Bacteriological Profile of Infections Encountered in a Pneumology Service in a Moderate-Income Country [Pneumology Department of CHU Cocody (C？te d’Ivoire)]
Introduction: Infections represent a real public health problem aggravating the morbidity and mortality of hospitalized patients.Methods: This was a retrospective study with descriptive purposes over a period of
05 years, in the Pneumology
Department of the University Hospital of Cocody.Results: The average age in our population was 42 years. We
observed a male predo- minance of 64.5%, with a sex ratio of 1.8. Medical
history was dominated by HIV infection (23.5%), followed by
tuberculosis (15.6%). Concerning lifestyle, smoking was found in 38% of cases.
Symptoms progressed chronically in 80% of cases. An infectious syndrome was
found in 75% of cases. Microbial culture was positive in 42%
of cases. Pseudomonas aeruginosa and Klebsiella pneumoniae were
encountered in 26.4% of cases each, followed by Echerichia coli in 10.4%
of cases. Klebsiella pneumoniae in
the first three years topped the list, but gradually. Pseudomonas aeruginosa maintained its leadership over the last three years. Pseudomonas aeruginosa isolates expressed a resistance rate of 9.8% to ceftazidime
References
[1]
Organisation Mondiale de la Santé (OMS) (2017) L’OMS publie une liste de bactéries contre lesquelles il est urgent d’avoir de nouveaux antibiotiques [en ligne]. https://www.who.int/fr/news/item/27-02-2017-who-publishes-list-of-bacteria-for-which-new-antibiotics-are-urgently-needed
[2]
World Health Organization (WHO) (2014) Antimicrobial Resistance: Global Report on Surveillance 2014 [en ligne]. http://www.who.int/drugresistance/documents/surveillancereport/en/
[3]
Coulibaly, N., Duchassin, M., Darracq, M., Rey, J. and Lamarque, G. (1986) Etude de la bioclinique dans le traitement des pneumopathies bactériennes hospitalières à Abidjan. Medecine d’Afrique Noire, 33, 61-65.
[4]
Shimi, A., Touzani, S., Elbakouri, N., Bechri, B., Derkaoui, A. and Khatouf, M. (2015) Les pneumopathies nosocomiales en réanimation de CHU Hassan II de Fès. Pan African Medical Journal, 22, 285. https://doi.org/10.11604/pamj.2015.22.285.7630
[5]
Asseray, N., Bleher, Y., Poirier, Y., Hoff, J., Boutoille, D., Bretonniere, C., et al. (2009) L’antibiothérapie aux urgences, évaluation par une approche qualitative et quantitative. Médecine et Maladies Infectieuses, 39, 203-208. https://doi.org/10.1016/j.medmal.2008.10.020
[6]
Njall, C., Adiogo, D., Bita, A., Ateba, N., Sume, G., Kollo, B., et al. (2013) écologie bactérienne de l’infection nosocomiale au service de réanimation de l’hôpital Laquintinie de Douala, Cameroun. Pan African Medical Journal, 14, 140. https://doi.org/10.11604/pamj.2013.14.140.1818
[7]
Davakan, T.A., Kakpo-Zannou, R. and Allabi, A.C. (2018) Analyse de l’antibiothérapie dans le service de médecine polyvalente de l’hôpital de zone d’ABOMEY-CALAVI/ SO-AVA. J sci pharm boil, 19, 38-46.
[8]
Horo, K., Koffi, N., Kouassi, B., N’gom, A.S., Kenmogné, K., Ahui, B.J.M., et al. (2004) Facteurs de décès par pneumopathie aigue comlmunautaire en milieu africain à Abidjan. Revue des Maladies Respiratoires, 1, 10-13. https://doi.org/10.1016/S0761-8425(04)71779-9
[9]
Horo, K., Gode, C.V., Ahui, J.M.B., Kouassi, A.B., Djereke, G.B., Cardenat, M., et al. (2009) Pneumonies communautaires d’allure bactérienne chez le sujet infecté par le VIH: étude préliminaire prospective. Revue de Pneumologie Clinique, 65, 137-142. https://doi.org/10.1016/j.pneumo.2009.03.004
[10]
Pneumopathies aigues d’allure bacterienne chez le sujet agé - Bibliotheque Virtuelle-MESRS [Internet]. http://inveniov1.uvci.edu.ci/record/2042/files/?ln=en
[11]
Zoubga, A.Z., Ouedraogo, M., Drabo, Y.J., Boncoungou, K., Ki, C., Ouedraogo, S.M., et al. (2000) Aspects épidémiologiques, cliniques et thérapeutiques des pneumopathies aiguës bactériennes dans le service de pneumologie du centre Hospitalier National Sanou Souro de Bobo-Dioulasso. Medecine d’Afrique Noire, 47, 470-472.
[12]
Kayantao, D., Koné, A., Tchameni, R.P., M’Baye, O., Diallo, S., Sissoko, B., et al. (2001) Aspects épidémiologiques, cliniques et évolutifs des pneumopathies bactériennes à l’hôpital du point G à Bamako. MedAfr Noire, 48, 427-431.
[13]
Péan, Y. (2011) Diagnostic microbiologique des pneumopathies communautaires. Médecine et Maladies Infectieuses, 41, H2-H4. https://doi.org/10.1016/S0399-077X(11)70002-6
[14]
Dahyot, S., Lemee, L. and Pestel-Caron, M. (2017) Description et place des techniques bactériologiques dans la prise en charge des infections pulmonaires. Revue des Maladies Respiratoires, 34, 1098-1113. https://doi.org/10.1016/j.rmr.2016.07.007
[15]
Quartin, A.A., Scerpella, E.G., Puttagunta, S. and Kett, D.H. (2013) A Comparison of Microbiology and Demographics among Patients with Healthcare-Associated, Hospital-Acquired, and Ventilator-Associated Pneumonia: A Retrospective Analysis of 1184 Patients from a Large, International Study. BMC Infectious Diseases, 13, Article Number: 561. https://doi.org/10.1186/1471-2334-13-561
[16]
Nair, G.B. and Niederman, M.S. (2013) Nosocomial Pneumonia: Lessons Learned. Critical Care Clinics, 29, 521-546. https://doi.org/10.1016/j.ccc.2013.03.007
[17]
Durocher, A. (2005) L’infection nosocomiale comme indicateur de (non) qualité des soins: L’exemple de la réanimation (Commentaire). Sciences Sociales et Santé, 23, 59-68. https://doi.org/10.3406/sosan.2005.1659
[18]
Coulibaly, Y., Konate, A., Kone, D. and Bougoudogo, F. (2014) étude de la prescription des antibiotiques en milieu hospitalier malien. Rev Mali Infect Microbiol., 3, 2-8.
