title: [Epidemiology of urinary infections in the Menzel-Bourguiba region: 933 cases].
abstract: The author presents a study about épidémiology of urinary tract infection (UTI) diagnosed in Menzel-Bourguiba hospital laboratory. These UTI are fréquent (933 in 18 months) and often concern ambulatory practice (63.4%). UTI in hospital (36.6%) are most fréquent in internal medicine unit (15.9%) and in pédiatric unit (7.2%). The UTI are most fréquent in female gender (sex ratio F/H = 3.0). The most fréquent isolates are Enterobacteriacae family (91.7%), and E. coli the major species (73.7%). Resistances to beta-lactams are fréquent either concerning hospital strains or ambulatory patients strains. Beta-lactams family are the most used antibiotics (80% of prescriptions). In hospital, some isolates were shown to possess extended spectrum betalactamase, but these strains became confined in the unit where appear because of the architectural conception of the hospital (pavilion system). Aminoglycosids and fluoroquinolones are very active antibiotics, but cotrimoxazole resistance is frequent. Consequently, before any prescription, it would be necessary an antimicrobial susceptibility study, either for hospital UTI, or for UTI in ambulatory practice.
authors.affiliation: Laboratoire de l'hôpital de Menzel-Bourguiba.
authors.forename: K
authors.initials: K
authors.lastname: Larabi
mesh_terms: D004352:Drug Resistance, Microbial; D004756:Enterobacteriaceae Infections / Q000188:drug therapy / Q000453:epidemiology* / Q000382:microbiology*; D005260:Female; D006801:Humans; D008297:Male; D008826:Microbial Sensitivity Tests; D011159:Population Surveillance; D017678:Sex Distribution; D014416:Tunisia / Q000453:epidemiology; D014552:Urinary Tract Infections / Q000188:drug therapy / Q000453:epidemiology* / Q000382:microbiology*
vernacular_title: Epidémiologie des infections urinaires dans la région de Menzel-Bourguiba: à propos de 933 cas.