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Multimodal imaging in Purtscher-like retinopathy associated with sarcoidosis:a case report

International Journal of Ophthalmology(English edition) 2022年第5期15卷 845-847页

作者： héla kaoual Inés hachicha Ilhem Mili Boussen Imène Zhioua-Braham Mejdi Boukari Raja Zhioua Department of Ophthalmology Charles Nicolle University HospitalTunis 1007Tunisia Faculty of Medicine of Tunis University of Tunis-El ManarTunis 1006Tunisia

Dear Editor,We report a case of Purtscher-like retinopathy(PLR)in the presence of acute pancreatitis secondary to *** our knowledge,this is the first case report of a PLR in a patient with sarcoidosis.

关键词： acute sarcoidosis Purtscher

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Urinary Tract Infections in a Tunisian Orthopedic Institute: Major Strain Microbiological Profile

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Advances in Bioscience and Biotechnology 2023年第3期14卷 91-105页

作者： hajer Kilani Salma kaoual Fatma Kaabi Sophia Bouhalila Besbes Microbiology Unit Clinical Biology Laboratory Mohamed Kassab Institute of Orthopedics Tunis Tunisia Faculty of Medicine LR99ES09 Laboratory of Antibiotic Resistance University of Tunis El Manar Tunis Tunisia Faculty of Pharmacy Department of Biology B University of Monastir Monastir Tunisia

Background: Urinary Tract Infection (UTI) detected in the hospital and in the community is one of the most common reasons for consultation in everyday practice;it represents a major source of antibiotic consumption. This study’s objectives were to outline the microbiological profile of Tunisian patients with UTI and assess antibiotic resistance over the course of three years at the Orthopedic Institute. Methods: All strains identified in urine samples between January 1st, 2019, and December 31st, 2021, were included. Standard laboratory procedures were used to identify the bacterium. The Microscan Walkway 40 Plus was used to do biochemical assays and antibiotic susceptibility testing. The EUCAST criteria were used to interpret the findings. Results: A total of 1313 strains were isolated. The bacteriological study showed the predominance of enterobacteria (96.8%), especially E. coli (52.2%) and K. pneumoniae (19.3%). Overall resistance rates to antimicrobial agents were as follows: for hospital, E. coli strains were in descending order amoxicillin (73.05%), trimeth/sulfamethoxazole (46.9%), ofloxacin (40.3%), amoxicillin/clavulanic acid (35.05%) and gentamicin (20.5%). Our results showed low resistance to fosfomycin for E. coli 2.6% in hospitals while ≥12.1% for K. pneumoniae. Amikacin resistance remains medium-low for E. coli being ≥20% and 10% for K. pneumonia. Nitrofuran resistance has affected 1.06% of E. coli strains in hospital settings and 21.5% of K. pneumoniae. Extended Spectrum Beta-lactamases (ESBLs) production was present in a number of enterobacteria (19.3% of K. pneumoniae and 14.4% of E. coli). Conclusion: The prevalence of E. coli and K. pneumoniae producers ESBLs in UTI is increasing. Rigorous surveillance of resistance rate is necessary to determine appropriate empirical treatment and limit the spread of multiresistant strains.

关键词： Gram-Negative UTI hospital Community Bacteria

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