Healthcare-Associated Bacteremia and Urinary Tract Infections in Wards A and B of Medicine Department, CNHU-HKM of Cotonou: Characteristics and Risk Factors

Autor:	Faridath Massou, Dissou Affolabi, Angèle Azon-Kouanou, Carin Ahouada, Djimon Marcel Zannou, Kouessi Anthelme Agbodande, Fabien Houngbe, Murhula Katabana Delphin, Komi Habada, Roberto Dossou Torès Kouassi Prudencio
Rok vydání:	2018
Předmět:	medicine.medical_specialty business.industry media_common.quotation_subject Urinary system Public health medicine.disease Pneumonia Hygiene Bacteremia Health care Emergency medicine medicine Population study business media_common Cohort study
Zdroj:	Open Journal of Internal Medicine. :42-53
ISSN:	2162-5980 2162-5972
DOI:	10.4236/ojim.2018.81006
Popis:	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.
Databáze:	OpenAIRE
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