Nosocomial urinary infections represent a real public health issue, they are particularly common in patients hospitalized in intensive care, in fact they represent the second cause of nosocomial infections acquired in intensive care after pneumonia. The aim of our study is to identify the bacterial ecology of the germs responsible for nosocomial urinary infection and antibiotic resistance in order to update the epidemiological data. This study was carried out in the hospital's intensive care unit of hospital El idrissi of Kenitra. From a total of 110 Urine culture (urine culture), 17, 2% were positive. Acinetobacterbaumannii is the species that dominated the epidemiological profile with 7 strains, followed by Pseudomonas aeruginosa which is represented by four strains. Enterobacter cloacae and Escherichia coli were isolated with the same staff (3). Aeromonashydrophila was isolated from two patients. The main risk factor was gender and age, against the wearing of probe in our study did not represent a risk factor unlike other studies. These results show that urinary tract infection in intensive care unit is mainly due to multiresistant bacteria. This situation requires a rationalized prescription of antibiotics to maintain the sensitivity of the active molecules and also maintained hospital hygiene. The knowledge of the bacterial ecology in the intensive care unit is an indispensable tool for better care for patients in terms of first-line antibiotics prescription.
