Author(s)

Amadou Bocoum¹, Seydou Fané¹, Youssouf Traoré^1*, Siaka Amara Sanogo¹, Ibrahim Kanté², Aminata Kouma³, Mamadou Sima², Abdoulaye Sissoko⁴, Ibrahima Ongoiba², Soumana Oumar Traore⁵, Ibrahima Tegueté¹, Maténé Sacko¹, Daouda Camara³, Alassane Traoré⁶, Assitan Wane¹, Niani Mounkoro¹, Amadou Dolo¹

¹Gynecology-Obstetrics Department of CHU G. Touré, Bamako, Mali.
²Gynecology-Obstetrics Service of CHU of Point G, Bamako, Mali.
³Gynecology-Obstetrics Department of CHU of Kati, Bamako, Mali.
⁴Gynecology-Obstetrics Service of Referral Health Center of Kati, Kati, Mali.
⁵Gynecology-Obstetrics Service of Referral Health Center of Commune V, Bamako, Mali.
⁶Gynécology-Obstétrics Department of CHU of Mali, Bamako, Mali.

Introduction: Healthcare-associated infections (HAIs) are a public health issue. An infection is said to be associated with the care if it occurs during or after the care of a patient, and if it was neither present nor incubation at the beginning of the care. Objective: The purpose of this work was to study the bacteriology of infections associated with obstetric care in the gynecology-obstetrics department of CHU Gabriel Touré. Patients and Methods: This is an epidemiological, descriptive, analytical study conducted in the gynecology-obstetrics department of the CHU Gabriel Touré, from April 11^th, 2016 to August 29^th, 2016 (5 months). Data collection focused on the clinical and laboratory characteristics of healthcare-associated infections in patients during their hospitalization. Included in the study were any patients hospitalized in the Gynecology and Obstetrics Department who agreed to participate in the study. The criteria used to diagnose the associated infection were those of the Atlanta CDC. Operative wound monitoring was done up to the 30th postoperative day. Results: We have recorded 200 patients, out of whom 138 were operated on and 23 cases of bacterial infection associated with care (11.50%). The average age of the patients was 32.52 years ± 13.36 years against 29.36 years ± 10.28 years for the patients who did not present the infection. Seven point five percent of the evacuated patients had an infection associated with care. The most common types of infection were surgical site infection (60.86%), urinary tract infection (26.08%), endometritis and sepsis with 13.04% each. The isolated organisms were all resistant to Amoxicillin, to Amoxicillin + Clavulanic acid (88.88%) and to Ciprofloxacin (77.77%). The average duration of hospitalization for patients who developed the infection was 14.70 days. The lethality was 1.50%. The average cost of management of patients who developed the surgical site infection was 119,837 FCFA. Conclusion: The bacterial infections associated with the care remain frequent in our service and dominated by the infections of the operating site. Isolated organisms were all resistant to amoxicillin in 88.88% case ciprofloxacin.

Bacterial Infection, Resistances, Gabriel Touré University Hospital, Antibiotics, Obstetrics

Bocoum, A. , Fané, S. , Traoré, Y. , Sanogo, S. , Kanté, I. , Kouma, A. , Sima, M. , Sissoko, A. , Ongoiba, I. , Traore, S. , Tegueté, I. , Sacko, M. , Camara, D. , Traoré, A. , Wane, A. , Mounkoro, N. and Dolo, A. (2019) Bacteriology of Healthcare-Associated Infections in the Gynecology and Obstetrics Department of CHU Gabriel Touré. Open Journal of Obstetrics and Gynecology, 9, 1336-1346. doi: 10.4236/ojog.2019.910129.