Özet:

The nosocomial bacterial infection being one of the main causes of morbidity and mortality in burn patients, our work aimed on describing the nosocomial bacterial infections in order to establish the bacteriological profile to adapt the antibiotic therapy to our service. This is a retrospective study of 502 bacteriological samples taken from 65 patients hospitalized in the Resuscitation of burns of the plastic surgery department of the CHU Mohamed VI of Marrakech, over a period of 3 years, from January 1, 2016 to December 31, 2018. For this which is characteristic of bacterial infections, the infected sites were mainly the skin (50.1%) and blood (37.7%). The main germs were: Coagulase Negative Staphylococcus (32.1%), AcinetobacterBamannii (13.8%) Staphylococcus Aures (8.45%) AND Pseudomonas Aeruginosa (8.2%). Staphylococci were metabolic-resistant in 16.6% of cases Pseudomonas and Acinetobacter were multidrug resistant (60%). Establishing the bacterial ecology of the service, allowed us to set the right rules for prescribing antibiotic therapy, which was a function of the infected site, the type of germ, its sensitivity, the molecule used and the particular pharmacokinetics in the burn patient.

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