Bacterial isolates of surfaces in the neonatal intensive care unit of Enugu State university teaching hospital, Parklane, Enugu, and their antibiotic susceptibility patterns

Asinobi, Isaac Nwabueze; Ekwochi, Uchenna; Edelu, Benedict O; Iheji, Chukwunonso Chigozie; Onu, Ngozi Nancy; Ndu, Ikenna K

doi:10.4103/njm.njm_157_20

Cited by 3 publications

(7 citation statements)

References 36 publications

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“…These findings are in tandem with that documented in Asaba Nigeria in which majority of the cases were discharged [11]. This finding is in contrast to that found in Enugu Nigeria in which 43.5% of the CHER admissions were discharged home and Benin City where only 30.4% were discharged [2,9]. Few (15.64%) of the patients seen in the CHER were admitted into the paediatric wards.…”

Section: Discussionsupporting

confidence: 72%

“…Also the high vulnerability of this class of people to different medical ailments and poor practice of childhood survival strategies that prevent common childhood morbidities and mortalities could be contributory to this finding. Other authors have also observed paediatric medical conditions as being the commonest conditions in the CHER in their studies [1,2,8,9,11].Malaria (26.3%) was the most common condition seen in CHER. This was followed closely by AGE which constituted 23.3%, pneumonia (13.4%) and sepsis (7.4%) respectively.…”

Section: Discussionmentioning

confidence: 74%

“…Similarly, in a related study in Azare Nigeria in which the patients were retrospectively recruited using the ward register and hospital medical records it was established that majority (44.8%) of the patients had malaria [10]. Also in Enugu, Nigeria, the descriptive retrospective study conducted in the CHER also showed that malaria, AGE, pneumonia and sepsis were the most frequent reasons for admission into the CHER [2]. Again, in Gwagwalada Nigeria, severe anaemia from severe malaria, pneumonia and gastroenteritis were found to be the leading causes of admission in CHER [5].Majority of the children seen in the CHER were discharged home following recovery.…”

Section: Discussionmentioning

confidence: 93%

“…Similarly, a retrospective study which reviewed the attendance register of all children seen at the emergency paediatric unit of a teaching hospital in Benin-City Nigeria found that 56.3% of those admitted were males with a male to female ratio of 1.3:1 [9]. Again, in Enugu Nigeria, a descriptive retrospective study conducted in the CHER revealed a male to female ratio of 1.3:1 [2] Majority of the patients admitted in CHER were under 5-year patients and formed 79% of the patients in the CHER. This finding could be a reflection of poor development of immunity within the first five years of life.…”

Section: Discussionmentioning

confidence: 99%

“…The pattern of paediatric conditions seen in the children emergency room (CHER) together with their outcomes when monitored periodically, could provide information and data that give insight into the quality of existing services and help in stimulating provisions of better and effective quality healthcare services [1,2]. The CHER is a key healthcare services area in many Nigerian tertiary hospitals [3].…”

Section: Introductionmentioning

confidence: 99%

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Pattern of paediatric conditions seen in the children emergency room of an urban hospital in South-Eastern Nigeria

Njoku

Iloh

Dienye

et al. 2020

GSC Biol. and Pharm. Sci.

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Background: Children Emergency Room (CHER) is a vital health care services point in many hospitals and can contribute beneficially in the evaluation of many hospitals ncluding tertiary ones. It enables many paediatric cases to be managed in the hospitals without being admitted into the paediatric wards with good outcomes. Material and Methods: This was a retrospective study involving review of records of all the children seen in the CHER between January 2012 and June 2012. The objectives were to look at the pattern and outcome of paediatric conditions in CHER with the aim of providing data for further evaluation and improvement. A proforma developed by the authors was used in collecting the relevant information from the patients’ records. The data collected was simply analyzed. Results: The total of 486 paediatric patients who satisfied the inclusion and exclusion criteria were seen in the CHER. Those less then one year of age constituted 58.6% of the patients. Majority (56.8%) of the patients were males. Also 52.9% of the patients lived in the rural areas. There was preponderance (96.7%) of medical conditions. Majority of both the males (78.6%) and females (72.4%) were discharged. Only 6.17% of the patients died while 15.6% were admitted into the wards. Conclusion: There was a preponderance of varieties of medical conditions in our environment with infections constituting the majority with resultant relative high mortality. Thus improvement in the uptake of the different childhood survival strategies including immunization and breast feeding will help in minimizing these problems.

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Section: Discussionsupporting

confidence: 72%

Section: Discussionmentioning

confidence: 74%

Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Pattern of paediatric conditions seen in the children emergency room of an urban hospital in South-Eastern Nigeria

Njoku

Iloh

Dienye

et al. 2020

GSC Biol. and Pharm. Sci.

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Infection control measures at maternity and children hospital and data analysis

Pachpute¹,

Jayalakshmi

Urhekar³

2022

IJMMTD

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Nosocomial Infections are the infections that are neither at incubating state nor present at the time of admission. They are greatly associated with Surgical procedures and Invasive Medical Devices and hence OTs and ICUs are known as ‘Hot Zones’ and Gram Negative and Gram-positive organisms are responsible. Hence, regular surveillance of these areas remains the mainstay to monitor the raising trend of nosocomial infections. To find out the prevalence of Bacteria and Bacterial load in Pre and Post fumigation swabs from various areas of Maternity and Children hospital like OTs, Patient Ward, Labor ward and NICUs and to test the effectiveness of the standard disinfectants. The swabs were collected from different areas of MGM Maternity and Children Hospital, Kalamboli Mumbai The swabs were further processed and organisms were identified using standard Microbiological procedures. The standard disinfectants were tested using Kelsey-Sykes Capacity test, and they “Passed” the test. Out of the total Pre fumigation swabs collected, growth was seen in 15% of the swabs while in Post fumigation swabs 3% of growth was seen. In places like Minor OT, Septic OT, Labor Room, Waiting Room a higher value of Chi-square test statistics indicated a statistically significant association between fumigation and growth of microorganisms. Majorly non-pathogenic organism like Bacillus was isolated followed by CoNS and few . Hence this indicates significant reduction in growth of microorganisms in majority of the areas of post fumigation swabs indicating following of proper infection control procedures. This study describes the profile of Bacterial Load in high-risk areas of Maternity and Children Hospital. Pre and post fumigation swabs were tested from high-risk areas including Minor OT, Major OT, Septic OT, Female Ward, Recovery Room, PNC, NICU. Also, suggestions were made to incorporate air sampling methods for better assessments. The knowledge of these findings and appropriate corrective measures can greatly impact the health of neonates as well as the mothers.

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Clinico-etiological profile of neonatal sepsis at a tertiary care hospital in South India

Kumar¹

2022

Halo 194

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Introduction/Objective Neonatal sepsis is the leading cause of morbidity and mortality among neonates. Neonates are at risk of sepsis due to several immaturities that they possess inherently. Sepsis is classified as early-onset or late-onset neonatal sepsis. Pathogenesis is different in both types. This study aims to determine the pattern of microorganisms causing sepsis and the clinical presentation of neonates admitted with suspicion of sepsis to the Government Kilpauk Medical College Hospital, a tertiary medical care centre. Methods Descriptive cross-sectional study performed in Government Kilpauk Medical College and Hospital, India. Results Out of 207 neonates admitted with suspected sepsis, 112 were male and 97 were female. Male to female ratio was 54.1% : 45.9 % (1.2 : 1). On categorizing the newborns based on birth weight, 11 newborns were of very low birth weight, 107 were of low birth weight, 88 had normal birth weight, and one baby weighed more than 4,000 grams. Blood culture was positive in 88 out of the 207 cases (42.51%). Klebsiella was the commonest microorganism causing sepsis (45%) in our Neonatal Intensive Care Unit. Other Gram-negative isolates included Escherichia Coli (31%), Pseudomonas (6%), Enterobacter (1%) and Acinetobacter (2%). The Gram-positive organisms grown were coagulase-positive and coagulase-negative Staphylococci (8%), Group B Beta Hemolytic Streptococcus (5%) and Enterococcus (2%). Late-onset sepsis cases were found to be 1.5 times more common than early-onset sepsis. The best overall sensitivity among Gram-negative isolates was to Imipenem (92%), followed by Amikacin (82.66%) and the best sensitivity among Gram-positive isolates was to Vancomycin (84.61%), followed by Cloxacillin and Ampicillin (61.53%). Out of 88 positive cultures, 6 were multi-drug resistant (6.8%). Conclusion Acquiring knowledge about the microorganisms causing sepsis in neonates helps prevent morbidity, mortality and the development of antibiotic resistance.

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Bacterial isolates of surfaces in the neonatal intensive care unit of Enugu State university teaching hospital, Parklane, Enugu, and their antibiotic susceptibility patterns

Cited by 3 publications

References 36 publications

Pattern of paediatric conditions seen in the children emergency room of an urban hospital in South-Eastern Nigeria

Pattern of paediatric conditions seen in the children emergency room of an urban hospital in South-Eastern Nigeria

Infection control measures at maternity and children hospital and data analysis

Clinico-etiological profile of neonatal sepsis at a tertiary care hospital in South India

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