Sensibility of uropathogens in pregnant women with asymptomatic bacteriuria in Lome, Togo

A. F. Abderrazzack, M. Salou, D. S. Tigossou, A. Chatté, Bertin Tchoumbou, A. Tidjani, K. Djagadou, Y. Amenyapoh
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引用次数: 5

Abstract

To investigate antibiotic therapy with pregnant women to asymptomatic bacteriuria (AB) in Prenatal Consultation (PNC) without prior urinary tract infection at the moment of the visit in Lome health center. The urines were collected following the rules on hygienic good practices. We conducted the systematic urine culture on a chromogenic medium (Uriselect4). It enables us to identify a specific enzyme of a bacterial species or a group of species. The susceptibility was carried out following the agar - based spreading method. The following strains were the main uropathogensisolated, Escherichia coli, Klebsiella pneumonia, Enterobacterclaocea, Staphylococcus aureus, Streptococcus agalactiae, Enterococcusfecalis. Antibiotic discs from the family of Beta – lactam, lincosamide, polypeptic and quinolone were tested on various bacterial strains. All bacterial strains were resistant to ampicillin and amoxcilline. Staphococcusaureus presented resistance to cefoperazone, erythromycin and spiramycin. Enterococcusfaecalis was resistant to cephalothin, ceftazidime and chloramphenicol. The susceptibility was stressed with the view of achieving an adapted antibiotic therapy with zero effect on the foetus and the future mother.
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多哥洛美无症状菌血症孕妇尿路病原体敏感性分析
探讨洛美卫生院产前会诊(PNC)无尿路感染孕妇对无症状菌尿(AB)的抗生素治疗情况。尿液是按照良好的卫生习惯收集的。我们在显色培养基(Uriselect4)上进行系统尿液培养。它使我们能够识别一种细菌或一组细菌的特定酶。采用琼脂涂布法进行敏感性试验。主要尿路病原菌为大肠杆菌、肺炎克雷伯菌、阴沟肠杆菌、金黄色葡萄球菌、无乳链球菌、粪肠球菌。采用β -内酰胺类、利可沙胺类、多肽类和喹诺酮类抗生素片对不同菌株进行了检测。所有菌株均对氨苄西林和阿莫西林耐药。金黄色葡萄球菌对头孢哌酮、红霉素和螺旋霉素均有耐药性。粪肠球菌对头孢菌素、头孢他啶和氯霉素耐药。强调易感性的观点,实现适应抗生素治疗对胎儿和未来的母亲零影响。
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