OUTBREAK OF ESBL-PRODUCING ENTEROBACTER CLOACAE IN NEONATAL UNITS: ABOUT 7 CASES.

Background: Enterobacter cloacae species is responsible for nosocomial outbreaks in vulnerable patients in neonatal intensive care units (NICU). The environment can constitute the reservoir and source of infection in NICUs. The aim of the present study was to describe the epidemiological and bacteriological aspects of an outbreak of ESBL-producing Enterobacter cloacae in the neonatology unit of the Mohammed VI University Hospital of Marrakech. Materials and Methods: We reported seven cases of ESBL-producing Enterobacter cloacae infections in neonates hospitalized in a neonatal unit over a period of two weeks, diagnosed by microbiological study of the different cultural, morphological and biochemical characteristics, as well as by the study of the germ's sensitivity to antibiotics Results: The presence of ESBL was retained in front of an antibiogram showing a resistance to all the betalactamins except carbapenems, as well as a synergy between the disks of C3G, C4G and clavulanic acid, the resistance to the betalactamins was associated with that of the tested fluoroquinolones in particular Ciprofloxacin and Norfloxacin and to the aminoglycosides except amikacin as well as the resistance to the co-trimoxazole. Conclusion: The emergence of multi-resistant bacteria with a high epidemic risk in our hospital implies, Hence the interest in developing rapid and efficient means of identification in order to limit their spread