Abstract
Objective: Determine the current bacteriological profile of urinary tract infections and the antibiotic resistance of the main enterobacteria isolated in urine. Methods: Retrospective study over a period of 18 months from January 1, 2022 to June 30,2023 including all urinary cytobacteriological examinations of patients hospitalized in the various departments of the Oued Eddahab Military Hospital in Agadir, as well as outpatients. Results: Out of 4483 urine samples, 487 met the criteria for UTI (10.86% of total samples). The microorganisms were predominantly Enterobacteriaceae (421/487 86.44%). Of the infections, 75% originated from outpatients. The sex Ratio F/M was 1.35. E.Coli dominated the epidemiological profile for both inpatients and outpatients (63% vs. 77%). There was a high frequency of resistance to the main families of antibiotics, while quinolones, fosfomycin, nitrofurans, and aminoglycosides retained good activity. Resistance to third-generation cephalosporins through the production of extended-spectrum betalactamase was present in 09% of Enterobacteria. Finally, no resistance to imipenem and colistin was detected.
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