The emergence of multidrug-resistant Acinetobacter baumannii is a major concern to healthcare providers and facilities in many parts of the world. This bacterial pathogen is commonly implicated in hospital-acquired infections, particularly in critically ill patients admitted to the intensive care unit (ICU). The extensive use of antibiotics, particularly in ICUs, and the lack of proper infection control interventions in many hospitals have led to an increased emergence of multidrug-resistant A. baumannii. Infections due to multidrug-resistant A. baumannii are associated with prolonged hospital stays and high morbidity and mortality, particularly among hospitalized ICU patients. The lack of antibiotic stewardship programmes in many healthcare facilities has exacerbated the burden of A. baumannii infections in many parts of Africa. This review discusses the prevalence and antibiotic-resistance pattern of the multidrug-resistant A. baumannii, and the possible ways to address or minimise its emergence in healthcare settings in Africa.

Objective: The objective of the study was to assess the current success rate of hypertensive patients in achieving blood pressure (BP) treatment goals and to investigate the extent of the consistency in the control of BP following initial achievement. Methods: At the hypertension clinic of the B/A Regional Hospital in Sunyani, Ghana, the current BP of 400 sampled patients, aged 35–100 years was measured. In addition, a retrospective review of nine successive BPs previously recorded in patients’ medical histories was done. Results: Of the 400 patients, women constituted 71.75%. Hypertensive aged ≥60 years represented 64.25% with the rest being ˂60 years. In 58% of patients, there were comorbidities. The adherence to clinic appointment was 54.50%. Of the ten clinic visits, 20.30% of patients ˂60 years were adequately controlled of their BPs while those ≥60 years achieved 33.80% control. In all, 29% of the 400 hypertensives met their treatment goals adequately. Consistency in maintaining a controlled BP at all times was achieved by 23.70% of the 400 patients. Regular visits to clinic was associated with adequate BP control (p˂0.001) while comorbidity was not (p=0.122). Conclusion: Treatment goals’ achievement by hypertensives at the Regional Hospital in Sunyani, Ghana, was relatively low. Consistency in maintaining a controlled BP while on medication is poor. The lack of consistency in keeping a controlled BP may contribute to the increased cardiovascular deaths among hypertensives. Intensive mass education and treatment optimization are required to deal with treatment failures among patients.