État des lieux des infections associées aux soins dans deux hôpitaux publics du sud Benin (Afrique de l’ouest) : Centre Hospitalier Universitaire de Zone d’Abomey- Calavi/Sô-Ava et Centre Hospitalier de Zone de Cotonou 5

Afle, F Cyr Doscoph; Quenum, Kisito; Hessou, Septime; Johnson, Roch Christian

doi:10.4314/jab.v121i1.9

Cited by 8 publications

(4 citation statements)

References 15 publications

(16 reference statements)

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“…Surgical operative sites and catheter infections are common nosocomial infections. Many studies reveal incidence of nosocomial infections in Benin, generally [21], and in hospitals, particularly [22]. The present study wanted to explore these two particular types of nosocomial infections in CHU MEL of Cotonou City.…”

Section: Discussionmentioning

confidence: 97%

High Prevalence of Multidrug-Resistant Bacteria in the Centre Hospitalier et Universitaire de la Mère et de l’Enfant Lagune (CHU-MEL) Reveals Implications of Poor Hygiene Practices in Healthcare

Dougnon

Koudokpon

Hounmanou

et al. 2019

SN Compr. Clin. Med.

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Healthcare-associated infections represent an emerging public health issue with serious impact among hospitalized patients, including cesarized women and children with catheter. The present study determined the implications of hygiene practices and the hospital environment in wound reinfection among cesarized women and the occurrence of catheter-induced infections in children. Bacteriological analyses were performed on 100 wound swabs from cesarized women, 40 swabs from the wound dressing room, and 83 catheter tips used in children. Isolated bacteria were tested for antimicrobial susceptibility. A comparison of the resistance profile between strains isolated from wounds and those isolated from the dressing room was conducted, whereas the hygiene practices observed from the personnel during catheter removal were recorded in the case of children. The results show that 85% of wound swabs, 63% of swabs from the dressing room, and 33.7% of catheter tips were positive for bacteriological analysis. The most isolated strains in wound and environmental swabs were Staphylococcus aureus (56%) and coagulasenegative Staphylococcus (44%), followed by Klebsiella pneumoniae (30%) and Enterobacter cloacae (32%) for wounds and Escherichia coli (43%) and Klebsiella pneumoniae (28%) for the environment. The catheter tips contained mostly Klebsiella pneumoniae (32%), coagulase-negative Staphylococcus (25%), and Enterobacter cloacae (14%). All strains showed resistance to penicillin and cephalosporin. The comparison of the resistance profiles suggests an implication of the environmental strains in the reinfection of wounds in cesarized women. However, a significant correlation was recorded between poor hygiene practices and the contamination of the catheter tips. These findings allowed the authorities of this hospital to reinforce the knowledge and improve the hygiene management, in order to still hold the good label of the structure.

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Section: Discussionmentioning

confidence: 97%

High Prevalence of Multidrug-Resistant Bacteria in the Centre Hospitalier et Universitaire de la Mère et de l’Enfant Lagune (CHU-MEL) Reveals Implications of Poor Hygiene Practices in Healthcare

Dougnon

Koudokpon

Hounmanou

et al. 2019

SN Compr. Clin. Med.

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“…Among the thirteen identified staphylococci species, there was a predominance of Staphylococcus aureus (43%). A high proportion (∼45%) of Staphylococcus aureus from hospital environment samples has been reported in Benin [13] and Morocco [20]. However, in Mali, S. epidermidis was reported to be the predominant species in the hospitals [21].…”

Section: Discussionmentioning

confidence: 99%

“…The predominance of Staphylococcus spp. in hospitals indicates a noncompliance with hygiene rules [ 12 , 13 ]. The present study was conducted for a better knowledge of pathogenic Staphylococcus strains for an effective therapeutic approach and a better use of antibiotics.…”

Section: Introductionmentioning

confidence: 99%

Antibiotics Resistance and Biofilm Formation Capacity of Staphylococcus spp. Strains Isolated from Surfaces and Medicotechnical Materials

Socohou

Sina

Dégbey

et al. 2020

International Journal of Microbiology

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Staphylococcus spp. is most often implicated in nosocomial infections. The objective of this study is to evaluate the susceptibility to antibiotics and the biofilm formation capacity of staphylococci species isolated from surfaces and medicotechnical materials at the university hospital center of Abomey-Calavi/Sô-Ava in Benin. Samples were collected according to ISO/DIS14698-1 standard from the surfaces and medicotechnical materials by the dry swab method. The isolation of Staphylococcus strains was performed on Chapman agar, and their identification was performed using microscopic and biochemical methods. The susceptibility of Staphylococcus isolates to antibiotics was evaluated by the disc diffusion method according to EUCAST and CLSI recommendations. The biofilm formation was qualitatively assessed using microplates. Of the 128 surfaces and medicotechnical material samples analyzed, 77% were contaminated with Staphylococcus spp. Thirteen species of Staphylococcus were isolated in different proportions but the pediatric department was the most contaminated (33%) by S. aureus. Resistance to antibiotics considerably varies according to the species of Staphylococcus. However, antibiotics such as chloramphenicol and vancomycin are the most effective on S. aureus, whereas coagulase-negative staphylococci developed less resistance to gentamycin and ciprofloxacin. The biofilm test reveals that 37% of our isolated strains were biofilm formers. Although regular monitoring of hospital hygiene is crucial, the optimal use of antibiotics is a cornerstone of reducing antimicrobial resistance.

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“…Anarchic prescription of antibiotics by any non-qualified medical worker and the easiness to get these antibiotics in the pharmacy contribute to the emergence of resistance of bacteria to antibiotics. Both Ouedraogo in Burkina Faso [10] and Afle [11] in Benin signaled in 2017 the emergence of multi-resistant Klebsiella pneumoniae nosocomial infections in West Africa.…”

Section: Discussionmentioning

confidence: 99%

Klebsiella pneumoniae Nosocomial Infection in an African Pediatrics Health Center: Case of Campus-Teaching Hospital in Togo

et al. 2018

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Background: The target of our study was to analyze clinical, paraclinical and environmental aspects of a nosocomial infection that occurred at the pediatrics division at Campus Teaching Hospital. Methods: This was a prospective study initiated after observation of some suspicious cases of nosocomial infection amongst patients. Forty-one children from 29 days to 15 years of age admitted to the Pediatrics Division at Campus Teaching Hospital for a period of 3 months (from April 1 to June 31, 2016) were taken into account in this study. In our study, we included all sick children who showed a reappearance of severe infectious syndrome after 3 days of admission and whose blood cultures were positive. During this period of study, 20 nurses and six medical doctors were questioned as regards to hands clean during the discharge of their work. Studied parameters were: age, sex, initial treatment, bacteria found, sensibility of bacteria, swab results on medical materials in use and hands care. Results: During the study, 41 cases of blood cultures were identified, out of which 30 (73.17%) tested positive to Klebsiella pneumoniae. The most concerned range of age was between 1 and 5 (56.09%). The initial diagnoses were dominated by 27 malaria (65.85%) and gastroenteritis fever (17.08%). All isolated cases of Klebsiella pneumoniae in our study were multi-resistant but sensitive to colistin. Two children out of 30 infected by Klebsiella pneumoniae died. During the period of study, health staff on duty did not regularly practise proper hands hygiene. Conclusions: The case of nosocomial infection is very common in African health centers and it should draw the attention of health officials.

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État des lieux des infections associées aux soins dans deux hôpitaux publics du sud Benin (Afrique de l’ouest) : Centre Hospitalier Universitaire de Zone d’Abomey- Calavi/Sô-Ava et Centre Hospitalier de Zone de Cotonou 5

Abstract: État des lieux des infections associées aux soins dans deux hôpitaux publics du sud Benin: Centre Hospitalier Universitaire de Zone d'

Cited by 8 publications

References 15 publications

High Prevalence of Multidrug-Resistant Bacteria in the Centre Hospitalier et Universitaire de la Mère et de l’Enfant Lagune (CHU-MEL) Reveals Implications of Poor Hygiene Practices in Healthcare

High Prevalence of Multidrug-Resistant Bacteria in the Centre Hospitalier et Universitaire de la Mère et de l’Enfant Lagune (CHU-MEL) Reveals Implications of Poor Hygiene Practices in Healthcare

Antibiotics Resistance and Biofilm Formation Capacity of Staphylococcus spp. Strains Isolated from Surfaces and Medicotechnical Materials

Klebsiella pneumoniae Nosocomial Infection in an African Pediatrics Health Center: Case of Campus-Teaching Hospital in Togo

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