Évolution de la résistance des entérobactéries aux antibiotiques sur l’île de la Réunion : émergence des bêta-lactamases à spectre élargi

Results Within a span of time of 10 years, an important increase (+ 57 %) of the resistance prevalence of enterobacteriaceae is observed. The resistance by the ESBL production mechanism is predominant especially for Enterobacter   cloacae and Escherichia   coli . An important use of broad spectrum antibiotics is correlated with this resistance evolution. Conclusion The emergence of ESBL-producing enterobacteriaceae in our hospital is impairing both therapeutic and health care. It requires a much better control of antibiotics prescriptions and therefore, an important multidisciplinary implication. A proof molecular analysis would allow to evaluate the risk more precisely, especially at the community level. Mots clés Entérobactéries Multirésistance Bêtalactamase à spectre élargi Île de La Réunion Consommation d’antibiotiques Keywords Enterobacteriaceae Multidrug resistance Extended spectrum betalactamase Reunion Island Antibiotics consumption