Epidemiological Aspect and Antibiotic Resistance Profile of Acinetobacter baumannii in the Resuscitation Department of Ibn Tofail Hospital CHU Med V

Abstract

Background: Multidrug resistant Acinetobacter baumannii, (MRAB) is an important cause of hospital acquired infection. The purpose of this study is to evaluate the epidemiology and analyze the level of antibiotic resistance of Ab strains in the intensive care unit of the ibn Tofail Hospital of the Mohammed VI University Hospital of Marrakech. Material and method: This study is a retrospective review of a city hospital epidemiology data base and includes 42 isolates of Acinetobacter baumannii (AB) from 120 patients. The antibiogram was performed according to European Committee on Antimicrobial Susceptibility Testing (EUCAST) recommendations. Results: In our study, all bacteriological samples were taken from the intensive care unit. The mean age was 48.2 years with extremes ranging from 19 to 72 years.88 patients were male (73.4% of all cases) and 32 female (26.6%).The most frequent reason for hospitalization in the intensive care unit was severe head trauma in 35 cases (29%).During the study period, out of 120 samples received, 42 Ab strains were isolated (35% of samples). These strains were mainly isolated from blood cultures (40%). Conclusions: The diffusion of multi-resistant Ab strains in intensive care units seems to be alarming, hence the need to implement an effective strategy to fight nosocomial infections.