Epidemiological profile of funguria in Mohammed VI University Hospital in Oujda, Morocco

Adil  Maleb; Aziza  Hami; Somiya  Lambrabet; Safaa  Rifai; Nawal   Rahmani; Mohammed  Bensalah; Elmostafa  Benaissa; Yassine   Ben Lahlou; Mohammed   Frikh; Mostafa   El Ouennass

doi:10.18502/cmm.6.4.5328

Adil Maleb Laboratory of Microbiology in an University Hospital/Faculty of Medicine and Pharmacy, Mohammed I University, Oujda, Morocco
Aziza Hami Laboratory of Parasitology-Mycology in an University Hospital/Faculty of Medicine and Pharmacy, Mohammed I University, Oujda, Morocco
Somiya Lambrabet Laboratory of Microbiology in an University Hospital/Faculty of Medicine and Pharmacy, Mohammed I University, Oujda, Morocco
Safaa Rifai Laboratory of Microbiology in an University Hospital/Faculty of Medicine and Pharmacy, Mohammed I University, Oujda, Morocco
Nawal Rahmani Laboratory of Microbiology in an University Hospital/Faculty of Medicine and Pharmacy, Mohammed I University, Oujda, Morocco
Mohammed Bensalah Laboratory of Microbiology in an University Hospital/Faculty of Medicine and Pharmacy, Mohammed I University, Oujda, Morocco
Elmostafa Benaissa Laboratory of Microbiology in an University Hospital/Faculty of Medicine and Pharmacy, Mohammed I University, Oujda, Morocco
Yassine Ben Lahlou Department of Bacteriology, Military Teaching Hospital/Faculty of Medicine and Pharmacy, in University, Rabat, Morocco
Mohammed Frikh Department of Bacteriology, Military Teaching Hospital/Faculty of Medicine and Pharmacy, in University, Rabat, Morocco
Mostafa El Ouennass Department of Bacteriology, Military Teaching Hospital/Faculty of Medicine and Pharmacy, in University, Rabat, Morocco

DOI: https://doi.org/10.18502/cmm.6.4.5328

Keywords: Funguria Infection Urinary tract infection Urine Yeast

Abstract

Background and Purpose:The presence of yeasts in the urine is not synonymous with urinary tract infectionsinceit can result insimple colonization or contamination. Regarding this, it is required to further clarify the epidemiological profile of funguria. Accordingly, the present study was conducted to establish the epidemiology of funguriainthe Mohammed VI Teaching Hospital of Oujda, Morocco.

Materials and Methods:This retrospective studywas conducted onall urine samples sent for cytobacteriological examination to amicrobiology laboratoryover a period of 28 months(i.e., from March 2016 to June 2018). After the removal of duplicates, the urinesampleswere treated according to the recommendations of the medical microbiology standards.

Results:A total of15,165 urine sampleswerecollected. Urinary colonization accounted for 4.94% (n=749) of cases. The infections of the urinary tract accounted for 5.35% (n=811) of cases. Microbial isolates (n=1,669) in colonization and urinary tract infections were dominated by bacteria (93.47%, n=1,560). Furthermore, the yeasts accounted for 6.53% (n=109) of the isolates. Candidaalbicanswas isolated from56.88% (n=62) of funguriacases. Theriskfactors forfunguriain our series wereessentially old age, admission tointensive care unit, and broad-spectrum antibiotic therapy.

Conclusion:The current level of knowledge about the clinical situations leading to funguria with the improvement and popularization of efficient identification techniques for yeasts other than C. albicans should redress the epidemiology of funguria.This should allow the knowledgeable societies to establish the rules of interpreting the cytobacteriological examination of the urine in case of funguria, as for bacteriuria.