||Healthcare-associated bacteremia and urinary tract infections in wards A and B of Medicine Department, CNHU-HKM of Cotonou: characteristics and risk factors
Azon-Kouanou A ,
Agbodande K.A ,
Massou F. A. T., ,
AFFOLABI DISSOU ,
Prudencio R.D.T.K ,
Ahouada C. ,
Habada K., ,
Murhula Katabana D ,
Zannou D. M. ,
||Open Journal of Internal Medicine
||Introduction: Healthcare-associated infections are involved in hospital
long-stay and in the increase in inherent costs to patients care.
Objectives: was to describe the characteristics of healthcare-associated bacteremia and urinary tract infections in medical wards of CNHU-HKM of Cotonou, describe the distribution of germs identified according to admission wards and identify factors associated with onset of healthcare-associated infections.
Materials and Methods: It was a cohort study conducted from 4th April to 16th September 2016. The study population included patients admitted in wards A and B of CNHU-HKM Medicine department for at least the past 48 hours, or readmitted in one of the medical wards less than 14 days after their discharge from hospital.
Results: The study included 825 patients in total. Prevalence of healthcare-associated infections was 9.8%. Bacteremia was the most represented group (65.4%). The most often identified germs regardless of the site were respectively: K. pneumonia(38.5%), S. aureus(23.1%) and E. coli(20.0%). HIV+ status, internal medicine department, nephrology and endocrinology, duration of admission and the use of urinary catheter represent factors statistically associated with the onset of healthcare-associated infections.
Conclusion: Healthcare-associated infections are a real public
health issue in CNHU-HKM Medicine Department. There is pressing need to
conduct a study on clinical hygiene so as to assess healthcare staff in practice
||Healthcare-Associated Infections, Bacteremia, Urinary Tract Infections,
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