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Bacteriological profile of community peritonitis operated in a Moroccan Hospital.
- Source :
-
Access microbiology [Access Microbiol] 2024 Oct 24; Vol. 6 (10). Date of Electronic Publication: 2024 Oct 24 (Print Publication: 2024). - Publication Year :
- 2024
-
Abstract
- Introduction. Peritonitis is characterized by acute inflammation of the peritoneum, often resulting from digestive organ perforation or intra-abdominal septic focus. It may be of either infectious or non-infectious origin. The bacteria involved are those of the digestive flora ( Enterobacteriaceae and anaerobes), while Gram-positive cocci and yeasts can be isolated in nosocomial infections. Our study aims to isolate and identify the germs involved in community-acquired peritonitis in order to assess their susceptibility to the antibiotics available in our country. Methods. This is a retrospective study of the bacteriological profile of community peritonitis in Rabat Morocco. A total of 150 adult patients with peritonitis were admitted and samples were collected intraoperatively for bacteriological examination between 1 July 2022 and 30 April 2023. Results. Among the 150 patients, 101 (67.8%) were males and 49 (32.2%) were females, with a sex ratio (M/F) of 2 : 1. The mean age of the patients was 40.5 years±20.12. The distribution of bacteria was dominated by Escherichia coli (44%). Overall, 70% of E. coli isolated exhibited resistance to ampicillin, whereas no resistance to ampicillin has been reported for Enterococcus . Discussion. In the present study, we were interested in the bacteriological profile of community peritonitis in order to adapt the antibiotic therapy to our bacterial ecology. Our findings indicate a concerning trend of increasing resistance among E. coli to the commonly used amoxicillin/clavulanic acid combination in our clinical setting. Conclusion. Consequently, there is a need to reassess the empiric antibiotic prescribed for the management of community-acquired peritonitis.<br />Competing Interests: The authors declare that there are no conflicts of interest.<br /> (Copyright © 2024 The Authors.)
Details
- Language :
- English
- ISSN :
- 2516-8290
- Volume :
- 6
- Issue :
- 10
- Database :
- MEDLINE
- Journal :
- Access microbiology
- Publication Type :
- Academic Journal
- Accession number :
- 39450268
- Full Text :
- https://doi.org/10.1099/acmi.0.000816.v5