[Health-care related infections in pediatric surgery of the teaching hospital Gabriel Toure, Bamako, Mali].

Autor: Coulibaly Y; Service de chirurgie pédiatrique, CHU Gabriel Touré, Bamako., Amadou I; Service de chirurgie pédiatrique, CHU Gabriel Touré, Bamako., Koné O; Division santé communautaire, INRSP, Bamako., Coulibaly OM; Service de chirurgie pédiatrique, CHU Gabriel Touré, Bamako., Diop T; Service d'Anesthésie Réanimation, CHU Gabriel Touré, Bamako., Doumbia A; Service de chirurgie pédiatrique, CHU Gabriel Touré, Bamako., Kamaté B; Service de chirurgie pédiatrique, CHU Gabriel Touré, Bamako., Djiré MK; Service de chirurgie pédiatrique, CHU Gabriel Touré, Bamako., Traoré A; Service de chirurgie pédiatrique, CHU Gabriel Touré, Bamako., Ouologuem H; Service de chirurgie pédiatrique, CHU Gabriel Touré, Bamako., Konaté D; Service de pédiatrie, CHU Gabriel Touré, Bamako., Coulibaly M; Service de chirurgie pédiatrique, CHU Gabriel Touré, Bamako., Maïga B; Service de pédiatrie, CHU Gabriel Touré, Bamako., Mangané MI; Service d'Anesthésie Réanimation, CHU Gabriel Touré, Bamako., Togo A
Jazyk: francouzština
Zdroj: Le Mali medical [Mali Med] 2020; Vol. 35 (1), pp. 15-19.
Abstrakt: Objectives: to identify the main causative agents of infection associated with care and their susceptibility to antibiotics used and to identify risk factors for care-associated infection.
Material and Methods: This was a cross-sectional study with prospective data collection, conducted from 1 November 2016 to 1 April 2017 among all children admitted to the pediatric surgery department. Non-consenting parents and cases of necrosectomy were included in this study.
Results: Our study involved 200 patients, 30 of whom presented a care-associated infection (15% infection rate). The average age of patients with infection was 56.33 ± 48.66 months (1 and 180 months). The main pathogens responsible for infection of the operative site were: Escherischia coli (4 cases), Acinetobacterbaumanii (3 cases), Klebsiella pneumoniae (2 cases), Staphylococcus aureus (2 cases), Enterobacter cloacae (1case), Pseudomonas aeruginosa (1 case) and Enterobacter faecalis (1 case). In the burned patients, the organisms found were: Acinetobacter baumanii (7 cases), Klebsiella pneumoniae (6 cases), Staphylococcus aureus (6 cases), Escherischia coli (4 cases), Pseudomonas aeruginosa (2 cases) and Enterobacter faecalis (2 cases). Escherichia coli was noted in urinary tract infection. Antibiotics tested were amoxicillin, amoxicillin-clavulanic acid, ceftriaxone, imipenem, gentamicin and ciprofloxacin. The mode of recruitment and the duration of hospitalization were the risk factors noted.
Conclusion: The infection associated with care is a frequent occurrence in our practice. These infections mainly occur at the operating sites. The germs found were: Acinetobacter, Escherichia coli, Klebsiella pneumoniae, Pseudomonas aeruginosa, Staphylococcus aureus. They are all sensitive to imipenem and resistant to amoxicillin. The infection remains formidable in health care. It is essential to give special attention to the prevention of infectious risk, especially in the surgical setting.
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Databáze: MEDLINE
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