Background: Uvaria chamae (Annonaceae), Phyllantus amarus (Phyllantaceae) and Lantana camara (Verbenaceae) are empirically alleged to be used as Beninese medicinal plants in the treatment of salmonellosis. This study aimed to produce scientific data on in vitro and in vivo efficacy of Uvaria chamae, Lantana camara and Phyllantus amarus on multiresistant Salmonella spp isolated in Benin. Results: After performing in vitro tests on aqueous and ethanolic extracts of these plants, only the aqueous extract of Uvaria chamae (leaves) showed the best anti-Salmonella's activity and was used for this in vivo experiment. The induction of salmonellosis revealed 9 × 10 8 CFU/ml was the optimal concentration triggering and maintaining symptoms in chicks. This infective concentration was used for in vivo assessment. Twenty-four hours post inoculation, the symptoms of salmonellosis (wet cloaca, diarrhea stools and somnolence) were observed in infected groups. After 7 days of treatment, the reduction of bacterial load at 100 mg/L, 200 mg/L, 400 mg/L of the extract was respectively 85%, 52.38% and 98% for Uvaria chamae, Phyllantus amarus and Lantana camara in the chick's groups infected with Salmonella Typhimurium ATCC 14028. On the other hand, colistin completely cancelled the bacterial load (reduction rate of 100%). With the groups infected with Salmonella spp (virulent strain), the reduction rate of bacterial load at 100 mg/L, 200 mg/L, 400 mg/L of extract was 0%, 98.66%, and 99.33%. The extracts at 200 and 400 mg/L were more active than colistin, which reduced the bacterial load by 33.33%. The toxicity tests did not show any negative effect of Colistin and the Uvaria chamae's extract on the biochemical and hematological parameters of the chicks. Conclusion:The aqueous extract of Uvaria chamae is active in vitro and in vivo on multiresistant strains of Salmonella enterica. This plant is a good candidate for the development of an improved traditional medicine for the management of salmonellosis.

Background: Antimicrobial resistance surveillance and infection risk assessment are important for optimizing the quality of healthcare in hospitals. Objectives: This study aimed to evaluate the antimicrobial resistance and infection risks in Tertiary hospitals in Benin. Methods: Bacteriological examinations were carried out on swab samples from the hospital environment at Sakété-Ifangni Hospital and Menontin Hospital in Benin. The environmental swabs were supplemented with wound swabs from Menontin Hospital. In both hospitals, antibiotic susceptibility of the isolated strains was determined by the agar diffusion method. Results: The results showed that coagulase-negative staphylococci (45%) comprised the most isolated species in the environment of the Surgery and Operating Departments of Sakété-Ifangni Hospital, followed by Staphylococcus aureus (27.50%) and Proteus spp. (15%). At Menontin Hospital, only one specimen was sterile from wound swabs. From environmental swabs, 29 out of 45 samples were positive. Staphylococcus aureus (31%), Escherichia coli (15%), and coagulase-negative staphylococci (12%) were the most isolated species from wounds. Strains of coagulase-negative staphylococci (29%), Pseudomonas aeruginosa (15%), and Proteus mirabilis (12%) were the most common strains in swabs. The study of the adequacy of treatment of infections caused by bacteria responsible for wound suppuration showed that 52% of the wounded received appropriate antibiotic treatment. At Menontin Hospital, many isolated strains from room environment samples were found in the wounds of the patients. In both hospitals, the isolated strains were multiresistant to conventional antibiotics. Conclusions: These data show how surveillance of infection risks and antimicrobial resistance is important to prevent healthcareassociated infections.

Background and Aim: Antibiotics have been some great effective molecules against infections since their discovery. The excessive use and misuse of antibiotics have resulted in a selection of antibiotic-resistant strains. Among the reasons involved, the prescription of antibiotics can be important. The present study aimed to contribute to the reduction of antibiotic resistance due to the misuse of antibiotics. Materials and Methods: A knowledge, attitude, and practice survey of health professionals from Savalou-Bante (230) and Dassa-Glazoué (100) health zones was performed about the prescription of antibiotics. Results: About 53% of respondents in the health zone of Savalou-Bantè were assistant nursing and only 3% of them were specialized physicians. The other respondents were physicians (3%), midwives (10%), and nurses (31%). Forty-five percent of the respondents were nurses and only 5% of them were specialized physicians in Savalou-Bantè. However, all these health professionals prescribe antibiotics. The first-line antibiotics prescribed were penicillins, cephalosporins, macrolides, aminoglycosides, and quinolones. These health professionals usually have no knowledge of the mechanism of action of these antibiotics. The antibiotics prescribed mostly were for ear, nose, and throat and upper respiratory infections (80% in Dassa-Glazoué and 79% in Savalou-Bantè). The most commonly used dosage form was tablets (58%) in the health zone of Savalou-Bantè and the injectable form in the sanitary zone of Dassa-Glazouè. Conclusion: It is important to implement a policy of rational use of antibiotics to reduce the excessive and misuse of antibiotics and prevent antibiotic resistance.

Background: Antimicrobial resistance is a real public health problem. All over the world, it has a considerable impact in hospitals. The present study aims to analyze the presence of resistance genes and bacterial ecology in two hospitals in Benin. Methods: To do this, 146 environmental and catheter samples were collected at the University Hospital Center of Abomey-Calavi / So-Ava and at the Beninese Army Hospital. These samples were inoculated on Mannitol Salt and Eosin Methylene Blue agars. The colonies obtained were identified and their sensitivity to antibiotics was tested, using the usual bacteriological techniques. Four resistance genes encoding the production of extended spectrum beta-lactamases (blaCTX-M1, blaCTX-M2, blaCTX-M9, blaCTX-M15) have been searched in the genome of enterobacteriaceae strains. At the level of staphylococci, the gene coding for methicillin resistance (mecA) was sought.Results: At the end of this study, 69 strains of enterobacteria and 60 of staphylococci were identified. A predominance of Staphylococcus aureus (25.6%) followed by Enterobacter cloacae (21.0%) and coagulase negative staphylococci (21.0%) was noted. These bacterial strains showed to be multidrug-resistant, particularly to beta-lactams, fluoroquinolones, aminoglycosides and macrolides. Beta-lactamases were identified in the genome of bacterial strains with a predominance of blaCTX-M15 (42.8%). The frequency of the mecA gene in staphylococci was 50%.Conclusions: These results show the magnitude of the antimicrobial resistance situation in hospitals. They can be used to support advocacy for urgent action at the national level, especially with regard to the management and efficient use of antimicrobials in Benin.

Antimicrobial resistance is a real public health problem. All over the world, it has a considerable impact in hospitals. The present study was conducted to ascertain the bacterial ecology in two hospitals in Benin as well as the resistance genes present in the recovered isolates. A total of 146 environmental and catheter samples were collected at the University Hospital Center of Abomey-Calavi / So-Ava and at the Beninese Army Hospital of Cotonou. These samples were inoculated on Mannitol Salt and Eosin Methylene Blue agars. The colonies obtained were identified and their sensitivity to antibiotics were tested, using the Kirby Bauer technique. Four resistance genes encoding the production of extended-spectrum beta-lactamases (blaCTX-M1, blaCTX-M2, blaCTX-M9, blaCTX-M15) and the gene coding for methicillin resistance (mecA) were screened.  The gene coding for methicillin resistance (mecA) was sought in staphylococci. A total of 69 (53,49%) and 60 (46,51%) strains belonging to Enterobacteriaceae family and staphylococci were identified, respectively. A predominance of Staphylococcus aureus (25.6%) followed by Enterobacter cloacae (21.0%) and coagulase negative staphylococci (21.0%) was observed. These bacterial strains showed multidrug-resistance, particularly to beta-lactams, fluoroquinolones, aminoglycosides, and macrolides. Beta-lactamases were identified in the genome of bacterial strains with a predominance of blaCTX-M15 (42.8%). The frequency of the mecA gene in staphylococci was 50%. These results show the magnitude of the antimicrobial resistance situation in the hospitals investigated. They can be used to support advocacy for urgent action at the national level, especially with regards to the management and efficient use of antimicrobials in Benin.