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 10 publications

(8 citation statements)

References 15 publications

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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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“…Some African authors similar to our study reported 40% surgical site infection. [ 11 ] In a study at Benin, Afle et al . [ 11 ] reported that 20 of 139 patients had HAI; of which site and respiratory infections were the most common, 5% and 5% respectively.…”

Section: Discussionmentioning

confidence: 99%

Healthcare-associated infection in surgery department: A big challenge for African surgical teams

Togo,

Samaké,

Sarro

et al. 2023

J West Afr Coll Surg

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Background: Healthcare-associated infections (HAIs) are increasing in health facilities in Mali, due to health disparities and growing costs. Twenty to fifty percent of HAIs in the surgery department can be prevented with appropriate measures. Objectives: This study aimed to determine the burden of HAI and its risk factors. Materials and Methods: This was a prospective cohort study from January to June 2021 at the CHU Gabriel TOURE, Bamako, Mali. The sample size was determined based on the CDC Atlanta criteria, used to confirm HAI in surgical settings. Demographic, clinical, and biological parameters were determined. For the confirmed case of infection, the incriminated bacteria were isolated and tests were performed for the choice of drugs. Results: Of the total 1001 patients included in this study, 195 patients (19.48%) have HAIs. The types of infections were as follows: 70 cases of surgical site infections, 54 infections on burns victims, 40 urinary tract infections, and 31 cases of bacteraemia. Germs such as Escherichia Coli, Klebsiella pneumoniae, and Acinetobacter were often isolated. We found increasing hospital stays as well as some postoperative mortality related to infections. At the end of this study, corrective efforts were implemented to prevent HAI. Among them are improvements in sterilisation techniques as far as surgical materials were concerned. In addition to a surgical checklist, locally used drapes were replaced with single-use surgical supplies. Advanced training of the surgical team on things such as bladder catheterisation was also conducted in the department. It is important to put in place a committee, to prevent nosocomial infection in our hospital. The selected committee will be responsible for planning and implementing diverse strategies to prevent infections. Conclusions: The prevention of HAIs will reduce health costs and improve the quality of surgical care.

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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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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 10 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

Healthcare-associated infection in surgery department: A big challenge for African surgical teams

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

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