[Infections associated with the care in the department of gynecology - obstetrics of the University Hospital Center Gabriel Touré].

Autor: Bocoum A; Département de gynécologie -obstétrique du CHU G. Touré., Traoré Y; Département de gynécologie -obstétrique du CHU G. Touré., Fané S; Département de gynécologie -obstétrique du CHU G. Touré., Sanogo S; Département de gynécologie -obstétrique du CHU G. Touré., Kouma A; Service de gynécologie -obstétrique du CHU de Kati., Kanté I; Service de gynécologie -obstétrique du CHU du Point G., Sima M; Service de gynécologie -obstétrique du CHU du Point G., Sissoko A; Service de gynécologie -obstétrique du Csréf de Kati., Traoré SO; Service de gynécologie -obstétrique du Csréf de la commune V., Tegueté I; Département de gynécologie -obstétrique du CHU G. Touré., Sacko M; Département de gynécologie -obstétrique du CHU G. Touré., Wane A; Département de gynécologie -obstétrique du CHU G. Touré., Mounkoro N; Département de gynécologie -obstétrique du CHU G. Touré., Dolo A; Département de gynécologie -obstétrique du CHU G. Touré.
Jazyk: francouzština
Zdroj: Le Mali medical [Mali Med] 2020; Vol. 35 (1), pp. 43-49.
Abstrakt: Objectif: the purpose of this work was to study the infections associated with the care in the department of gynecology - obstetrics of the University Hospital Center Gabriel Touré (CHU G. Touré).
Patients and Methods: This was an epidemiological, descriptive, and analytical study carried out in the gynecology-obstetrics department of G. Touré University Hospital, from April 11, 2016 to August 29, 2016 (4 monthset 18 days), with a prospective collection of data that focused on the characteristics clinical and laboratory-based care-associated infections in patients during their hospitalization. Included in the study were all hospitalized patients (operated or not) in the gynecology obstetrics department, who agreed to participate in the study. The criteria used to diagnose the infection associated with care were those of the CDC Atlanta and making a thick drop in our context. Operative wound monitoring was performed until the 30th postoperative day.
Results: We recorded 200 patients, including 138 operated and 62 nonoperated patients, of which 30 patients developed a care-associated infection at a rate of 15%. The mean age of the patients who presented an infection 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 evacuees had an infection associated with care. The most common types of infections were surgical site infection with 56.60% followed by malaria with 23.30% and urinary tract infection with 20.00%. Escherichia coli and Acinetobacter baumanii were the most recovered germs. Isolated organisms were 100% resistant to Amoxicillin, 88.88% were resistant to Ciprofloxacin and 77.77% were resistant to Amoxicillin + Clavulanic acid. The average duration of hospitalization for patients who developed the infection was 14.70 days with extremes of 5 and 46 days. The mortality rate was 1.50%. The average cost of management of patients who developed the infection was 119837 FCFA; the extremes were 17750 and 825750 FCFA and the standard deviation of 174998 CFA francs.
Conclusion: the infections associated with the care remain frequent in our service and dominated by the infections of the operating site. The isolated organisms were all 100% resistant to Amoxicillin in 88.88% Ciprofloxacin.
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Databáze: MEDLINE
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