Etude de l'incidence des infections nosocomiales et facteurs de risque dans les maternités de la ville de Mbujimayi, République Démocratique du Congo

Bukasa, Jean Christophe; Muteba, Pascal; Kazadi, André; Lepelletier, Didier; Ilunga, Félicien Ilunga; Mutombo, Augustin Mulangu; Kamanya, Axel Ngoyi; Bandimuna, Angélique; Mbo, Senghor Ngoyi; Stany, Wembonyama

doi:10.11604/pamj.2021.38.95.15044

Cited by 2 publications

(2 citation statements)

References 6 publications

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“…Another study by Rachel et al reported that E. coli was the most prevalent bacteria [21]. Our frequency of urinary infections among women was lower than that reported by Bukasa et al [7], (18% Vs. 37%). However, E. coli was also the most identified bacteria (54.5%) in this study, which is in agreement with our results (62.4%).…”

Section: Discussioncontrasting

confidence: 56%

“…This was more pronounced in non-university centers and in medium-sized hospitals. However, a meta-analysis concluded that the pooled prevalence of these nosocomial infections was much higher in developing countries (15.5 per 100 patients) [6,7]. In Morocco, although there are no national legislations that mandate the declaration of all cases of nosocomial infections, the first national survey on nosocomial infections was carried out in 1994 and revealed a prevalence rate of 9%.…”

Section: Introductionmentioning

confidence: 99%

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Antibiotic resistance patterns in nosocomial infections: preliminary data from Hospital of Al-Hoceima, Morocco

Abourrich,

Mourabit,

Boussa

et al. 2023

J Infect Dev Ctries

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Introduction: Nosocomial infections or healthcare-associated infections (HCAIs) represent a public health problem. The burden of antibiotic resistance in these infections is still unclear in Morocco. The objective of this study was to describe antibiotic susceptibility of the main bacteria responsible for nosocomial infections in order to propose prevention measures. Methodology: Data were collected from 1519 laboratory records including hospital inpatients suspected of nosocomial infections in Mohamed V Hospital of Al-Hoceima between January 2016 and December 2020. The data were analyzed using SPSS software version 25. Results: Bacteriological test samples included 65.5% of urine, 27.2% of pleural fluid, 4.5% of pus, and 2.8% of protected distal swab. Two hundred and twenty-seven (15%) samples were culture-positive. The bacteria isolated were mainly enterobacteria (Escherichia coli, 43.6% and Klebsiella pneumoniae, 13%), non-fermentative Gram-negative bacteria (Pseudomonas aeruginosa, 10.8%), and Staphylococcus aureus (24.3%). Extended spectrum beta-lactamases (ESBLs)-producing Enterobacteriaceae represented 25.4% and those resistant to other families of antibiotics accounted for 12.5%. In our study, we reported 17% ESBL producers among urinary infections. Methicillin-resistant Staphylococcus aureus accounted for 22.2%. Pseudomonas aeruginosa that were resistant to ticarcillin, ceftazidime, and imipenem represented 29% of the cases. Conclusions: Our results showed a higher frequency of resistance. A microbiological surveillance system is highly needed to identify bacterial niches in the hospital environment at Mohamed V Hospital.

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Section: Discussioncontrasting

confidence: 56%

Section: Introductionmentioning

confidence: 99%

Antibiotic resistance patterns in nosocomial infections: preliminary data from Hospital of Al-Hoceima, Morocco

Abourrich,

Mourabit,

Boussa

et al. 2023

J Infect Dev Ctries

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Risk and outcomes of healthcare-associated infections in three hospitals in Bobo Dioulasso, 2022 (Burkina Faso): a longitudinal study

Hema,

Some,

Kaboré

et al. 2024

Preprint

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BackgroundHealthcare-associated infections (HAIs) are one of the most common adverse events in healthcare and represent a major public health problem. However, 40% to 70% of HAIs are considered to be preventable. The present study was conducted to analyze the incidence, etiological factors, and outcomes of HAIs through active surveillance in three hospitals in the city of Bobo Dioulasso.MethodsA prospective, longitudinal, multicenter study was conducted from May 1thto November 30rd, 2022, in two district hospitals (DO and Dafra) and the Sourô Sanou Teaching Hospital (CHUSS). Consenting patients hospitalized for reasons other than infection, cancer, immunosuppression in the postoperative care ward of DO or of Dafra district hospitals, intensive care unit (ICU)/CHUSS, neonatal ward/CHUSS, and gynecology and obstetrics postoperative care ward/CHUSS during a 2-month inclusion period in district hospitals and 4 months for CHUSS wards. For this study, we used the operational definitions of the French Technical Committee for Nosocomial Infections and Healthcare-associated Infections, with slight modifications. Logistic regression was used to analyze predictors of HAIs.ResultsOf the 664 patients enrolled, 166 experienced an HAI, with a cumulative incidence rate of 25% (CI: 21.7%-28.3%) or an incidence density rate of 36.7 per 1000 patient-days (CI: 31.7-42.9). Surgical site infections (SSI) (44%), followed by neonatal infections (42%) were the most common HAIs. Enterobacteriaceae represented 60% of the bacteria identified in HAIs, and 38.9% of them were extended spectrum β-lactamase (EBLSE) producers. Factors associated with HAIs were admission in the neonatal ward (aOR=7.4; CI:1.3-42.7), ICU (aOR=3.7; CI:1.4-9.5), hospital stay longer than 2 days (aOR=2.1; CI:1.2-3.4), or male sex (aOR=1.8; CI:1.1-3.1). In addition, HAIs were associated with longer follow-up, hospitalization, and mortality (18.1%; 95% CI:12.1 - 24.4). Deaths were only recorded in the ICU and neonatal ward, with case fatality rates of 45.4% (95% CI: 27.5 - 63.4) and 21.4% (95% CI: 11.6 - 31.3), respectively, p=0.019.ConclusionsThe incidence of HAIs was relatively high in the three hospitals in Bobo Dioulasso. A national strategy to reduce HAIs should be implemented to achieve better control of HAIs.

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Etude de l'incidence des infections nosocomiales et facteurs de risque dans les maternités de la ville de Mbujimayi, République Démocratique du Congo

Cited by 2 publications

References 6 publications

Antibiotic resistance patterns in nosocomial infections: preliminary data from Hospital of Al-Hoceima, Morocco

Antibiotic resistance patterns in nosocomial infections: preliminary data from Hospital of Al-Hoceima, Morocco

Risk and outcomes of healthcare-associated infections in three hospitals in Bobo Dioulasso, 2022 (Burkina Faso): a longitudinal study

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