Epidemiological and bacteriological profile of urinary tract infections at the Military Hospital HMMI Meknes
English version of a poster presented in French.
K El Azzaoui1✉, R El Bahraouy1, R Karami1, L Louzi1, M Sbiti1
- 1 Laboratoire de bactériologie, Hôpital militaire Moulay Ismail de Meknès
Received 2 October 2026 · Accepted 2 October 2026 · Published 2 October 2026 · Corrected 9 November 2026
DOI: https://doi.org/10.5281/zenodo.23124237
Article PDF · Original poster (PDF)
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Abstract
Introduction
Urinary tract infection is one of the most common bacterial infections and a major public health problem. This study aims to investigate the epidemiological profile of urinary tract infections and to evaluate the antibiotic resistance of the implicated pathogens at the Moulay Ismail Military Hospital of Meknès (HMMI).
Materials and methods
This is a retrospective descriptive study of urine cytobacteriological examinations (CBEU) performed at the bacteriology laboratory of HMMI over a 15-month period, from January 2024 to March 2025. Urinary cytology and bacterial count were performed using the Sysmex UF-5000 automated system. Culture was performed on agar media. Identification was based on morphological, cultural, and biochemical characteristics. Antibiotic susceptibility testing was performed by manual and automated techniques according to CA-SFM recommendations.
Results
Out of 1350 CBEUs performed, 243 were positive (18%). Positive CBEUs mainly originated from outpatients (67%) and hospitalized patients (33%). Enterobacteriaceae accounted for 79% of cases, mainly Escherichia coli (62.55%), followed by Klebsiella spp (10.24%) and Enterobacter cloacae (5%). Gram-positive cocci represented 12.71% of cases, with Staphylococcus saprophyticus being predominant. Resistance among Enterobacteriaceae was high to amoxicillin (59%), amoxicillin-clavulanic acid (33%), sulfamethoxazole (19%), and fluoroquinolones (15%). The prevalence of multidrug-resistant bacteria was 16.8%, with 68% extended-spectrum beta-lactamase producers (ESBL) and 29% carbapenemase producers.
Conclusion
In view of the emergence of carbapenemases, it is essential to rely on data from the Moroccan network for antibiotic resistance control, optimize the management of ESBL-producing bacteria, and judiciously integrate new antibiotics.
Original poster
References
- Timm, M.R. and al. Urinary tract infections: pathogenesis, host susceptibility and emerging therapeutics. Nat Rev Microbiol 23, 72–86 (2025).
- Elmouaden ch et al. Profil épidémiologique et bactériologique des infections urinaires au CHR de Tanger et CHR de Tetouan 2016.
- Fahd, K., & Himri, S. Profil épidémiologique et bactériologique des infections urinaires dans la ville de Laâyoune, 2024.
- Journal of Global Antimicrobial Resistance 2022.
- Aboubaker AOURIR, L’évolution de l’épidémiologie des Bactéries multirésistantes à l’Hôpital Ibn Tofail, thèse de Doctorat Médecine, 2022.
- Arumugam, K and al. (2024). Prevalence of Carbapenemase Production Among Klebsiella and Escherichia coli Isolated From Urinary Tract Infections. Cureus, 16(10).
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