible to norfloxacin, gentamicin, vancomycin, and pristinamycin. Approximately 17% of all S. pneumoniae strains were resistant to at least three different antibiotic families. This study showed a low rate of antibiotics resistance among nasopharyngeal S. pneumoniae strains, and it is thus essential to monitor S. pneumoniae susceptibility in healthy children.
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Affiliation(s)
- Sara Amari
- Laboratoire de Lutte Contre les Maladies Infectieuses, Faculté de Médecine et de Pharmacie, Université Cadi Ayyad, Marrakech 40000, Morocco
| | - Karima Warda
- Laboratoire de Lutte Contre les Maladies Infectieuses, Faculté de Médecine et de Pharmacie, Université Cadi Ayyad, Marrakech 40000, Morocco
- Correspondence: ; Tel.:+212-670602083
| | - Majda Bouraddane
- Laboratoire de Lutte Contre les Maladies Infectieuses, Faculté de Médecine et de Pharmacie, Université Cadi Ayyad, Marrakech 40000, Morocco
| | - Mostafa Katfy
- Service de Microbiologie, CHU Ibn Rochd, Casablanca 20000, Morocco
| | - Youssef Elkamouni
- Laboratoire de Lutte Contre les Maladies Infectieuses, Faculté de Médecine et de Pharmacie, Université Cadi Ayyad, Marrakech 40000, Morocco
- Laboratoire de Bactériologie, Virologie, et Biologie Moléculaire, Hôpital Militaire Avicenne, Marrakech 40000, Morocco
| | - Lamiae Arsalane
- Laboratoire de Lutte Contre les Maladies Infectieuses, Faculté de Médecine et de Pharmacie, Université Cadi Ayyad, Marrakech 40000, Morocco
- Laboratoire de Bactériologie, Virologie, et Biologie Moléculaire, Hôpital Militaire Avicenne, Marrakech 40000, Morocco
| | - Khalid Zerouali
- Service de Microbiologie, CHU Ibn Rochd, Casablanca 20000, Morocco
| | - Said Zouhair
- Laboratoire de Lutte Contre les Maladies Infectieuses, Faculté de Médecine et de Pharmacie, Université Cadi Ayyad, Marrakech 40000, Morocco
- Laboratoire de Bactériologie, Virologie, et Biologie Moléculaire, Hôpital Militaire Avicenne, Marrakech 40000, Morocco
| | - Mohamed Bouskraoui
- Laboratoire de Lutte Contre les Maladies Infectieuses, Faculté de Médecine et de Pharmacie, Université Cadi Ayyad, Marrakech 40000, Morocco
- Service de Pédiatrie, Hôpital Universitaire Mohammed VI, Marrakech 40000, Morocco
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Bouraddane M, Warda K, Elkamouni Y, Arsalane L, Zouhair S. Parvovirus B19 in Morocco: Seroprevalence of Immunoglobulin G Antibody in Pregnant Women in Marrakesh. CLIN EXP OBSTET GYN 2023. [DOI: 10.31083/j.ceog5002025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
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Aissaoui Y, Ennassimi Y, Myatt I, El Bouhiaoui M, Nabil M, Bahi M, Arsalane L, Miloudi M, Belhadj A. What happened during COVID-19 in African ICUs? An observational study of pulmonary co-infections, superinfections, and mortality in Morocco. PLoS One 2022; 17:e0278175. [PMID: 36454978 PMCID: PMC9714850 DOI: 10.1371/journal.pone.0278175] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2022] [Accepted: 11/10/2022] [Indexed: 12/03/2022] Open
Abstract
BACKGROUND There is a growing literature showing that critically ill COVID-19 patients have an increased risk of pulmonary co-infections and superinfections. However, studies in developing countries, especially African countries, are lacking. The objective was to describe the prevalence of bacterial co-infections and superinfections in critically ill adults with severe COVID-19 pneumonia in Morocco, the micro-organisms involved, and the impact of these infections on survival. METHODS This retrospective study included severe COVID-19 patients admitted to the intensive care unit (ICU) between April 2020 and April 2021. The diagnosis of pulmonary co-infections and superinfections was based on the identification of pathogens from lower respiratory tract samples. Co-infection was defined as the identification of a respiratory pathogen, diagnosed concurrently with SARS-Cov2 pneumonia. Superinfections include hospital-acquired pneumonia (HAP) and ventilator-associated pneumonia (VAP). A multivariate regression analysis was performed to identify factors independently associated with mortality. RESULTS Data from 155 patients were analyzed. The median age was 68 years [62-72] with 87% of patients being male. A large proportion of patients (68%) received antibiotics before ICU admission. Regarding ventilatory management, the majority of patients (88%) underwent non-invasive ventilation (NIV). Sixty-five patients (42%) were placed under invasive mechanical ventilation, mostly after failure of NIV. The prevalence of co-infections, HAP and VAP was respectively 4%, 12% and 40% (64 VAP/1000 ventilation days). The most isolated pathogens were Enterobacterales for HAP and Acinetobacter sp. for VAP. The proportion of extra-drug resistant (XDR) bacteria was 78% for Acinetobacter sp. and 24% for Enterobacterales. Overall ICU mortality in this cohort was 64.5%. Patients with superinfection showed a higher risk of death (OR = 6.4, 95% CI: 1.8-22; p = 0.004). CONCLUSIONS In this single-ICU Moroccan COVID-19 cohort, bacterial co-infections were relatively uncommon. Conversely, high rates of superinfections were observed, with an increased frequency of antimicrobial resistance. Patients with superinfections showed a higher risk of death.
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Affiliation(s)
- Younes Aissaoui
- COVID-19 Intensive Care Unit, Avicenna Military Hospital, Marrakech, Morocco
- Biosciences and Health Research Laboratory, Faculty of Medicine and Pharmacy, Cadi Ayyad University, Marrakech, Morocco
- * E-mail:
| | - Youssef Ennassimi
- COVID-19 Intensive Care Unit, Avicenna Military Hospital, Marrakech, Morocco
| | - Ismail Myatt
- COVID-19 Intensive Care Unit, Avicenna Military Hospital, Marrakech, Morocco
| | | | - Mehdi Nabil
- COVID-19 Intensive Care Unit, Avicenna Military Hospital, Marrakech, Morocco
| | - Mohammed Bahi
- COVID-19 Intensive Care Unit, Avicenna Military Hospital, Marrakech, Morocco
| | - Lamiae Arsalane
- Microbiology and Virology Department, Avicenna Military Hospital, Marrakech, Morocco
- Department of Microbiology, Faculty of Medicine and Pharmacy, Cadi Ayyad University, Marrakech, Morocco
| | - Mouhcine Miloudi
- Microbiology and Virology Department, Avicenna Military Hospital, Marrakech, Morocco
- Department of Microbiology, Faculty of Medicine and Pharmacy, Cadi Ayyad University, Marrakech, Morocco
| | - Ayoub Belhadj
- COVID-19 Intensive Care Unit, Avicenna Military Hospital, Marrakech, Morocco
- Biosciences and Health Research Laboratory, Faculty of Medicine and Pharmacy, Cadi Ayyad University, Marrakech, Morocco
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Amari S, Warda K, Elkamouni Y, Arsalane L, Bouskraoui M, Zouhair S. Serotype distribution and antimicrobial resistance of Streptococcus pneumoniae among children with acute otitis media in Marrakech, Morocco. IJM 2022; 14:47-55. [PMID: 35664713 PMCID: PMC9085554 DOI: 10.18502/ijm.v14i1.8801] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
Background and Objectives: Streptococcus pneumonia (S. pneumoniae) is one of the most frequent pathogens leading to a variety of clinical manifestations. The effects of S. pneumoniae carriage on acute otitis media (AOM) are poorly studied. The study aimed to assess the serotype’s distribution and antimicrobial susceptibility in children with AOM after the implementation of the pneumococcal conjugate vaccine (PCV) in Morocco. Materials and Methods: We conducted a prospective study of AOM children aged 6 to 36 months who visited pediatric centers in Marrakesh between January to June 2018. Parents were asked to complete a questionnaire and a swab was collected from each child. The S. pneumoniae strains were further identified (Hemolysis, optochin sensitivity, and agglutination test), serogrouped (IMMULEX PNEUMOTEST agglutination test), serotyped (Real time PCR) and tested for antimicrobial susceptibility. Results: The S. pneumoniae carriage rate was 49.7% (87/175). As estimated, non-vaccine serotypes (NVT) were most prevalent (51/63; 81%). The most frequent serotypes were 6C/6D (12.7%), 10 (9.5%), and 19B/19C (9.5%). The S. pneumoniae strains that were isolated showed a diminished susceptibility to penicillin G with a rate of 27.5%. Penicillin non-susceptible pneumococci (PNSP) was mostly associated with NVT. More than 90% of S. pneumoniae isolates were susceptible to chloramphenicol (97.5%), clindamycin (97.5%), erythromycin (97.5%), levofloxacin (97.5%), pristinamycin (97.5%), gentamicin (92.5%), and teicoplanin (92.5%). Conclusion: Important nasopharyngeal carriage prevalence was reported among children with AOM. The study showed that new NVT are emerging, including 6C/6D and 10. Furthermore, susceptibility was significantly higher against all antibiotics tested except for penicillin G and amoxicillin.
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Affiliation(s)
- Sara Amari
- Department of Medical Biology, Laboratory of Microbiology and Virology, Faculty of Medicine and Pharmacy, Cadi Ayyad University, Marrakesh, Morocco
- Corresponding author: Sara Amari, Ph.D, Department of Medical Biology, Laboratory of Microbiology and Virology, School of Medicine and Pharmacy, Cadi Ayyad University, Marrakesh, Morocco. Tel: +212-653052243, Fax: +21-2524432887,
| | - Karima Warda
- Department of Medical Biology, Laboratory of Microbiology and Virology, Faculty of Medicine and Pharmacy, Cadi Ayyad University, Marrakesh, Morocco
| | - Youssef Elkamouni
- Department of Medical Biology, Laboratory of Microbiology and Virology, Faculty of Medicine and Pharmacy, Cadi Ayyad University, Marrakesh, Morocco
- Laboratory of Bacteriology Virology, Avicenne Hospital Military, Marrakesh, Morocco
| | - Lamiae Arsalane
- Department of Medical Biology, Laboratory of Microbiology and Virology, Faculty of Medicine and Pharmacy, Cadi Ayyad University, Marrakesh, Morocco
- Laboratory of Bacteriology Virology, Avicenne Hospital Military, Marrakesh, Morocco
| | - Mohamed Bouskraoui
- Department of Pediatrics, Mohammed VI University Hospital, Marrakesh, Morocco
| | - Said Zouhair
- Department of Medical Biology, Laboratory of Microbiology and Virology, Faculty of Medicine and Pharmacy, Cadi Ayyad University, Marrakesh, Morocco
- Laboratory of Bacteriology Virology, Avicenne Hospital Military, Marrakesh, Morocco
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Miloudi M, Arsalane L, Kharrab A, El Kamouni Y, Zouhair S. Bilateral tuberculous psoas abscess. Access Microbiol 2020; 2:acmi000135. [PMID: 32974598 PMCID: PMC7497824 DOI: 10.1099/acmi.0.000135] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2020] [Accepted: 03/25/2020] [Indexed: 12/02/2022] Open
Abstract
The unilateral psoas abscess is a rare disease that is often caused by common germs, including Staphylococcus aureus. Tuberculous origin and bilateral involvement are even rarer, especially in developed countries. It may be primary or secondary to a neighbourhood focus. We report a case of bilateral tuberculous abscess of psoas in an immunocompetent patient secondary to spondylodiscitis.
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Affiliation(s)
- Mouhcine Miloudi
- Department of Microbiology, Avicenne Military Hospital, Marrakech, Morocco
| | - Lamiae Arsalane
- Department of Microbiology, Avicenne Military Hospital, Marrakech, Morocco
| | - Anas Kharrab
- Departement of Rhumatology, Avicenne Military Hospital, Marrakech, Morocco
| | - Youssef El Kamouni
- Department of Microbiology, Avicenne Military Hospital, Marrakech, Morocco
| | - Said Zouhair
- Department of Microbiology, Avicenne Military Hospital, Marrakech, Morocco
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Zahir H, Arsalane L, Elghouat G, Mouhib H, Elkamouni Y, Zouhair S. Seroprevalence of rubella in pregnant women in Southern Morocco. Pan Afr Med J 2020; 35:10. [PMID: 32373261 PMCID: PMC7195913 DOI: 10.11604/pamj.supp.2020.35.1.18496] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2019] [Accepted: 02/06/2020] [Indexed: 11/27/2022] Open
Abstract
Rubella is a generally benign but dangerous viral infection in early pregnancy, due to the teratogenic potential of the virus. Indeed, it causes spontaneous abortions, in-utero fetal death, premature labor and congenital malformations known as congenital rubella syndrome. The purpose of this study is to determine the immune status of rubella in pregnant women in southern Morocco. A prospective, multicentre study was conducted in 2017 for the detection of rubella IgG and IgM antibodies in 380 pregnant women aged 17 to 46 years, using the Architect i1000 chemiluminescent microparticle immunoassay. Eigthy for percent (84.7%) of women were seropositive. Ten percent of multiparous women remained seronegative despite recommendations for vaccination after delivery. Preventive measures against congenital rubella need to be strengthened, and vaccination is needed in non-immunized women. Vaccination awareness campaigns, especially among non-immunized multiparous women, remain essential.
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Affiliation(s)
- Hanane Zahir
- Laboratoire de Microbiologie-Virologie et Biologie Moléculaire, Hôpital Militaire Avicenne, Centre Hospitalier Universitaire Mohammed VI de Marrakech, Faculté de Médecine et de Pharmacie de Marrakech, Université Cadi Ayyad, avenue Ibn Sina, BP 2360 Marrakech-principal, Maroc
| | - Lamiae Arsalane
- Laboratoire de Microbiologie-Virologie et Biologie Moléculaire, Hôpital Militaire Avicenne, Centre Hospitalier Universitaire Mohammed VI de Marrakech, Faculté de Médecine et de Pharmacie de Marrakech, Université Cadi Ayyad, avenue Ibn Sina, BP 2360 Marrakech-principal, Maroc
| | - Ghita Elghouat
- Laboratoire de Microbiologie-Virologie et Biologie Moléculaire, Hôpital Militaire Avicenne, Centre Hospitalier Universitaire Mohammed VI de Marrakech, Faculté de Médecine et de Pharmacie de Marrakech, Université Cadi Ayyad, avenue Ibn Sina, BP 2360 Marrakech-principal, Maroc
| | - Hanane Mouhib
- Laboratoire de Microbiologie-Virologie et Biologie Moléculaire, Hôpital Militaire Avicenne, Centre Hospitalier Universitaire Mohammed VI de Marrakech, Faculté de Médecine et de Pharmacie de Marrakech, Université Cadi Ayyad, avenue Ibn Sina, BP 2360 Marrakech-principal, Maroc
| | - Youssef Elkamouni
- Laboratoire de Microbiologie-Virologie et Biologie Moléculaire, Hôpital Militaire Avicenne, Centre Hospitalier Universitaire Mohammed VI de Marrakech, Faculté de Médecine et de Pharmacie de Marrakech, Université Cadi Ayyad, avenue Ibn Sina, BP 2360 Marrakech-principal, Maroc
| | - Said Zouhair
- Laboratoire de Microbiologie-Virologie et Biologie Moléculaire, Hôpital Militaire Avicenne, Centre Hospitalier Universitaire Mohammed VI de Marrakech, Faculté de Médecine et de Pharmacie de Marrakech, Université Cadi Ayyad, avenue Ibn Sina, BP 2360 Marrakech-principal, Maroc
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El bouamri M, Arsalane L, Zerouali K, Katfy K, El kamouni Y, Zouhair S. Molecular characterization of extended spectrum β-lactamase-producing Escherichia coli in a university hospital in Morocco, North Africa. African Journal of Urology 2015. [DOI: 10.1016/j.afju.2015.02.005] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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El bouamri M, Arsalane L, Kamouni Y, Yahyaoui H, Bennouar N, Berraha M, Zouhair S. Profil actuel de résistance aux antibiotiques des souches d’Escherichia coli uropathogènes et conséquences thérapeutiques. Prog Urol 2014; 24:1058-62. [DOI: 10.1016/j.purol.2014.09.035] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2013] [Revised: 07/30/2014] [Accepted: 09/12/2014] [Indexed: 11/25/2022]
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Arsalane L, Zouhair S, Lahlou Amine I, Louzi L, Bouskraoui M. [Urinary tract infection in infants (376 cases) in a Moroccan hospital (2009-2010)--etiologic frequency and prevalence of resistance]. Pathol Biol (Paris) 2012; 60:e90-1. [PMID: 23123108 DOI: 10.1016/j.patbio.2012.01.004] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/14/2011] [Accepted: 01/31/2012] [Indexed: 10/27/2022]
Affiliation(s)
- L Arsalane
- Service de bactériologie-virologie, faculté de médecine et de pharmacie de Marrakech, université Cadi-Ayyad, hôpital militaire Avicenne-de-Marrakech, Marrakech, Morocco
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El Anzaoui J, El Harrech Y, Abakka N, Ghoundal O, Touiti D, Kamouni Y, Arsalane L, Roukhssi R, Mohcine A, Othmane M. La prevalence de l’infection par Chlamidia trachomatis chez les patients présentant un rétrécissement de l’urètre d’origine non traumatique. Prog Urol 2012. [DOI: 10.1016/j.purol.2012.08.166] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Bouskraoui M, Soraa N, Zahlane K, Arsalane L, Doit C, Mariani P, Bingen E. Étude du portage rhinopharyngé de Streptococcus pneumoniae et de sa sensibilité aux antibiotiques chez les enfants en bonne santé âgés de moins de 2ans dans la région de Marrakech (Maroc). Arch Pediatr 2011; 18:1265-70. [DOI: 10.1016/j.arcped.2011.08.028] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2010] [Revised: 08/07/2011] [Accepted: 08/25/2011] [Indexed: 11/29/2022]
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Lakmichi M, Arsalane L, Sadiki B, Dahami Z, Moudouni M, Louzi L, Zahlane K, Sarf I. Pyonéphrose à Listeria monocytogenes sur un rein ectopique. Med Mal Infect 2011; 41:270-2. [DOI: 10.1016/j.medmal.2011.01.007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2010] [Revised: 12/27/2010] [Accepted: 01/12/2011] [Indexed: 11/28/2022]
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Sekhsokh Y, Arsalane L, El Ouenass M, Doublali T, Bajjou T, Lahlou Amine I. [Serratia rubidaea bacteremia]. Med Mal Infect 2007; 37:287-9. [PMID: 17321092 DOI: 10.1016/j.medmal.2006.08.007] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2006] [Accepted: 08/22/2006] [Indexed: 11/21/2022]
Abstract
Serratia rubidaea is an opportunist pathogenic bacterium, it is rarely identified in man, and when so, generally found in the respiratory tract, wounds, feces, bile, but also in blood. S. rubidaea can be responsible for infection, particularly in debilitated patients, receiving broad spectrum antibiotics or after undergoing extensive surgery, or invasive procedures. We report the case of a 54-year-old, nicotinic patient, with no previous medical history, admitted for complete arrhythmia due to auricular fibrillation. The patient had been carrying an arterial catheter for two weeks. Two hemocultures were positive in the first 48 hours with identification of Serratia rubidaea. S. rubidaea features inductible chromosomal betalactamase of the cephalosporinase type, resistant to ampicilline and cefalotin. The treatment combined gentamycin 160 mg/d and ciprofloxacin 400 mg/d for 10 days. The evolution was favourable.
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Affiliation(s)
- Y Sekhsokh
- Laboratoire de bactériologie, hôpital militaire d'instruction Mohammed-V, Rabat, Maroc.
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Arsalane L, Agoumi A, Behjawi A, Elhoum A, Bouazzaoui N. [Bilateral ear myiasis due to Fannia canicularis (Linne 1761)]. Med Trop (Mars) 2002; 61:548-9. [PMID: 11980407] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/24/2023]
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