Epidemiological profile of funguria at Mohammed VI University Hospital in Oujda

Document Type : Original Articles

Authors

1 Laboratory of Microbiology, Mohammed VI University Hospital / Faculty of Medicine and Pharmacy (University Mohammed the first), Oujda, Morocco

2 Laboratory of Parasitology-Mycology, Mohammed VI University Hospital / Faculty of Medicine and Pharmacy (University Mohammed the first), Oujda, Morocco

3 Department of Bacteriology, Mohammed V Military Teaching Hospital / Faculty of Medicine and Pharmacy (University Mohammed V), Rabat, Morocco

Abstract

Background and Purpose : The presence of yeasts in the urine is not synonymous with the urinary tract infection. It can be a simple colonization or contamination. Epidemiological profile of funguria needs to be further clarified. The objective of this study was to establish the epidemiology of funguria within the Mohammed VI Teaching Hospital of Oujda, Morocco.
Materials and Methods: This is a 28-month retrospective study, from March 2016 to June 2018. The study included all urine samples sent for cytobacteriological examination to the microbiology laboratory. Duplicates have been excluded. Urines were treated according to the recommendations of the medical microbiology standards.
Results: We collected 15165 urine samples. Urinary colonization accounted for 4.94% (n=749) of cases. Infections of the urinary tract accounted for 5.35% (n=811) of cases. Microbial isolates (n=1669) in colonizations and urinary tract infections were dominated by bacteria (93.47%, n=1560). Yeasts accounted for 6.53% (n=109) of the isolates. C. albicans was isolated in 56.88% (n=62) cases of funguria. The factors favoring funguria in our series are essentially the extreme ages of life, the stay in intensive care and the broad-spectrum antibiotic therapy.
Conclusion: The current level of knowledge about clinical situations that favor 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 learned societies to establish rules of interpretation of cytobacteriological examination of urine in case of a funguria, as for the bacteriurias.

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