Urogenital Mycoplasma in Moroccan Population: Prevalence and Antibiotic Susceptibility

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Author(s) Radouani Fouzia | Prokoph Andreas | Bellik Abderrahmane | El Yazouli Loubna | Benmoussa Douaa | Elmdaghri Naima
Pages 415-421
Volume 3
Issue 7
Date July, 2014
Keywords Ureaplasma urealyticum, Mycoplasma hominis, prevalence, antibiotics susceptibility
Abstract

Mycoplasmas are the smallest identified organisms found in plants, animals and humans, some of their species are associated with severe uro-genital diseases in women and men, causing various health problems. The aim of our study is to evaluate the rate of urogenital Mycoplasma infection in Moroccan population, and study the circulating strains sensitivity to antibiotics. Our study focused on 2 populations: one with controlled sexual behaviors (population 1), and the other with risky sexual behaviors (population 2). The method used was culture in liquid medium using the Mycoview kits “Zeakon diagnostics France”; the method is based on specific metabolic properties of the Mycoplasma species. The results obtained showed that urogenital mycoplasmas prevalence was considerable, and depends of the studied groups. Indeed, 36% males and 21% females were reveled positives in population 1, against 41% males and 59% females in population 2. Regarding mycoplasma species prevalence, we found a distinct disproportion in the incidence of the two mycoplasmas. U. urealyticum was more commonly detected than M. hominis in all studied groups. The analysis of the resistance to antibiotic profiles according to the gender showed high level of resistance especially to azitromycin and roxymicin in both of two populations. The comparison of resistance profiles in both populations showed also that strains detected in patients belonging to the controlled sexual behaviors population were found more resistant. The comparison of the antibiotic resistance profiles according to gender showed that strains detected in females present high level of resistance to all used antibiotics. However, strains detected in male patients present lower resistance to antibiotics, and no resistance was observed to josamycin and minocycline in males. This investigation allowed to get a first idea on urogenital mycoplasma prevalence and antibiotic resistance in Morocco, to conclude that strain sensitivity to antibiotics depends on both gender and sexual behavior; and seems to be related to the frequency of antibiotic use. To control mycoplasma infection, we recommend performing antimicrobial tests before any medical prescription, and not resorting to self-medication.

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