A prospective study of hospital-acquired infections among adults in a tertiary hospital in north-western Nigeria

Dayyab, Farouq Muhammad; Iliyasu, Garba; Aminu, Aliyu; Habib, Zaiyad Garba; Tiamiyu, Abdulwasiu Bolaji; Tambuwal, Sirajo Haliru; Borodo, Muhammad Musa; Habib, Abdulrazaq G.

doi:10.1093/trstmh/try020

Cited by 15 publications

(16 citation statements)

References 15 publications

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“…Neonatal and pediatric surgical specialties had the highest prevalence and represented more than 50% of all the HAI. The prevalence of HAI in the present study was higher than the 2.6-6.3% reported in previous retrospective studies conducted in Nigeria [6,13,14]. However, the current study is comparable to the cumulative prevalence of HAI in developing countries [7] and Ethiopia [19], but higher than the prevalence in Ghana [20], South Africa [21], Iran [22], the United States [2] and the European hospitals [4].…”

Section: Discussioncontrasting

confidence: 71%

“…Bloodstream infections, particularly neonatal sepsis, surgical site infections and pneumonia were the most common HAIs in the current study, consistent with the findings of an Iranian study [22], but inconsistent with the results in other countries [2,4]. Previous studies conducted in Nigeria demonstrated that urinary tract infection (UTI) was the most common HAI [6,13].…”

Section: Discussionsupporting

confidence: 54%

“…In Europe, about one-third of micro-organisms isolated in HAI are resistant to antibiotics [4]. In Africa, higher rates of antibiotic resistant (10-100%) are reported among isolates from HAIs [5,6]. Available evidence shows that the prevalence and types of HAI varies among countries with lower rates observed in developed countries.…”

Section: Introductionmentioning

confidence: 99%

“…In Nigeria, there is currently no surveillance system to provide estimates of HAI in acute care hospitals. Previous estimates of HAI have reported prevalence rates between 2.5 and 6.3% [6,13,14]. However, the studies used single center and retrospective design as against prospective active surveillance, which is the gold standard [15].…”

Section: Introductionmentioning

confidence: 99%

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Point-prevalence survey of hospital acquired infections in three acute care hospitals in Northern Nigeria

Abubakar

2020

Antimicrob Resist Infect Control

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Background Effective infection prevention and control strategies require reliable data describing the epidemiology of hospital acquired infections (HAIs), and this is currently lacking in Nigeria. The objective of this study was to evaluate the prevalence, types and risk factors associated with HAIs in acute care hospitals in Northern Nigeria. Methods A pilot point-prevalence survey was conducted in three acute care hospitals in Northern Nigeria between April and May 2019 using a protocol developed by the European Centre for Disease Prevention and Control. Patients admitted into the wards at or before 8.00 am on the survey date were included. Patients’ medical records were reviewed by a clinical pharmacist with the support of the attending physician and nurse to identify HAIs. Results Of the 321 patients surveyed, 50 HAIs were identified among 46 patients translating into a point-prevalence of 14.3%. The most common HAIs were bloodstream infection (38.0%), surgical site infections (32.0%) and pneumonia (12.0%). Neonatal (53.0%), pediatric surgical (26.7%) and surgical (10.1%) specialties had the highest prevalence. Device associated infections represented 16% of all HAIs including bloodstream infections and pneumonia. Of all the HAIs, 15 (30.0%) were present at the time of admission while 75.5% originated from the current hospitals. Univariate analysis showed that newborn (less than 1 month old) (OR: 4.687 95% CI: 1.298–16.927), intubation (OR: 3.966, 95% CI: 1.698–9.261), and neonatal (OR: 41.538 95% CI: 4.980–346.5) and pediatric surgical (OR: 13.091 95% CI: 1.532–111.874) specialties were significantly associated with HAI. Conclusion The prevalence of HAI was relatively high compared to other developing countries and was significantly associated with neonatal and pediatric surgical specialties. Hospital infection control strategies should be strengthened to reduce the burden of HAIs.

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Section: Discussioncontrasting

confidence: 71%

Section: Discussionsupporting

confidence: 54%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Point-prevalence survey of hospital acquired infections in three acute care hospitals in Northern Nigeria

Abubakar

2020

Antimicrob Resist Infect Control

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“…In a Nigerian hospital, it was reported that among patients that developed hospital-acquired infections, 80%, 84% and 95% of S. aureus, E. coli, and P. aeruginosa isolates respectively were Multi-Drug Resistant (MDR). 27 In another study on agents of bacterial blood stream infections in Nigeria, a high prevalence of AMR against ampicillin, trimethoprim-sulfamethoxazole, tetracycline and cloxacillin was described. 28…”

Section: Perception Of Amrmentioning

confidence: 99%

Antimicrobial resistance: Nurse’s knowledge and perception in a tertiary level care hospital in North-Eastern Nigeria

Dayyab¹,

Iliyasu

Ibrahim³

et al. 2021

Ann Afr Med Res

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Nursing staff has a significant role to play in the control of Antimicrobial Resistance (AMR) through infection control and patient education. We studied the knowledge of nurses on AMR for purpose of planning AMR control efforts. A cross-sectional study was conducted between 21st June and 30th July 2017, among nurses working at Federal Medical Center Nguru, Yobe State. Responses were presented as frequencies and percentages. Relative risks and 95% confidence intervals were computed to describe factors associated with knowledge of AMR. Only 37.2% of the respondents had good knowledge of AMR. Age more than or equal to 40 years versus less than 40 years (RR=2.66, 95% CI: 1.253-5.662), work experience greater than or equal to 10 years versus less than 10 years (RR=2.94, 95% CI: 1.518-5.686) predicted good knowledge of AMR. A significant knowledge gap on AMR among nurses has been identified. We recommend a robust AMR awareness initiative to educate nursing staff on AMR. Further studies among other cadre of healthcare workers should be conducted to define and address the AMR knowledge gap among all Nigerian healthcare workforces.

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Knot strength and antimicrobial evaluations of partially absorbable suture

et al. 2022

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A prospective study of hospital-acquired infections among adults in a tertiary hospital in north-western Nigeria

Abstract: The burden of HAIs is high and similar to other parts of Nigeria. There is a need for continued surveillance of HAIs in all the wards of the hospital in order to fully describe the extent of the problem.

Cited by 15 publications

References 15 publications

Point-prevalence survey of hospital acquired infections in three acute care hospitals in Northern Nigeria

Point-prevalence survey of hospital acquired infections in three acute care hospitals in Northern Nigeria

Antimicrobial resistance: Nurse’s knowledge and perception in a tertiary level care hospital in North-Eastern Nigeria

Knot strength and antimicrobial evaluations of partially absorbable suture

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