Presented at 9e Journée scientifique de la SMAMM, Rabat, 2–3 March 2025 · All posters from this congress
MicrobiologyOpen accessPoster communication · 2026-0006

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. 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)

views
77
downloads
19
countries
22

Since publication · journal site and Zenodo archive · robots excluded

Pie chart showing 31% of samples positive for LipL32 nested-PCR protocol and table with viability test results using PMA treatment.
Pie chart showing 31% of samples positive for LipL32 nested-PCR protocol and table with viability test results using PMA treatment.Click or press Esc to close

Key messages

  1. Les infections urinaires sont fréquentes avec une prévalence de 18% dans cette étude.
  2. Escherichia coli est le germe prédominant responsable des infections urinaires.
  3. La résistance aux antibiotiques, notamment aux BLSE et carbapénémases, est préoccupante et nécessite une gestion optimisée.

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

  1. Timm, M.R. and al. Urinary tract infections: pathogenesis, host susceptibility and emerging therapeutics. Nat Rev Microbiol 23, 72–86 (2025).
  2. Elmouaden ch et al. Profil épidémiologique et bactériologique des infections urinaires au CHR de Tanger et CHR de Tetouan 2016.
  3. Fahd, K., & Himri, S. Profil épidémiologique et bactériologique des infections urinaires dans la ville de Laâyoune, 2024.
  4. Journal of Global Antimicrobial Resistance 2022.
  5. Aboubaker AOURIR, L’évolution de l’épidémiologie des Bactéries multirésistantes à l’Hôpital Ibn Tofail, thèse de Doctorat Médecine, 2022.
  6. Arumugam, K and al. (2024). Prevalence of Carbapenemase Production Among Klebsiella and Escherichia coli Isolated From Urinary Tract Infections. Cureus, 16(10).
Keywords
urinary tract infection · antibiotic resistance · Enterobacteriaceae · extended-spectrum beta-lactamases · carbapenemase
Received
2 October 2026
Accepted
2 October 2026
Published
2 October 2026
Peer review
Single-anonymized review by the Editorial Board · How we review
Version history
  • 2 October 2026 — first published
  • 3 October 2026 — corrected: abstract, article type, authors, award, congress details, figure caption, key messages, keywords, language, license, record, related publication, specialty, title, video
  • 5 October 2026 — corrected: English version, abstract, article type, authors, award, congress details, figure caption, key messages, keywords, language, license, record, references, related publication, specialty, title, video
  • 9 November 2026 — corrected: English version, abstract, article type, authors, award, congress details, figure caption, key messages, keywords, language, license, record, references, related publication, specialty, title, video
DOI
https://doi.org/10.5281/zenodo.23124237
License
© The Authors 2026. Distributed under CC BY 4.0
Journal
MP Journal of Medical Research · ISSN 3144-8402

Related posters