title: [Role of Musca domestica in the transmission of multiresistant bacteria in the centres of intensive care setting in sub-Saharan Africa].
abstract: OBJECTIVE
  The houseflies (Musca domestica -MD) are involved in the transmission of the diseases of the faecal danger in subsaharan Africa. What is their role in the transmission of multiresistant bacteria in an intensive care setting in Dakar?
  
  
  METHODS
  Descriptive, forward-looking.
  
  
  METHODS
  The study was conducted from May 1 to September 30, 2003. During this period a flytrap was put above every patient carrier of BMR (methicillin resistant Staphylococcus, extended spectrum beta-lactamases-enterobacteria, ticarcillin resistant Pseudomonas). Caught MD were carried to the microbiology laboratory and incubated in heart-brain broth at 37 degrees C for 18 hours. Then selective gelose platers were used for identification of bacteria. Comparison of antibiotic sensitivities of bacteria isolated from MD and from the patients was made.
  
  
  RESULTS
  Out of 441 hospitalized patients, 26 were colonised or infected by BMR. Human pathogenic microorganisms were obtained from 99 out of 120 flies. Seventeen of those flies were carried of BMR. Six among these 17 flies had BMR with sensitivity profile and phenotype of resistance identical to those of the patients under the trap with birdlime. More 3 MD carried BMR BLSE not found on our patients.
  
  
  CONCLUSIONS
  This study shows that the MD can carry BMR. Their participation in the crossed transmission, between patients, of multiresistant bacteria in intensive care setting, must be discussed. The eradication of the MD in our Africa subsaharan services must be looked for.
authors.affiliation: Département d'anesthésie réanimation, hôpital principal, BP 3006, Dakar, Sénégal. gboulesteix@voila.fr
authors.forename: G
authors.initials: G
authors.lastname: Boulesteix
authors.forename: P
authors.initials: P
authors.lastname: Le Dantec
authors.forename: B
authors.initials: B
authors.lastname: Chevalier
authors.forename: M
authors.initials: M
authors.lastname: Dieng
authors.forename: B
authors.initials: B
authors.lastname: Niang
authors.forename: B
authors.initials: B
authors.lastname: Diatta
mesh_terms: D000293:Adolescent; D000328:Adult; D000349:Africa; D000368:Aged; D000818:Animals; D001424:Bacterial Infections / Q000382:microbiology / Q000635:transmission*; D001431:Bacteriological Techniques; D002648:Child; D002675:Child, Preschool; D003422:Critical Care; D003428:Cross Infection / Q000382:microbiology / Q000635:transmission*; D024901:Drug Resistance, Multiple, Bacterial; D005243:Feces / Q000382:microbiology; D005260:Female; D006793:Houseflies / Q000382:microbiology*; D006801:Humans; D007223:Infant; D008297:Male; D008826:Microbial Sensitivity Tests; D008875:Middle Aged; D012675:Senegal