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[ Article ] Healthcare-associated bacteremia and urinary tract infections in wards A and B of Medicine Department, CNHU-HKM of Cotonou: characteristics and risk factors

Date de soumission: 24-02-2018
Année de Publication: 2018
Entité/Laboratoire Unité de Médécine Interne (UMI)
Document type : Article
Discipline(s) : Médécine Générale et interne
Titre Healthcare-associated bacteremia and urinary tract infections in wards A and B of Medicine Department, CNHU-HKM of Cotonou: characteristics and risk factors
Auteurs Azon-Kouanou A [1], Agbodande K.A [2], Massou F. A. T., [3], AFFOLABI DISSOU [4], Prudencio R.D.T.K [5], Ahouada C. [6], Habada K., [6], Murhula Katabana D [6], Zannou D. M. [6],
Journal: Open Journal of Internal Medicine
Catégorie Journal: Internationale
Impact factor: 0
Volume Journal: 8
DOI: http://file.scirp.org/pdf/OJIM_2018013115505717.pdf
Resume 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
Mots clés Healthcare-Associated Infections, Bacteremia, Urinary Tract Infections,
Pages 42 - 50
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