Nejjari Noureddine, Zerhouni Farah, Bouharrou Abdelhaq, Habzi Abderrahime, Najdi Toufiq, Lahbabi Mohmed, Benomar Said
Service de Néonatologie de l'Hôpital d'Enfants de Casablanca-Maroc.
Tunis Med. 2003 Feb;81(2):121-5.
Nosocomial infections, caused by Acinetobacter are very common in neonatal intensive care units. They are one of the major health problems. Our retrospective study report 20 cases followed in neonatology care unit of children's hospital in Casablanca from 1998 to 2000. Our aims work were to evalue the incidence and the antibioresistance and to insist for the prevention. Incidence has been estimated to 43% of nosocomial infection confirmed and 0.9% of all hospitalisations. Acinetobacter was isolated from various types of nosocomial infection septicaemia (55%), nosocomial pneumonia (30%) and meningitis (15%). The incidence of resistance was 60% for imipineme, 45% for ciprofloxacin and 30% for amikacine. This multiresistance was often responsible for failure of antibiotic therapy. Mortality was very high (55%). The prevention of nosocomial infection remains essential.
由不动杆菌引起的医院感染在新生儿重症监护病房非常常见。它们是主要的健康问题之一。我们的回顾性研究报告了1998年至2000年在卡萨布兰卡儿童医院新生儿科护理病房随访的20例病例。我们的工作目的是评估发病率和抗生素耐药性，并强调预防措施。已确诊的医院感染发病率估计为43%，占所有住院病例的0.9%。不动杆菌从各种类型的医院感染中分离出来，包括败血症（55%）、医院获得性肺炎（30%）和脑膜炎（15%）。亚胺培南的耐药率为60%，环丙沙星为45%，阿米卡星为30%。这种多重耐药性常常导致抗生素治疗失败。死亡率非常高（55%）。预防医院感染仍然至关重要。
