Urinary infections (UI) remain among the most frequent problems faced by the clinician and occupy a prominent place in nephrological pathology due to their frequency and severity. The aim of this work is to study the aspect of UI in the nephrology service. Materials and methods: This is a prospective study over a periodof 5 months (July 2016 -December 2016). Results: 115 patients had benefited from cytobacterioligical urine exam. The prevalence of UI was 31%. The mean age of patients was 38 years with a female predominance. Renal failure was found in 33% of patients followedby nephrotic syndrome (25%) and kidney transplant (11%). Chronic renal insufficiency was foundin25% of patients and 23% receivedan Endoxanbolus. The mostincri minatedspecies were Enterobacteriae (81%) with the predominance of E. coli (44%) followed by Klebsiella pneumoniae (31%) Enterobacter cloacae (3%) resistance to C3G by production of Betalactamases with extended spectrum was found in 24% of Enterobacteriaceae. Resistance to amoxicillin-clavulanic acidwas 72%, fluoroquinolones (34%) and gentamicin (14%). Thefirst-lineantibioticwas Ciprofloxacinin (62%) and a third generation cephalosporin in 28% of cases. Conclusion: Area soned use of antibiotic sisnecessaryin order to prevent the extension of bacterial resistance.
Pre-analytical errors still represent nearly 70% of all errors occurring in the laboratory, constituting a danger, a waste of time and an additional cost to the patient. The control of the different components of the pre-analytical step is important for the validity of the hemostasis exploration tests. The purpose of our work is to identify the main anomalies of the pre-analytical phase in hemostasis and to propose the means to correct them. We conducted a prospective and descriptive study on the pre-analytical phase of hemostasis. It was in the form of a survey, identifying the main errors related to this phase. It was performed at the Hematology laboratory of the Avicenna Military Hospital of Marrakech and spread over a period of 4 weeks. Our investigation took place at the hemostasis room, which received the collection tubes from the various hospital departments and the blood drawing room (for non-hospitalized patients). The hemostasis room received 400 prescription cards and their corresponding tubes. The parameters related to the prescription file: full name and gender of the patients, were mentioned on all the cards received and they were in conformity with those marked on the corresponding tube. The age of the patients and their clinical and therapeutic informations were mentioned in 73% and 13% of the exam requests, respectively. For the pre-analytical hemostasis parameters related to the blood collection: 63% of samples were taken at the laboratory's blood drawing room, while 37% came from the various hospital departments. Time of the realization of the samples was not mentioned on the cards or on the labels of the tubes. The anticoagulant used for all samples was sodium citrate at a concentration of 3.8%. The filling of the tubes was noncompliant in 22.25%. Registration and triage of the tubes systems were manual. Centrifugation was carried out at a rotation speed of 5000 G for 5 minutes and at a temperature set at 22°C. Hemolyzed samples accounted for 3% of the tubes.
The purpose of our work is to determine the epidemiological profile of giardiosis in the population of Marrakech and to propose the appropriate means to fight against this intestinal parasitosis. This is a descriptive analytical and retrospective study on the results of parasitological examinations of stool (EPS) performed within the Department of Parasitology Mycology at the Military Hospital Avicenna (HMA) of Marrakech over a period 7 years from January 2011 to December 2017.10615 parasitological examinations of stool (EPS) were performed in 6784 patients, 2651 of which were positive, ie a single parasite index of 25%. Our study also included 669 EPS in children, 157 of which were positive. A parasite index of 23.4%. Each patient received at least one PSE by including a direct examination associated with a concentration. Among the parasites encountered, Giardia intestinalis represents 6% of isolated parasites. This flagellate was observed in 32% of infested children. Two out of three children with giardiosis are aged between 11 and 15 years, this could have adverse consequences on their growth. Our results and those of the literature show that Giardiosis remains a more common parasitic disease in children than in adults. Giardiosis remains a frequent parasitosis in our country. It deserves to be better known, especially since it can induce serious manifestations. A policy of general and individual prophylaxis and an improvement of the social level in our country, will certainly lead to a considerable reduction of the prevalence of this parasitosis.
Amoebiasis is the third leading cause of parasite mortality and morbidity worldwide and still remains a serious public health problem today. In order to determine the epidemiological profile of amoebae and intestinal amoebiasis in the population of Marrakech. This is a prospective study on the results of parasitological examinations of stool (EPS) performed in adults and children in the department of Parasitology Mycology at the Military Hospital Avicenne (HMA) of Marrakech over a period of two months from 1 May 2018 to 30 June 2018. 70 parasitological examinations of stool (EPS) were performed. Of the 38 positive samples 71.05% were male with a sex M / F ratio of 2.08. Each patient received at least one EPS, including fresh reading, after Lugol staining, and finally after concentration by the Willis and Ritchie technique. Among the parasites encountered, after identification of the species, the percentage of Blastocystis hominis is 45.76% followed by Entamoeba coli 35.59%, followed by Chilomastix mesnili 10.17% then Entamoeba histolytica histolytica and Entamoeba histolytica minuta, the latter having the same proportion 3.39% and in late Giardia intestinalis with a low proportion of 1.69%. Amoeba remains, even today, a real public health problem. For example, broadening the scope of these studies by similar surveys focusing on the rural environment would be desirable.
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