TITLE:
Healthcare-Associated Bacteremia and Urinary Tract Infections in Wards A and B of Medicine Department, CNHU-HKM of Cotonou: Characteristics and Risk Factors
AUTHORS:
Angèle Azon-Kouanou, Kouessi Anthelme Agbodande, Faridath Abèni Tatiane Massou, Dissou Affolabi, Roberto Dossou Torès Kouassi Prudencio, Carin Ahouada, Komi Habada, Murhula Katabana Delphin, Djimon Marcel Zannou, Fabien Houngbé
KEYWORDS:
Healthcare-Associated Infections, Bacteremia, Urinary Tract Infections, Risk Factors
JOURNAL NAME:
Open Journal of Internal Medicine,
Vol.8 No.1,
January
31,
2018
ABSTRACT: Introduction:
Healthcare-associated infections are involved in hospital long-stay and in the increase in inherent costs to patients care. Objectives: Objective 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.